Select publications from the Quality and Innovation team

QI Capacity-Building in Primary Care

  1. Kiran T, Ramji N, Derocher M, Girdhari R, Davie S, Lam-Antoniades M. Ten tips for advancing a culture of improvement in primary care. BMJ Quality and Safety. Online First: 31 October 2018. doi: 10.1136/bmjqs-2018-00845

Improving Quality in Academic Practices

  1. Najarali Z, Mah H, Toubassi D. Optimizing handover for family medicine outpatients using an electronic medical record–integrated tool. Canadian Family Physician April 2021; 67 (4) 303-304. 
  2. Ivers N M, Schwalm J, Bouck Z, McCready T, Taljaard M, Grace S L et al. Interventions supporting long term adherence and decreasing cardiovascular events after myocardial infarction (ISLAND): pragmatic randomised controlled trial. BMJ 2020; 369 :m1731 doi:10.1136/bmj.m1731

Patient Experience

  1. Walji S, Carroll JC, Haber C. Experiences of patients with a disability in receiving primary health care. Canadian Family Physician 2021;67(7):517. doi:10.46747/cfp.6707517
  2. Zhong A, Davie S, Wang R, Kiran T. Understanding disparities in primary care patient experience. Canadian Family Physician 2021;67(7):e178. doi:10.46747/cfp.6707e178
  3. Kiran T, Wells D, Okrainec K, Kennedy C, Devotta K, Mabaya G, Phillips L, Lang A, O'Campo P. Patient and caregiver priorities in the transition from hospital to home: results from province-wide group concept mapping. BMJ Quality & Safety 2020;29:390-400.
  4. Slater M, Kiran T. Measuring the patient experience in primary care: comparing email and waiting room survey delivery. Canadian Family Physician December 2016; 62(12):e740-e748.

Timely Access

  1. DeRocher M, Davie S, Kiran T. Using positive deviance to improve timely access in primary care. BMJ Open Quality 2021;10:e001228. doi: 10.1136/bmjoq-2020-001228
  2. Davie S, Kiran T. Partnering with patients to improve access to primary care. BMJ Open Quality, April 2020; 9(2):e000777. doi 10.1136/bmjoq-2019-000777.
  3. Kiran T, O’Brien P. The challenge of same day access in primary care. Canadian Family Physician May 2015; 61(5):399–400.


  1. O'Neill B, Ferrer R, O'Brien P, Watt G, Gottlieb L, Pinto A, Willems S, Currie J, Harriott D, Leitch J, Zsager A, Kidd M, Kiran T. Improving Equity Through Primary Care: Proceedings of the 2019 Toronto International Conference on Quality in Primary Care. Annals of Family Medicine, July 2020;18(4):364-369. doi: 10.1370/afm.2560.
  2. Pinto A, Aratangy T, Abramovich A, Devotta K, Nisenbaum R, Wang R, Kiran T. Routine collection of sexual orientation and gender identity data in primary care: a mixed-methods study. CMAJ January 21, 2019 191 (3) E63-E68; DOI:
  3. Kiran T, Pinto AD. Swimming ‘upstream’ to tackle the social determinants of health. BMJ Quality and Safety. Published Online First: 7 January 2016. doi:10.1136/bmjqs-2015-00500.

Patient engagement

  1. Dainty K, Kiran T. “Spending the day with your Family Health Team”: A Rapid Ethnography of a Patient-Centred Quality Improvement Event. British Journal of General Practice Open, May 1, 2020; 4(1): bjgpopen20X101002. doi: 10.3399/bjgpopen20X101002.
  2. Kiran T, Tepper J, Gavin F. Working with patients to improve care. CMAJ, February 10, 2020; 192(6):E125-E127. doi: 10.1503/cmaj.190439.
  3. Kiran T, Davie S, MacLeod P. Citizen engagement in primary care. Annals of Family Medicine. March/April 2018 16(2): 175. [innovation report].

Safe Prescribing

  1. Tilli T, Hunchuck J, Dewhurst N, Kiran T. Opioid Stewardship: Implementing a Proactive, Pharmacist-led Intervention for Patients Co-Prescribed Opioids and Benzodiazepines at an Urban Academic Primary Care Centre. BMJ Open Quality, April 2020; 9(2):e000635. doi: 10.1136/bmjoq-2019-000635.
  2. Naimer M, Munro J, Singh S, Permaul J. Improving Family Medicine Residents’ Opioid Prescribing: A Nurse Practitioner-Led Model. The Journal for Nurse Practitioners, October 2019; 15(9): 661-665.
  3. Greiver M, Dahrouge S, O’Brien P, Manca D, Lussier M.T., Wang J, Burge F, Grandy M, Singer A, Twohig M, Moineddin R, Kalia S, Aliarzadeh B, Ivers N, Garies S, Turner J.P., Farrell B. Improving care for elderly patients living with polypharmacy: protocol for a pragmatic cluster randomized trial in community-based primary care practices in Canada. Implementation Science, June 6, 2019; 14 (55); doi:

Cancer Screening

  1. Nnorom O, Sappong-Kumankumah A, Olaiya OR, Burnette M, Akor N, Shi N, Wright A, Gebreyesus A, Gebremikael L, Lofters A. Afrocentric screening program for breast, colorectal, and cervical cancer among immigrant patients in Ontario. Canadian Family Physician. 2021;67(11):843. doi:10.46747/cfp.6711843
  2. Lofters A, Kiran T. Toolkit for health care professionals: Improving cancer screening rates in your practice and reducing related disparities. Toronto: Centre for Urban Health Solutions; November 2019.
  3. Lofters A, Baker N, Schuler A, Rau A, Baxter A, Baxter N, Kucharski E, Leung FH, Weyman K, Kiran T. A “tea and cookies” approach: A qualitative study to co-design cancer screening interventions with patients living with low income in Toronto, Canada. Journal of General Internal Medicine, October 21, 2019;
  4. Kiran T, Davie S, Singh D, Hranilovic S, Pinto A, Abramovich A, Lofters A. Cancer screening rates for people who identify as transgender: a cross-sectional analysis of primary care data. Canadian Family Physician January 2019 65 (1) e30-e3
  5. Kiran T, Davie S, Moineddin R, Lofters A. Mailed letter versus phone call to increase uptake of cervical, breast, and colorectal cancer screening in a primary care setting: a pragmatic randomized trial. Journal of the American Board of Family Medicine November 2018, 31(6) 857-868.
  6. Feldman J, Davie S, Kiran T. Measuring and improving cervical, breast, and colorectal cancer screening rates in a multi-site urban practice in Toronto, Canada. BMJ Quality Improvement Reports 2017; 6: u213991.w5531. doi:10.1136/bmjquality.u213991.w5531.