• Doan, Quynh

    Titles

    Investigator, BC Children's Hospital
    Pediatric Emergency Physician, BC Children's Hospital
    Assistant Professor, Division of Emergency Medicine, Department of Pediatrics, University of British Columbia

    Degrees / Designations

    MDCM, MHSc, PhD, FRCPC

    Primary Area of Research
    Evidence to Innovation
    Secondary Area(s) of Research
    Phone
    604-875-2345 ext. 3691
    Fax
    Lab Phone
    604-875-2345 extensions 5155
    Assistant
    Karly Stillwell (Research Coordinator)
    Assistant Phone
    604-875-2345 ext. 3691
    Mailing Address

    BC Children's Hospital
    Emergency Department
    4480 Oak Street
    Vancouver, BC V6H 3V4

    Affiliate Websites
    Research Areas
    My focus is Health Services research, with current projects aiming to determine:
    • The magnitude of pediatric emergency department (PED) overcrowding
    • If there is a correlation between PED utilization and markers of overcrowding
    • How overcrowding relates to health outcomes for children
    Summary
    Dr. Doan’s research program is comprised of projects evaluating pediatric emergency department patterns of use, the quality of the care provided, and the efficiency of service delivery. She aims to answer questions pertaining to the population's need for pediatric emergency care, how well the healthcare system is equipped to meet this need, and how can we maintain or improve the quality and value of the care provided to children and families seeking help in emergency settings

    As a member of Pediatric Emergency Research Canada (PERC), Dr. Doan is the BCCH site investigator for many PERC multi-center studies. She is also the PERC representative and BC lead physician for the Translating Emergency Knowledge for Kids (TREKK) network.

    Current Projects
    Meeting Pediatric Mental Health Needs in the Emergency Department – HEARTSMAP Expansion

    HEARTSMAP is an electronic, clinical assessment tool developed to guide clinical care for pediatric patients presenting to the ED with mental health complaints. This tool is being implemented across BC as the gold standard assessment for emergency pediatric mental health visits . The aim of this project is to evaluate the effectiveness of implementing HEARTSMAP in emergency departments and its impact on health service measures such as ED utilization, flow, and outcomes.

    Evaluation of MyHEARTSMAP, a self-reporting youth mental health assessment & management tool

    Adapted from the clinical HEARTSMAP tool, MyHEARTSMAP is a youth mental health self-assessment tool designed for use by youth and their families in the emergency department (ED). Upon completion of the self-assessment, the tool generates recommendations for services that youth and families can access depending on their self-assessment scoring. This study aims to evaluate MyHEARTSMAP by assessing the tool's predictive validity, determining the feasibility of its use in the ED, and evaluating the impact of screening on health resource seeking behaviour of participants with identified mental health concerns.

    Advancing Concussion Assessment in Pediatrics

    The aim of this study is to more accurately identify mild Traumatic Brain Injury (mTBI), commonly known as a concussion, and to predict its long-term outcomes by studying a broad pool of neurological and psychosocial markers used in diagnosing mTBI.

    Validating MyHEARTSMAP, an emergency psychosocial assessment and management tool, among youth with minor traumatic head injuries or minor orthopedic injuries, seen in the a Pediatric Emergency Department (PED)

    This study aims to compare the outcomes of the MyHEARTSMAP youth mental health self-assessment tool to two validated self-reported questionnaires.

    PERC PED Overcrowding

    Analyzing administrative databases, this study is using levels of length of stay among high and low acuity pediatric emergency department (PED) visits from eight Canadian PEDs as measures of PED overcrowding to determine their association with adverse patient outcomes. 

    The Incidence of Suicide Completion Among Patients Seeking Mental Health Care at a Pediatric Emergency Department

    Via retrospective chart review, this study aims to examine patient outcomes in regards to suicide completion among youth seeking mental health care at BC Children’s Hospital PED.

    Bronchiolitis Pediatric Emergency Department management adherence to national guidelines and impact on ED utilization

    Via retrospective chart review, this study aims to review clinical management and discharge instructions provided to patients with bronchiolitis at the BCCH PED to assess if they are in line with national guidelines, and if they influenced rates of return visits to the emergency department.

    Management and disposition of severe croup in the emergency department

    Via retrospective chart review, this study aims to describe practice pattern variation and outcomes for patients visiting the BCCH pediatric emergency department with severe croup. 

    Effectiveness of Scheduled Return Visits to the Pediatric Emergency Department

    Via chart review and using administrative data, this study aims to determine the burden of scheduled return visits to the pediatric emergency department. 

    Translating Emergency Knowledge for Kids (TREKK)

    TREKK is a network of researchers, clinicians, national organizations, and health consumers who share the same goal of improving emergency care for Canadian children.

    Student-based Applied Research Training (START) Program

    The START program is a team of volunteer research assistants supporting clinical research in the BC Children's Hospital (BCCH) Emergency Department (ED). 

    The specially-trained START team assists with daily recruitment activities in the BCCH ED, including screening and enrolling potential participants into current projects. 

    The START program provides students with first-hand exposure to various clinical research methods and the fast-paced, diverse world of emergency medicine. 

    The program runs year year round, with volunteers required to commit to four 6-hour shifts per month.  

