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Critical Care Medicine

Staff Physicians

Andre Amaral
Andre Amaral

Associate scientist

Sunnybrook Health Sciences Centre
2075 Bayview Ave., Room D1 08
Toronto, ON
M4N 3M5


Phone: 416-480-6100, ext. 83666
Fax: 416-480-4999

Administrative Assistant: Meredith Malloy
Phone: 416-480-6100, ext. 2895


  • MD, State University of Sao Paulo, Brazil, 1998

Appointments and Affiliations:

Research Foci:

  • Communication: handovers
  • Communication: interdisciplinary rounds
  • Implementation science
  • Quality metrics

Research Summary:

The focus of Dr. Amaral's research is on improving quality of care for critically ill patients. Dr. Amaral works within two streams to improve quality: communication, to prevent errors and improve efficiency; and quality assurance, which involves measuring quality and developing novel models for implementing evidence-based medicine.

His work in communication focuses on transitions of care, a necessary, but fragile link in the heath care system, and on teamwork during interdisciplinary rounds.

His work in implementation science involves a novel collaboration across Ontario for large-scale quality improvement in a partnership of community and academic intensive care units.

Selected Publications:

See current publications list at PubMed.

  1. Amaral AC, Fowler RA, Pinto R, Rubenfeld GD, Ellis P, Bookatz B, Marshall JC, Martinka G, Keenan S, Laporta D, Roberts D, Kumar A; Cooperative Antimicrobial Therapy of Septic Shock Database Research Group. Patient and organizational factors associated with delays in antimicrobial therapy for septic shock. Crit Care Med. Epub 2016 Jul 20.
  2. Amaral AC, McDonald A, Coburn NG, Xiong W, Shojania KG, Fowler RA, Chapman M, Adhikari NK. Expanding the scope of critical care rapid response teams: a feasible approach to identify adverse events. A prospective observational cohort. BMJ Qual Saf. Epub 2015 Jun 8. doi: 10.1136/bmjqs-2014-003833.
  3. Kajdacsy-Balla Amaral AC, Barros BS, Barros CC, Innes C, Pinto R, Rubenfeld GD. Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study. Am J Respir Crit Care Med. 2014 Jun 1;189(11):1395–1401.
  4. Amaral AC, Holder MW. Timing of antimicrobial therapy after identification of ventilator-associated condition is not associated with mortality in patients with ventilator-associated pneumonia: a cohort study. PLoS One. 2014 May 19;9(5):e97575.
  5. Amaral ACKB, Jeffs A, Kure L. Effects of increasing compliance with minimal sedation on length of mechanical ventilation. Crit Care. 2012 May 8;16(3):R78.