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Andrew James

Faculty of Business and Information Technology


Dr. Andrew James is the Associate Clinical Director, Neonatal Intensive Care Unit (NICU) at The Hospital for Sick Children (SickKids), Toronto and an Associate Professor, Department of Paediatrics, Faculty of Medicine, University of Toronto.

Dr. James obtained his medical degree from the University of Auckland, New Zealand and completed his paediatric residency at the Princess Mary Hospital for Children, Auckland. He held a fellowship in neonatology at National Women’s Hospital, Auckland before completing his training in neonatology at SickKids. He was a Staff Specialist in Neonatology at National Women’s Hospital, Auckland for seven years before his appointment as Staff Neonatologist at SickKids in 1993. He was the Medical Director of the Neonatal Transport Team from 1993 to 1998.

Dr. James' clinical interests focus on the care of the critically ill newborn infant and the surgical neonate. He has participated in clinical studies investigating the management of the critically ill neonate with severe hypoxaemic respiratory failure and the pre-term neonate with symptomatic, persistent patent ductus arteriosus. He has also been involved in prospective epidemiological studies documenting the prevalence of neonatal liver failure, especially perinatal haemochromatosis, and clinical practices that might influence the prevalence of nosocomial infection with the NICU. He was the site investigator at The Hospital for Sick Children for the Canadian Neonatal Network’s Evidence Based Practice – Identification and Change (EPIC) and EPIC/PHSI studies. He is the site investigator for the Canadian Neonatal Network’s EPIC-II Study.

Dr James has a graduate degree in biomedical informatics from the Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon. He has also completed the Certificate in Continuing Studies in E-Learning, School of Continuing Studies, University of Toronto. His primary focus is the application of the information and communication technologies for clinical care, and the education of caregivers, patients and their families.

Dr. James has been the lead physician in the NICU at SickKids for clinical informatics since 1993. His contributions have been those of a physician advisor and champion for the development, implementation and maintenance of the NICU's clinical management information system. His interests in biomedical informatics include classification systems (diagnostic related groups, case mix groups, ICD-10) and clinical terminologies, knowledge representation, the electronic medical record, clinical decision support, the information needs of parents, and the visual display of information. His current research interests include knowledge representation (SNOMED Clinical Terminology [CT] and biomedical ontologies), clinical decision support, remote case management and patient journey modelling. His dominant research focus is the use of SNOMED CT for the representation of disorders of, and the clinical care of, the newborn infant. He is the Chair, Informatics Research Committee, Canadian Neonatal Network, and Co-Chair/Secretary, Concept Model SIG, International Health Terminology Standard Development Organisation, Copenhagen, Denmark.