    Participation in the program is beneficial to students who may be considering graduate studies, professional programs, or other careers in the healthcare field. In addition, volunteering with the START program provides volunteers the opportunity to build interprofessional relationships with experienced clinical staff in a tertiary care pediatric emergency department.  

    The high caliber of the volunteers in the program also contributes to creating a positive experience for patients and families participating in research.  

    To learn more, contact START Program Coordinator, Greg Georgio, at ggregory@bcchr.ca. Please include your resume, unofficial transcript, and a cover letter outlining why you would like to be a pediatric emergency medicine research volunteer.

    Selected Publications

    Doan Q, Shefrin A, Johnson D. Cost-effectiveness of metered-dose inhalers for asthma exacerbations in the pediatric emergency department. Pediatrics. 2011 May;127(5):e1105-11. Epub 2011 Apr 4. PMID: 21464192

    Q. Doan, V. Sabhaney, N.Kissoon, S. Sheps, J.Singer. The role and impact of the physician assistant in the Emergency Department: a systematic review. Emergency Medicine Australasia February 2011 23(1): 7-15. PMID: 21284809

    Stephen B. Freedman MDCM, MSc, Serge Gouin MDCM, Maala Bhatt MD, Karen JL Black MD, MSc, David Johnson MD, Chantal Guimont MD, PhD, Gary Joubert MD, Robert Porter MD, Quynh Doan MDCM, MHSc, Richard van Wylick MD, Suzanne Schuh MD, Eshetu Atenafu MSc, Mohamed Eltorky MD, Dennis Cho BHSc, Amy Plint MD, MSc, for Pediatric Emergency Research Canada (PERC). A Prospective Assessment of Practice Pattern Variation in the Treatment of Pediatric Gastroenteritis. Pediatrics. 127(2):e287‐95. 2011. PMID: 21262881

    Doan Q. Chan M, Leung V, Lee E, Kissoon N. The Impact of Implementing an Oral Rehydration Clinical Pathway in a Pediatric Emergency Department. Pediatrics and Child Health, October 2010, Volume 15 Issue 8: 503-507. PMID: 21966235

    Doan Q, Koehoorn M, Kissoon N. Body mass index and the risk of acute injury in adolescents. Pediatrics and Child Health, July-August 2010;15(6):351-356. PMID: 21731417

    Z.Li, Q.Doan, S.Dobson. Determinants of Influenza immunization uptake in Canadian youths. Vaccine 28 (2010) 3462-6, April 2010. PMID: 20199757

    Q.Doan, N.Kissoon, D.Johnson, P. Enarson, T. Klassen. Rapid viral diagnosis for acute febrile respiratory illness in children in the Emergency Department. A Cochrane Systematic Review. Cochrane Database of Systematic Reviews 2009, Issue 4. PMID: 19821366

    Q.Doan, N.Kissoon, S.Whitehouse, S.Dobson, D.Cochrane, B.Schmidt, E.Thomas. A Randomized controlled trial of the impact of early and rapid diagnosis of viral infections in children brought to the Emergency Department with febrile respiratory tract illnesses. Journal of pediatrics 154(1): Jan 2009. PMID: 18814887

    Doan, Q. Johnson, DW. Kissoon, N. Klassen, TP. Cochrane. Rapid viral diagnosis for acute febrile respiratory illness in children in the Emergency Department. Acute Respiratory Infections Group (PROTOCOL) Cochrane Database of Systematic Reviews. 2, 2008. PMID: 19821366

    Q.Doan and J.E. Carter. Ureteral Obstruction as a complication of Vertebral Osteomyelitis: A patient report. Clinical Pediatrics 41(9):727-9, 2002 Nov-Dec. PMID: 12462326

    Grants
    Honours & Awards

    MSFHR Scholar Award - Project: "Emergency department overcrowding: Determinants, measures and pediatric outcomes," 2014.

    Canadian Pediatric Society first prize Fellow research award for "The impact of rapid viral diagnosis on Pediatric Emergency department management of acute respiratory infections: a Randomised Controlled Trial of physician decision making," June 2008.

    Laura Macrae Award for best subspecialty resident/fellow at BC Children's Hospital - This award is given to a fellow who has made significant achievements in clinical care, education and research during fellowship, June 2008.

    Society for Pediatric Research Clinical Fellow Research Award - In recognition of research achievement in Academic Pediatrics, May 2008.

    BC Children’s Hospital ED research Award, UBC - Development grant for: Oral Rehydration clinical pathway for gastroenterititis in the ED: Impact on length of visit and health care utilisation,” 2007.

    Child & Family Research Institute Subspecialty Research Achievement Award, UBC - Awarded for outstanding achievement in research during subspecialty training, June 2007.

    J.W. Mc Connell Award. McGill University - Awarded to an outstanding student who ranks in the top 5% of their faculties, 1994.

    Dean’s Honors List. McGill University, 1994.

    Prix d’Excellence F.R.S.Q. (Fond de la Recherche en Sante du Quebec) for “Behavioral Genetic Studies of Ethanol Sensitivity in Mice” - under supervision of Dr. Kathryn Gill, McGill Dept. of Psychiatry. McGill University, 1994.

    Research Group Members