{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T19:21:01Z","timestamp":1767900061076,"version":"3.49.0"},"reference-count":29,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2023,5,10]],"date-time":"2023-05-10T00:00:00Z","timestamp":1683676800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can. J. Neurol. Sci."],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>ABSTRACT:<\/jats:title><jats:sec id=\"S0317167123000586_as1\"><jats:title>Background:<\/jats:title><jats:p>Guidelines on epilepsy monitoring unit (EMU) standards have been recently published. We aimed to survey Canadian EMUs to describe the landscape of safety practices and compare these to the recommendations from the new guidelines.<\/jats:p><\/jats:sec><jats:sec id=\"S0317167123000586_as2\"><jats:title>Methods:<\/jats:title><jats:p>A 34-item survey was created by compiling questions on EMU structure, patient monitoring, equipment, personnel, standardized protocol use, and use of injury prevention tools. The questionnaire was distributed online to 24 Canadian hospital centers performing video-EEG monitoring (VEM) in EMUs. Responses were tabulated and descriptively summarized.<\/jats:p><\/jats:sec><jats:sec id=\"S0317167123000586_as3\"><jats:title>Results:<\/jats:title><jats:p>In total, 26 EMUs responded (100% response rate), 50% of which were adult EMUs. EMUs were on average active for 23.4 years and had on average 3.6 beds. About 81% of respondents reported having a dedicated area for VEM, and 65% reported having designated EMU beds. Although a video monitoring station was available in 96% of EMUs, only 48% of EMUs provided continuous observation of patients (video and\/or physical). A total of 65% of EMUs employed continuous heart monitoring. The technologist-to-patient ratio was 1:1\u20132 in 52% of EMUs during the day. No technologist supervision was most often reported in the evening and at night. Nurse-to-EMU-patient ratio was mostly 1:1\u20134 independent of the time of day. Consent forms were required before admission in 27% of EMUs.<\/jats:p><\/jats:sec><jats:sec id=\"S0317167123000586_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>Canadian EMUs performed decently in terms of there being dedicated space for VEM, continuous heart monitoring, and adequate nurse-to-patient ratios. Other practices were quite variable, and adjustments should be made on a case-by-case basis to adhere to the latest guidelines.<\/jats:p><\/jats:sec>","DOI":"10.1017\/cjn.2023.58","type":"journal-article","created":{"date-parts":[[2023,5,10]],"date-time":"2023-05-10T01:43:44Z","timestamp":1683683024000},"page":"238-245","source":"Crossref","is-referenced-by-count":3,"title":["Patient Safety in Canadian Epilepsy Monitoring Units: A Survey of Current Practices"],"prefix":"10.1017","volume":"51","author":[{"given":"Emmanuelle","family":"Nguyen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8386-8897","authenticated-orcid":false,"given":"Jimmy","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dang Khoa","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elie","family":"Bou Assi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,5,10]]},"reference":[{"key":"S0317167123000586_ref24","doi-asserted-by":"publisher","DOI":"10.1038\/s41582-021-00574-w"},{"key":"S0317167123000586_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.seizure.2021.10.004"},{"key":"S0317167123000586_ref21","first-page":"S3","article-title":"Design of an intensive epilepsy monitoring unit","volume":"5","author":"Scott","year":"2000","journal-title":"Epilepsia"},{"key":"S0317167123000586_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2012.06.028"},{"key":"S0317167123000586_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.seizure.2016.03.009"},{"key":"S0317167123000586_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.seizure.2013.08.001"},{"key":"S0317167123000586_ref27","doi-asserted-by":"publisher","DOI":"10.1017\/cjn.2020.268"},{"key":"S0317167123000586_ref4","doi-asserted-by":"publisher","DOI":"10.1080\/1086508X.2003.11079423"},{"key":"S0317167123000586_ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2018.11.019"},{"key":"S0317167123000586_ref18","article-title":"Evidence to inform staff mix decision-making: A focused literature review","volume":"55","author":"Harris","year":"2012","journal-title":"J Adv Nurs"},{"key":"S0317167123000586_ref12","volume-title":"R: a language and environment for statistical computing","year":"2010"},{"key":"S0317167123000586_ref19","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2013-306465"},{"key":"S0317167123000586_ref15","doi-asserted-by":"publisher","DOI":"10.1097\/WCO.0000000000000076"},{"key":"S0317167123000586_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2010.12.048"},{"key":"S0317167123000586_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2009.04.009"},{"key":"S0317167123000586_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.seizure.2019.05.019"},{"key":"S0317167123000586_ref5","first-page":"4","article-title":"Quality and safety in adult epilepsy monitoring units: A systematic review and meta-analysis","volume":"57","author":"Sauro","year":"2016","journal-title":"Epilepsia"},{"key":"S0317167123000586_ref14","first-page":"8","article-title":"Indiana university health staffing model for neurotelemetry and epilepsy monitoring unit patient populations: Part 1","volume":"54","author":"Thomas","year":"2014","journal-title":"Neurodiagn J"},{"key":"S0317167123000586_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinph.2021.07.016"},{"key":"S0317167123000586_ref23","first-page":"1","volume-title":"Handbook of clinical neurology","author":"Baumgartner","year":"2019"},{"key":"S0317167123000586_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(13)70214-X"},{"key":"S0317167123000586_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.seizure.2017.06.015"},{"key":"S0317167123000586_ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2018.04.026"},{"key":"S0317167123000586_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2015.02.004"},{"key":"S0317167123000586_ref13","first-page":"8","article-title":"National competency skill standards for ICU\/cEEG monitoring","volume":"48","year":"2008","journal-title":"Am J Electroneurodiagnostic Technol"},{"key":"S0317167123000586_ref22","doi-asserted-by":"publisher","DOI":"10.1097\/01376517-200612000-00005"},{"key":"S0317167123000586_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2016.02.012"},{"key":"S0317167123000586_ref29","unstructured":"29. Canadian League Against Epilepsy. EPILEPSY FELLOWSHIP PROGRAMS, 2022, cited 2023. 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