Eric Grafstein
Eric Grafstein is a Canadian emergency physician based in Vancouver, British Columbia. He is married to Patricia Daly, Chief Medical Health Officer for the Vancouver Coastal Health Authority.[1]
He is Clinical Professor in the University of British Columbia Department of Emergency Medicine; Scientist at the Centre for Health Evaluation and Outcome Services (CHEOS); Regional Head of the Department of Emergency Medicine at Providence Health Care and Vancouver Coastal Health; and Chair of the Regional Emergency Services Program at Providence Health Care and Vancouver Coastal Health.[2]
History
Grafstein received his MD from the University of Toronto in 1985 - the same year as Daly - and completed his Royal College training in Emergency Medicine at McGill University in 1991.
Career
Grafstein has been practicing as an emergency physician at St. Paul's Hospital since 1993 where he acted as Associate Research Director, and lead the development of an Emergency Administrative Database for Health Services Research. He also spearheaded several IT projects for VCH and SPH including an electronic discharge summary application and a real-time electronic ED dashboard.[3]
In 2017, he won an Honorable Mention for the Best Working Paper Award from the Institute for Operations Research and the Management Sciences (INFORMS).[4]
He participated as Chief Medical Information Officer in the the Clinical & Systems Transformation (CST) project, funded by Vancouver Coastal Health, Providence Health Care and the Provincial Health Services Authority (PHSA).[5][6] The project is to implement a patient identification centralization system designed by Cerner, a company which was acquired in December 2021 by Oracle.[7][8]
Grafstein is also a Data Specialist member of the BC Emergency Medicine Network.
He is also a member of the Research Committee, Research Consortium, and Chair of the National CEDIS Working Group with the Canadian Association of Emergency Physicians (CAEP), where he authored a 2002 periodical announcing the results of a grant competition funded by Roche.[9][10]
COVID-19
In October 2021, Grafstein co-authored a letter to the editor of the Canadian Journal of Emergency Medicine advising that “current public health efforts and future pandemic planning should focus on sustainable methods to support those in self-isolation with basic necessities and emphasize messaging to reduce in-home transmission and to raise overall adherence to self-isolation.”[11]
Grafstein and his collaborators found that the rate at which children presented to hospital emergency departments in BC with respiratory symptoms was lower by 56% during “peak pandemic period” compared to the previous year, as well as even sharper decreases for other causes.[12] He also participated in a study on HealthLinkBC, a government-owned telehealth service used during the declared COVID-19 pandemic, funded by the BC Ministry of Health.[13]
Research
Grafstein's research interests include health systems and systems research pertaining to hospital emergency departments, and critical emergency medicine.
Grafstein collaborated on two research papers with Andrew McRae, who served as a member of the Alberta Health Services COVID-19 Scientific Advisory Group.[14][15] The studies were funded by the M.S.I. Foundation.
Further funding for Grafstein's research has come from the Canadian Association of Emergency Physicians Research Consortium, Canadian Institutes of Health Research (CIHR), Health Canada, the National Institute for Drug Abuse, and Vancouver Coastal Health Research Institute.[16][17][18][19][20]
External links
Fayerman, P. (2020, May 27). Married Vancouver physicians offer some COVID-19 positives in upbeat virtual chat with Rabbi. Medicine Matters. http://archive.today/2021.04.11-081730/https://medicinematters.ca/married-vancouver-physicians-offer-some-covid-19-positives-in-upbeat-virtual-chat-with-rabbi/ ↩︎
Dr. Eric Grafstein. St. Paul’s and Mount St. Joseph Hospital Emergency Departments. Retrieved February 5, 2022, from http://archive.today/2022.02.05-091318/http://sphemerg.ca/dr-eric-grafstein/ ↩︎
Emergency Department Wait Times - Displays real-time average ED wait times for Vancouver, Richmond and North Shore hospitals. ED Wait Times. Retrieved February 5, 2022, from http://archive.today/2022.02.05-095131/http://www.edwaittimes.ca/Home.aspx ↩︎
