A5038406842- Cardiac, Anesthesia and Surgical Outcomes
- Aortic Disease and Treatment Approaches
- Cardiac Valve Diseases and Treatments
- Healthcare Quality and Management
- Cardiac and Coronary Surgery Techniques
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Infective Endocarditis Diagnosis and Management
- Aortic aneurysm repair treatments
- Patient Safety and Medication Errors
- Cardiac Structural Anomalies and Repair
- Medical Malpractice and Liability Issues
- Cardiac Imaging and Diagnostics
- Atrial Fibrillation Management and Outcomes
- Infection Control in Healthcare
- Neuropeptides and Animal Physiology
- Medical Device Sterilization and Disinfection
- Cardiac Ischemia and Reperfusion
- Congenital Heart Disease Studies
- Antiplatelet Therapy and Cardiovascular Diseases
- Venous Thromboembolism Diagnosis and Management
- Tracheal and airway disorders
- Pleural and Pulmonary Diseases
- Sepsis Diagnosis and Treatment
- Food Safety and Hygiene
Macquarie University
2017-2024
The Christie NHS Foundation Trust
2023
Australian Institute of Health and Welfare
2020
International Society for Quality in Health Care
2017-2018
Mental Health Commission
2005-2015
Royal Prince Alfred Hospital
2002-2013
The University of Sydney
1986-2013
Baird Institute
2001-2013
Government of New South Wales
2013
Mental Health Commission
2006-2011
Objective: To report outcomes from the first 2 years of National Hand Hygiene Initiative (NHHI), a hand hygiene (HH) culture-change program implemented in all Australian hospitals to improve health care workers' HH compliance, increase use alcohol-based rub and reduce risk care-associated infections.Design setting: The was based on World Health Organization 5 Moments for program, included standardised educational materials regular audit system compliance.The NHHI January 2009.Main outcome...
<h3>Importance</h3> The quality of routine care for children is rarely assessed, and then usually in single settings or clinical conditions. <h3>Objective</h3> To estimate the health Australia inpatient ambulatory settings. <h3>Design, Setting, Participants</h3> Multistage stratified sample with medical record review to assess adherence indicators extracted from practice guidelines 17 common, high-burden conditions (noncommunicable [n = 5], mental 4], acute infection 7], injury 1]), such as...
<h3>Aim</h3> Following the introduction of an electronic Incident Information Management System (IIMS) in New South Wales, Australia, authors investigated enablers and barriers to use IIMS factors associated with increased, static decreased reporting rates. <h3>Methodology</h3> An online paper-based, anonymous survey 2185 health practitioners collected information about their behaviour experiences enablers/barriers: training, system accessibility, ease use, security, feedback, perceived...
Although difficult to quantify, there is known widespread variation in the way that best available evidence applied clinical practice. The reasons for gaps between and practice are complex, efforts improve uptake unlikely be successful if they one-dimensional or focus on individual health professionals. This article provides contextual reference articles this Supplement addressing how why exists, importance of reducing it strategies drive a more streamlined approach evidence-based care...
Most research on health systems examines contemporary problems within one, or at most a few, countries. Breaking with this tradition, we present series of case studies in book written by key policymakers, scholars and experts, looking their projected successes to 2030. Healthcare Systems: Future Predictions for Global Care includes chapters 52 individual countries five regions, covering total 152 Synthesised, two contributions are made compendium. First, trends shaping the future healthcare...
Abstract Background This study estimated the prevalence of evidence-based care received by a population-based sample Australian residents in long-term (LTC) aged ≥ 65 years 2021, measured adherence to clinical practice guideline (CPG) recommendations. Methods Sixteen conditions/processes amendable estimating at population level were identified from data and CPGs. Candidate recommendations ( n = 5609) extracted 139 CPGs which converted indicators. National experts each condition rated...
While many hospitals are implementing rapid response systems (RRSs) to attend deteriorating patients in a systematic way, there is little documented evidence on system-wide approaches adopting RRSs. Here, we report an initiative which enrolled 220 New South Wales, Australia. The ‘between the flags’ approach was modelled Australia's surf lifesaving experience, where qualified lifesavers perform thousands of rescues each year. Patients who identified as being given special attention, just like...
Service accreditation is a structured process of recognising and promoting performance adherence to standards. Typically, agencies either receive standards from an authorized body or develop new upgrade existing through research expert views. They then apply standards, criteria indicators, testing their effects, monitoring compliance with them. The has been widely adopted. international investments in are considerable. However, reliable evidence its efficiency effectiveness achieving...
