A5077573050- Healthcare Quality and Management
- Patient Satisfaction in Healthcare
- Geriatric Care and Nursing Homes
- Patient Safety and Medication Errors
- Medical Malpractice and Liability Issues
- Pharmaceutical Practices and Patient Outcomes
- Innovations in Medical Education
- Clinical practice guidelines implementation
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Pharmaceutical studies and practices
- Healthcare Technology and Patient Monitoring
- Electronic Health Records Systems
- Epilepsy research and treatment
- Q Methodology Applications
- Pharmacological Effects and Toxicity Studies
- Health Systems, Economic Evaluations, Quality of Life
- Genomics and Rare Diseases
- Diagnosis and Treatment of Venous Diseases
- Streptococcal Infections and Treatments
- Healthcare cost, quality, practices
- Cardiac, Anesthesia and Surgical Outcomes
- Telemedicine and Telehealth Implementation
- Diabetic Foot Ulcer Assessment and Management
- Adolescent and Pediatric Healthcare
Macquarie University
2016-2025
Australian Institute of Health and Welfare
2016-2019
UNSW Sydney
2012-2015
Australian National University
2005
Chronic edema of the leg is a risk factor for cellulitis. Daily use compression garments on has been recommended to prevent recurrence cellulitis, but there limited evidence from trials regarding its effectiveness.
Accreditation programs are complex, system-wide quality and safety interventions. Despite their international popularity, evidence of effectiveness is weak contradictory. This may be due to variable implementation in different contexts. However, there limited research that informs strategies. We aimed advance knowledge this area by identifying factors enable effective accreditation across healthcare settings. conducted 39 focus groups eight interviews between 2011 2012, involving 258 diverse...
To identify and analyse research on the use of economic evaluation in health services accreditation. Seven online databases, key accreditation agency department websites were searched between June December 2011. The selection criteria English language published empirical studies topic service No formal has been carried out to date. Empirical data costs benefits analysed 6 15 studies, respectively. Meta-analysis was unsuitable due output variability. Attributes relating study design,...
The study aim was twofold: to investigate and describe the organizational attributes of accreditation programmes in low- middle-income countries (LMICs) determine how or what extent these differ from those higher-income (HICs) identify contextual factors that sustain are barriers their survival. Web-based questionnaire survey. National healthcare providers offering international services. In total, 44 agencies completed Income distinctions, programme features, cross-national divergence....
When healthcare professionals' workloads are greater than available resources, care activities can be missed, omitted or delayed, potentially leading to adverse patient outcomes. Prioritisation, a precursor missed care, involves decision-making about the order of task completion based on perceived importance urgency. Research prioritisation and has predominantly focused acute settings, which differ from residential aged facilities in terms funding, structure, staffing levels, skill mix,...
Aim To estimate the non‐medical out‐of‐pocket costs for families with a child in hospital. Methods This study was survey of 225 parents paediatric inpatients on nine wards an Australian public teaching hospital two separate days. Our primary outcomes were associated with: (i) time taken off work to care hospital; (ii) or contributed by family and friends other dependents; (iii) travel, meals, accommodation incidental expenses during child's stay. Demographic data included postcode (to assess...
To compare medication errors identified at audit and via direct observation with reported to an incident reporting system paediatric hospitals investigate differences in types severity of detected by staff.
Background Double-checking the administration of medications has been standard practice in paediatric hospitals around world for decades. While is widespread, evidence its effectiveness reducing errors or harm scarce. Objectives To measure association between double-checking, and occurrence potential severity medication (MAEs); check duration; factors associated with double-checking adherence. Methods Direct observational study 298 nurses, administering 5140 doses to 1523 patients, across...
Value-based healthcare delivery models have emerged to address the unprecedented pressure on long-term health system performance and sustainability respond changing needs expectations of patients. Implementing scaling benefits from these care achieve large-system transformation are challenging require consideration complexity context. Realist studies enable researchers explore factors beyond 'what works' towards more nuanced understanding tends work for whom under which circumstances'. This...
Limited evidence exists regarding medication administration errors (MAEs) on general paediatric wards or associated risk factors exists. The aim of this study was to identify nurse, medication, and work-environment with MAEs among inpatients. This a prospective, direct observational 298 nurses in referral hospital Sydney, Australia. Trained observers recorded details 5137 doses prepared administered 1530 children between 07:00 h 22:00 weekdays weekends. Observation data were compared charts...