Eric Grafstein. INFORMS. Retrieved February 5, 2022, from https://www.informs.org/Recognizing-Excellence/Award-Recipients/Eric-Grafstein ↩︎
Integrating systems for CST success. (2014, October 30). CST Project. https://cstproject.com/news/integrating-systems-cst-success ↩︎
CST Project. (2018, April 23). The Doctors Are In. Apple Podcasts. https://podcasts.apple.com/us/podcast/the-doctors-are-in/id1338980181 ↩︎
Cerner Corporation. (2021, December 20). Oracle Buys Cerner. Cerner. https://www.cerner.com/newsroom/oracle-buys-cerner ↩︎
Cerner software. CST Project. Retrieved February 5, 2022, from https://cstproject.com/whats-changing/shared-clinical-information-system/cerner-software ↩︎
Grafstein, E., & Rowe, B. H. (2002, January). 2001–2002 Canadian Association of Emergency Physicians Research Grant Competition. CAEP. https://web.archive.org/web/20220205224817/https://caep.ca/periodicals/Volume_4_Issue_1/Vol_4_Issue_1_Page_57_-_58_Grafstein.pdf ↩︎
CEDIS. CAEP. Retrieved February 5, 2022, from https://caep.ca/resources/cedis/ ↩︎
Yang, L., Mitchell, D., Clayton, F., Clerc, P., Spangehl, T., Oxland, R., Spearing, K., Barbic, S., Andolfatto, G., Grafstein, E., Scheuermeyer, F., & Kestler, A. (2021). Self-isolation among discharged emergency department patients with suspected COVID-19. Canadian Journal of Emergency Medicine, 24(1), 97–98. https://doi.org/10.1007/s43678-021-00212-w ↩︎
Goldman, R. D., Grafstein, E., Barclay, N., Irvine, M. A., & Portales-Casamar, E. (2020). Paediatric patients seen in 18 emergency departments during the COVID-19 pandemic. Emergency Medicine Journal, emermed-2020-210273. https://doi.org/10.1136/emermed-2020-210273 ↩︎
Ho, K., Lauscher, H. N., Stewart, K., Abu-Laban, R. B., Scheuermeyer, F., Grafstein, E., Christenson, J., & Sundhu, S. (2021). Integration of virtual physician visits into a provincial 8-1-1 health information telephone service during the COVID-19 pandemic: a descriptive study of HealthLink BC Emergency iDoctor-in-assistance (HEiDi). CMAJ Open, 9(2), E635–E641. https://doi.org/10.9778/cmajo.20200265 ↩︎
Innes, G. D., Teichman, J. M. H., Scheuermeyer, F. X., McRae, A. D., Grafstein, E., Andruchow, J., Cheng, L., & Law, M. R. (2021). Does early intervention improve outcomes for patients with acute ureteral colic? Canadian Journal of Emergency Medicine, 23(5), 679–686. https://doi.org/10.1007/s43678-020-00016-4 ↩︎
Innes, G. D., Scheuermeyer, F. X., McRae, A. D., Law, M. R., Teichman, J. M. H., Grafstein, E., & Andruchow, J. E. (2021). Which Patients Should Have Early Surgical Intervention for Acute Ureteral Colic? Journal of Urology, 205(1), 152–158. https://doi.org/10.1097/ju.0000000000001318 ↩︎
Szyszkowicz, M., Porada, E., Tremblay, N., & Grafstein, E. (2012). Sulfur Dioxide and Emergency Department Visits for Stroke and Seizure. Stroke Research and Treatment, 1–7. https://doi.org/10.1155/2012/824724 ↩︎
Moe, J., O’Sullivan, F., McGregor, M. J., Schull, M. J., Dong, K., Holroyd, B. R., Grafstein, E., Hohl, C. M., Trimble, J., & McGrail, K. M. (2021). Characteristics of frequent emergency department users in British Columbia, Canada: a retrospective analysis. CMAJ Open, 9(1), E134–E141. https://doi.org/10.9778/cmajo.20200168 ↩︎
Colman, I., Friedman, B. W., Brown, M. D., Innes, G. D., Grafstein, E., Roberts, T. E., & Rowe, B. H. (2008). Parenteral dexamethasone for acute severe migraine headache: meta-analysis of randomised controlled trials for preventing recurrence. BMJ, 336(7657), 1359–1361. https://doi.org/10.1136/bmj.39566.806725.be ↩︎
Ahamad, K., Hayashi, K., Nguyen, P., Dobrer, S., Kerr, T., Schütz, C. G., Montaner, J. S., & Wood, E. (2015). Effect of low-threshold methadone maintenance therapy for people who inject drugs on HIV incidence in Vancouver, BC, Canada: an observational cohort study. The Lancet HIV, 2(10), e445–e450. https://doi.org/10.1016/S2352-3018(15)00129-0 ↩︎
Humphries, K. H., Gao, M., Lee, M. K., Izadnegahdar, M., Holmes, D. T., Scheuermeyer, F. X., Mackay, M., Mattman, A., & Grafstein, E. (2018). Sex Differences in Cardiac Troponin Testing in Patients Presenting to the Emergency Department with Chest Pain. Journal of Women's Health, 27(11), 1327–1334. https://doi.org/10.1089/jwh.2017.6812 ↩︎