Despite the widespread availability of clinical guidelines, considerable gaps remain between care that is recommended (appropriate care) and provided. This protocol describes a research methodology to develop indicators for appropriate common paediatric conditions. We will identify conditions amenable population-level appropriateness each condition. Candidate have been identified from published research; burden disease, prevalence frequency presentation data; quality priority lists. Clinical...
α-Adrenoceptor agonists and antagonists are widely used perioperatively for internal mammary artery (IMA)-coronary bypass operations. To determine subtypes of a-adrenoceptors in the human IMA, we studied responses isolated IMA segments to a-adre-noceptor agonists, antagonists, electrical stimulation organ baths. The ring (3 mm long) were set up at a physiologic comparable condition according their own length-tension curves. α1Agonist meth-oxamine (MO) induced 2.65 ± 0.70 g force α1α2-agonist...
Objective: To describe improvements in hand hygiene compliance after a statewide campaign conducted New South Wales public hospitals. Design and setting: The was all area health services NSW (covering 208 hospitals). Alcohol-based rub (AHR) introduced into hospitals between March June 2006. In each hospital, five overt observation surveys of by care workers (HCWs) were conducted: one pre-implementation survey four post-implementation (in August 2006, November February 2007 July 2008). Main...
Healthcare reform typically involves orchestrating a policy change, mediated through some form of operational, systems, financial, process or practice intervention. The aim is to improve the ways in which care delivered patients. In our book 'Health Systems Improvement Across Globe: Success Stories from 60 Countries', we gathered case-study accomplishments countries. A unique feature collection diversity included countries, wealthiest and most politically stable such as Japan, Qatar Canada,...
Objectives To determine the relationship between age and aortic dilatation in patients with Marfan yndrome to define ate of progression these patients. Design: All were evaluated a multidisciplinary clinic stablish firm diagnosis syndrome. Aortic dimensions measured by echocardiography syndrome followed up annual physical echocardiographic examinations detect any change diameter over subsequent four years. Patients: One hundred fifty-seven referred for assessment, whom 40 exhibited...
Introduction Australian and international clinical practice guidelines are available for common paediatric conditions. Yet there is evidence that substantial variations between the guidelines, recommendations (appropriate care) care delivered. This paper describes a study protocol to determine appropriateness of healthcare delivered children 16 conditions in acute primary settings. Methods analysis A random sample 6000–8000 medical records representing cross-section population will be...
Objective: To examine whether improved hand hygiene compliance in health care workers after a statewide campaign New South Wales hospitals was associated with fall rates of infection multiresistant organisms. Design and setting: Data on new methicillin-resistant Staphylococcus aureus (MRSA) infections (expressed as four clinical indicators) are reported by some Australian to the Council Healthcare Standards (ACHS) for accreditation purposes mandatorily all NSW Department Health. Infections...
Platelet-rich plasma (PRP) is postulated to decrease postoperative mediastinal chest tube drainage (MCTD) and allogeneic blood transfusions (ABT) after surgery with cardiopulmonary bypass. However, recent metaanalysis of the literature reveals that few good quality (therapeutic yield) trials show a benefit have been published. The potential hemodynamic instability caused by plateletpheresis has not emphasized. We studied effect on MCTD, ABT, stability in reoperative coronary artery bypass...
To describe the planning and execution of a statewide campaign aimed at improving compliance with hand hygiene practices in New South Wales public hospitals.The was conducted all area health services (AHSs) NSW (covering 208 hospitals) between February 2006 2007. Clinical practice improvement methods strategies were used to improve availability use alcohol-based rub (AHR) point patient care, using staff champions local leaders, engaging patients families, measuring compliance. Staff given...
Surgical therapy for the thoracic aorta carries a high morbidity and mortality. Endovascular aneurysms its adaptation to over past 10 years is an exciting advance. This retrospective review of endovascular grafting during decade at Royal Prince Alfred Hospital outcomes achieved this period.A all patients our institution who underwent between March 1995 2005 was carried out. Data were analysed using Stata version 8.0 (Stata corporation, College Station, TX, USA).Sixty-five stent aorta. The...
Objective: To present the results of surveys staff, patients and visitors about their perceptions hand hygiene behaviour before after implementation Clean hands save lives campaign in New South Wales public hospitals. Design setting: Pre- post-campaign questionnaires, disseminated through project officers each health authority, were completed by selected staff patients/visitors all 208 hospitals NSW. Combined, de-identified for authority forwarded to NSW Clinical Excellence Commission...