David Barbic

I’ve grown tired of the constant stream of hatred, adds and unfiltered content on X/Twitter, I’ll primarily be on BlueSky from now on @dbarbic.bsky.social

@SikhW37059 @Canucks @theprovince Zadorov is having a stinker of a season with Boston for $5M/yr

@Canucks @theprovince Maybe we should have just payed zadorov. Honestly I thought he was better than hronek. Hronek would have been a good 2nd liner with Myers.

Hear from Head Coach Rick Tocchet following tonight's game against the New York Islanders. #Canucks | @theprovince

👏 Congratulations! 👏 Advancing Health's Dr. Skye Barbic (@UBCOSOT) has been announced as the Canada Research Chair in Integrated Youth Services. chairs-chaires.gc.ca/chairholders-t… Dr. Barbic's research aims to advance the delivery of integrated youth research to address care gaps.

Patients, not politicians, decide what is an emergency. ED crowding is due to an inability to admit patients to hospital beds, not to 'Little Johnny' seeking low-acuity care, by @alandrummond2 @raghu_venugopal healthydebate.ca/2024/11/topic/… via @HealthyDebate @CAEP_Docs

@adamkeys_ Agree, and I’ll add look at parallels within KSE holdings: Sporting Directors/General Managers rarely last > 5 years. Usually after a change, good things flow too. Fresh blood, new perspectives to push us to the next level might be an excellent thing.

Edu’s replacement shouldn’t be someone from within or a former #Arsenal player. It has to be someone with a track record of getting big deals over the line, with top end experience. To ensure this loss doesn’t hit, you aim big and use it as an opportunity to move forward. #AFC

@LeGrove Agree, and I’ll add look at parallels within KSE holdings: Sporting Directors/General Managers rarely last > 5 years. Fresh blood, new perspectives to push us to the next level might be an excellent thing.

Emerg docs are clear: overcrowding is NOT caused by patients who need care - it's that we can't see them because our ED is filled with admitted patients who can't get a bed upstairs. Stop blaming patients. They have no Family Doc so what's their alternative? @ColinDMello

@ianhanomansing Happy to provide some insiders perspective Ian, can you provide relevant contact info? Ping @CAEP_Docs @alandrummond2

Sunday on Checkup, we're revisiting an ongoing, important issue: how are Emergency Department wait times affecting you? Whether you're a patient, family member or work at a hospital, consider callinf or replying. In the last 45, we'll switch to bike lanes. Lots to talk about.

It's time once again to remind everyone that emergency department (ED) crowding is not due to low acuity visits. ED crowding is due to hospital crowding and the inability to move admitted patients to the floors. Emergency Physicians can handle busy. It's crowding that kills.

What does salad have to do with difficult airway management? For a successful intubation, a clear view of the airway is essential. However, blood, vomit, or fluids in the pharynx can complicate the visualization. A workaround technique is called S.A.L.A.D. - Suction-Assisted Laryngoscopy with Airway Decontamination. In this video, Dr James DuCanto @jducanto , anesthesiologist and educator for airway management, explains the intubation technique that he has developed step by step: ✅ Continually decontaminate the pharynx with the suction tube ✅ Insert the video laryngoscope and create space for the endotracheal tube ✅ Perform intubation and verify correct placement Watch the full video on HEINE YouTube.

@pgwood1 @JasJohalBC It’s a symbiotic relationship, 66% of Van food is imported and majority of gasoline is too. Without Vancouver’s port, finance, tax revenue (tourism, film, IT, corporate offices) and transport hubs the B.C. economy grinds to a halt.

@JasJohalBC Ya but that one corner needs the rest of the province to well do almost anything these days. Hydro rail highways farming ranching. Metro Vancouver doesn’t have its standard of living with out it…. And that’s always missed by the condo dwellers in Vancouver

@CANSoccerDaily Maybe don’t stream the games on an ultra low quality, high cost streaming platform (with no other quality content!) and partner with a national broadcaster

Millions of people tuned in to watch #CanMNT at Copa América this summer on TSN. Since then, Jesse Marsch has been "disappointed" with the viewing figures of friendlies shown on OneSoccer. "We know that on TV, we need to find ways to get more eyeballs." canadiansoccerdaily.com/2024/10/14/jes…

@ThePeakSanti Luka Modric

You made it to Whistler, BC ⁦@DGlaucomflecken⁩ (a talk about medico-legal risk/charting) Well received too

@TheSGEM @alandrummond2 I think we can respectfully agree to disagree on this Ken. Seems you have a fairly set opinion on EMR’s.

@TheSGEM @alandrummond2 I would argue that hospitals (particularly EDs) still using paper charting and order entry in 2024 are failing their patients. Just one of many studies showing decreased med errors: pubmed.ncbi.nlm.nih.gov/18829802/

Trying to get a handle on what will be our new ER electronic health record. Get the potential benefits but skeptical that it will truly improve patient care - it will certainly lead to prolonged waits in the ER and more than a little provider frustration. Dumb timing for intro!

@TheSGEM @alandrummond2 Charting & Order entry are separate yet equally important issues. One could easily argue patients want accurate and legible charts for downstream communication of issues, and physicians “should” for complaints etc Preventing med errors is definitely a patient centred outcome

@DavidBarbic @alandrummond2 Agreed. Bad charting is bad is bad and should be addressed. The data is not clear if full electronic charting is a net benefit to a patient-oriented outcome of interest. I'm not saying it isn't, rather I'm not convinced by the evidence that it is.

@TheSGEM @alandrummond2 As opposed to illegible, medico-legally fraught paper charts and orders? I really don’t understand the point you’re trying to make here. No system is perfect, but illegible paper charting is unacceptable in 2024

@alandrummond2 We reviewed a paper on the SGEM that looked at the impact of computer physician order entry (CPOE) as part of the EHR. All metrics got worse. This aligns with the existing literature. thesgem.com/2016/07/sgem15… #EBM

@TheSGEM @alandrummond2 @CJEMonline Furthermore I really don’t think a 1 year window is sufficient. Likely 2-5 years truly needed to assess metrics

@DavidBarbic @alandrummond2 When they looked at this at LHSC one year after implementation, they did not find an increase in efficiencies as defined by the metrics they collected. All metrics got worse. @CJEMonline #EBM caep.ca/periodicals/Vo…

@TheSGEM @alandrummond2 No hard evidence, but our group’s 5 years of experience with Cerner. definitely a learning curve, the key is the implementation and building in PowerPlans, templates, dictation macros etc

@DavidBarbic @alandrummond2 Do you have some evidence to link to that supports it increases efficiency? With any intervention, I'm most interested in whether there is any high-quality evidence that it improves a net patient-oriented outcome of benefit.