Abstract Purpose Psychotropic medicines are commonly used in residential aged care facilities (RACFs) despite notable safety concerns. No prior studies have examined the longitudinal concurrent use of psychotropic medicines. We aimed to identify trajectories three medication classes over time and determine predictors trajectory group membership for residents with without dementia. Methods A retrospective cohort study including 30 RACFs Sydney, Australia. The participants included 2837 newly...
General practice-based care for Australian children is facing low levels of clinical guideline adherence particularly in three key areas: asthma, type 1 diabetes and antibiotic use. We offer an implementation science-informed position paper, providing a broad overview how we aim to address this issue. This the co-designed National Paediatric Applied Research Translation Initiative (N-PARTI), bespoke, three-phased research solution by deploying mixed methods, simulation scale-up evidence into...
ABSTRACT Background Virtual care is increasingly being used to deliver outpatient cancer services, yet people from culturally and linguistically diverse (CALD) backgrounds can experience inequities in accessing these services. A range of complex context‐specific factors impact the effectiveness virtual equity its use outcomes. This study draws on methodological principles realist evaluation provide contextual understanding account how, why what circumstances services work (or not) for CALD...
Introduction Medication errors are the most frequent cause of preventable harm in hospitals. management paediatric patients is particularly complex and consequently potential for harms greater than adults. Electronic medication (eMM) systems heralded as a highly effective intervention to reduce adverse drug events (ADEs), yet internationally evidence their effectiveness populations limited. This study will assess an eMM system errors, ADEs length stay (LOS). The also investigate impact on...
Electronic medication management (eMM) systems are designed to improve safety, but there is little evidence of their effectiveness in paediatrics. This study assesses the short-term (first 70 days eMM use) and long-term (one-year) an system reduce prescribing errors, potential actual harm. We use a stepped-wedge cluster randomised controlled trial (SWCRCT) at paediatric referral hospital, with eight clusters for implementation. assess effects from additional random sample orders one-year...
Medication errors are a leading cause of preventable harm in hospitals. Electronic medication systems (EMS) have shown success reducing the risk prescribing errors, but considerable less evidence is available about whether these support reduction administration paediatrics. Using stepped wedge cluster randomized controlled trial we investigated changes error rates following introduction an EMS paediatric referral hospital Sydney, Australia. Direct observations 284 nurses as they prepared and...
In the residential aged care sector medication management has been identified as a major area of concern contributing to poor outcomes and quality life for residents. Monitoring in Australia highly reliant on small, internal audits. The introduction electronic administration systems provides new opportunities establish improved methods ongoing, timely efficient monitoring range indicators, made more meaningful by linking data with resident characteristics outcomes. Benchmarking contemporary...
The objective of this study was to examine associations between patient age and medication errors among pediatric inpatients.
Objectives To assess the costs of hospital accreditation in Australia. Design Mixed methods design incorporating: stakeholder analysis; survey and implementation; activity-based expert panel review. Setting Acute care hospitals accredited by Australian Council for Health Care Standards. Participants Six acute public across four States. Results Accreditation varied from 0.03% to 0.60% total operating per year, averaged 4-year cycle. Relatively higher were associated with surveys years smaller...
Abstract Background Agencies promoting national health‐care accreditation reform to improve the quality of care and safety patients are largely working without specific blueprints that can increase likelihood success. Objective This study investigated development implementation Australian Health Service Safety Quality Accreditation Scheme National Standards (the Scheme), their expected benefits, challenges facilitators implementation. Methods A multimethod was conducted using document...
Objectives: The aims of this study were as follows: (a) to describe audiologists’ practices toward auditory training (AT) for adult cochlear implant (CI) users with a postlingual hearing loss; and (b) assess the cost different AT methods clients service providers in comparison no delivery. Design: A survey was distributed approximately 230 Australian CI audiologists investigate range, magnitude, rationale adopted part rehabilitation services users. these then estimated from perspectives both...
Accreditation programmes aim to improve the quality and safety of health services, have been widely implemented. However, there is conflicting evidence regarding outcomes existing programmes. The Collaborative for Conduct Research, Evaluation Designated Investigations through Teamwork-Current Processes (ACCREDIT-CAP) project designed address key gaps in literature by evaluating current processes three accreditation used across Australian acute, primary aged care services.The comprises...