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BACKGROUND Diabetes mellitus is a complex disease with serious complications. Electronic decision support, providing information that is shared and discussed by both patient and physician, encourages timely interventions and may improve the management of this chronic disease. However, it has rarely been tested in community-based primary care. METHODS In(More)
PROBLEM BEING ADDRESSED A continuing decline in the number of family physicians in Canada providing obstetric, and particularly intrapartum, care. OBJECTIVE OF PROGRAM The Maternity Centre of Hamilton in Ontario was a pilot project initiated to help family physicians provide full obstetric care through a collaborative interdisciplinary model and shared(More)
Display ads proliferate on the web, but are they effective? Or are they irrelevant in light of all the other advertising that people see? We describe a way to answer these questions, quickly and accurately, without randomized experiments, surveys, focus groups or expert data analysts. Doubly robust estimation protects against the selection bias that is(More)
Automated Facial Expression Recognition (FER) has remained a challenging and interesting problem in computer vision. Despite efforts made in developing various methods for FER, existing approaches lack generalizability when applied to unseen images or those that are captured in wild setting (i.e. the results are not significant). Most of the existing(More)
BACKGROUND Calls are increasing for physicians to disclose harmful medical errors to patients, but little is known about how physicians perform this challenging task. For surgeons, communication about errors is particularly important since surgical errors can have devastating consequences. Our objective was to explore how surgeons disclose medical errors(More)
BACKGROUND Computerized decision support systems (CDSSs) linked with electronic medical records (EMRs) are promoted as an effective means of improving patient care. However, very few high-quality studies are set in routine, community-based clinical care, and no consistent evidence of an effect on patient outcomes has been found. METHODS A randomized(More)
BACKGROUND Patients are often not told about harmful medical errors. The malpractice environment is considered a major determinant of physicians' willingness to disclose errors to patients. Yet, little is known about the malpractice environment's actual effect on physicians' error disclosure attitudes and experiences. METHODS Mailed survey of 2637(More)