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Eric Grafstein

Dr. Eric Grafstein is an emergency physician in Vancouver, BC. He is married to Dr. Patricia Daly, Chief Medical Health Officer for Vancouver Coastal Health.1)

Education

He 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.

Affiliations

He is Clinical Professor in the Department of Emergency Medicine at the University of British Columbia; 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)

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) He participated as Chief Medical Information Officer in the the Clinical & Systems Transformation (CST) project, funded by Vancouver Coastal Health, Providence Health Care and Provincial Health Services Authority.4) 5) The project is to implement a patient identification centralization system designed by Cerner, a company which was acquired in December 2021 by Oracle.6) 7)

Grafstein is also a Data Specialist member of the BC Emergency Medicine Network., The network is funded by the BC Academic Health Sciences Network, BC Ministry of Health, Rural Coordination Centre of BC, and the University of British Columbia. It is partnered with the BC Patient Safety & Quality Council, the Centre for Health Evaluation and Outcome Sciences (CHEOS) and their associated Patient Voices Network, Vancouver Coastal Health, Fraser Health, Interior Health, Island Health, Northern Health and the Provincial Health Services Authority.8)

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) The CAEP is partnered with Abbott, Alexion, AstraZeneca, BD, BrainScope, Brockville General Hospital, Canadian Blood Services, Canadian Centre on Substance Use and Addiction, Choosing Wisely Canada, GBS/CIDP Foundation of Canada, General Electric Healthcare, Germitec, MD Financial Management, Nova Scotia Health, Novo Nordisk, Ontario Regional Blood Coordinating Network, Pendopharm, Recordati, Scotiabank, Servier, and SteriMax.11) 12) 13) 14) 15) 16)

Research

His research interests include health systems and systems research pertaining to hospital emergency departments, and critical emergency medicine. In 2017, he won an Honorable Mention for the Best Working Paper Award from INFORMS.17)

He 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.”18)

Grafstein collaborated on two research papers with Dr. Andrew McRae, who serves as a member of the COVID-19 Scientific Advisory Group under Alberta Health Services.19) 20) 21) The studies were funded by the MSI Foundation.

Grafstein conducted research alongside his wife on routine HIV testing in hospital. The study was funded by the BC Ministry of Health, and their co-author Julio Montaner declared receiving funds through his institution from AbbVie, Bristol-Myers Squibb, Gilead Sciences, Janssen, Merck, the National Institutes of Health and ViiV Healthcare.22)

Further study funding comes 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.23) 24) 25) 26) 27)

COVID-19

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.28) He also participated in a study on HealthLink BC, a government-owned telehealth service used during COVID-19. Funding comes from the BC Ministry of Health.29)

1)
Fayerman, P. (2020, May 27). Married Vancouver physicians offer some COVID-19 positives in upbeat virtual chat with Rabbi. Medicine Matters. https://archive.ph/l9T0X
2)
Dr. Eric Grafstein. St. Paul’s and Mount St. Joseph Hospital Emergency Departments. Retrieved February 5, 2022, from https://archive.ph/M6D3U
3)
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 https://archive.ph/rG85F
4)
Integrating systems for CST success. (2014, October 30). CST Project. https://cstproject.com/news/integrating-systems-cst-success
5)
CST Project. (2018, April 23). ‎The Doctors Are In. Apple Podcasts. https://podcasts.apple.com/us/podcast/the-doctors-are-in/id1338980181
6)
Cerner Corporation. (2021, December 20). Oracle Buys Cerner. Cerner. https://www.cerner.com/newsroom/oracle-buys-cerner
7)
Cerner software. CST Project. Retrieved February 5, 2022, from https://cstproject.com/whats-changing/shared-clinical-information-system/cerner-software
8)
Sponsors & Partners. BC Emergency Medicine Network. Retrieved February 5, 2022, from https://www.bcemergencynetwork.ca/about-us/sponsors-partners/
9)
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
10)
CEDIS. CAEP. Retrieved February 5, 2022, from https://caep.ca/resources/cedis/
11)
Patient Care. CAEP. Retrieved February 5, 2022, from https://archive.ph/K6l7q
12)
Therapeutics. CAEP. Retrieved February 5, 2022, from https://archive.ph/UujdF
13)
Professional Services. CAEP. Retrieved February 5, 2022, from https://archive.ph/bN60z
14)
Medical Equipment & Supplies. CAEP. Retrieved February 5, 2022, from https://archive.ph/FB5sH
15)
Education. CAEP. Retrieved February 5, 2022, from https://archive.ph/v3S5J
16)
Careers. CAEP. Retrieved February 5, 2022, from https://archive.ph/UlPp2
17)
Eric Grafstein. INFORMS. Retrieved February 5, 2022, from https://www.informs.org/Recognizing-Excellence/Award-Recipients/Eric-Grafstein
18)
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
19)
2019-nCoV Scientific Advisory Group. (2021, May 27). Alberta Health Services. https://www.albertahealthservices.ca/assets/info/ppih/if-ppih-covid-19-sag-terms-of-reference.pdf
20)
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
21)
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
22)
Gustafson, R., Demlow, S. E., Nathoo, A., McKee, G., MacDonald, L. E., Chu, T., Sandhu, J., Grafstein, E., Hull, M., Chittock, D., Carere, R., Krajden, M., Sherlock, C. H., Harrison, S., Buchner, C. S., Montaner, J., & Daly, P. (2020). Routine HIV testing in acute care hospitals: Changing practice to curb a local HIV epidemic in Vancouver, BC. Preventive medicine, 137, 106132. https://doi.org/10.1016/j.ypmed.2020.106132
23)
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
24)
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
25)
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
26)
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 (2002), 27(11), 1327–1334. https://doi.org/10.1089/jwh.2017.6812
27)
Szyszkowicz, M., Porada, E., Tremblay, N., & Grafstein, E. (2012). Sulfur Dioxide and Emergency Department Visits for Stroke and Seizure. Stroke Research and Treatment, 2012, 1–7. https://doi.org/10.1155/2012/824724
28)
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
29)
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
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