A5074071602- Healthcare Quality and Management
- Infant Development and Preterm Care
- Health Systems, Economic Evaluations, Quality of Life
- Clinical practice guidelines implementation
- Patient Safety and Medication Errors
- Medical Malpractice and Liability Issues
- Family and Disability Support Research
- Child and Adolescent Psychosocial and Emotional Development
- Primary Care and Health Outcomes
- Maternal Mental Health During Pregnancy and Postpartum
- Child and Adolescent Health
- Emergency and Acute Care Studies
- Patient Satisfaction in Healthcare
- Suicide and Self-Harm Studies
- Autism Spectrum Disorder Research
- Patient-Provider Communication in Healthcare
- Mobile Health and mHealth Applications
- Occupational Health and Safety Research
- Technology Use by Older Adults
- ICT in Developing Communities
- Healthcare Policy and Management
- Disaster Response and Management
- Child Abuse and Trauma
- COVID-19 and Mental Health
- Intergenerational Family Dynamics and Caregiving
South Western Sydney Local Health District
2021-2024
Ingham Institute
2022-2024
UNSW Sydney
2022-2024
NDIS Quality and Safeguards Commission
2023
Liverpool Hospital
2021-2022
American Academy of Child and Adolescent Psychiatry
2022
Infant
2022
Macquarie University
2018-2019
Australian Institute of Health and Welfare
2016
This retrospective process evaluation reports on the application of a 1-year implementation program to increase identification and management patients at high risk hereditary cancer syndrome. The project used Theoretical Domains Framework Implementation (TDFI) approach, promising methodology, successfully in United Kingdom address patient safety issues. Australian run two large public hospitals aimed referrals flagged as being Lynch syndrome basis screening test genetic services. At end...
Patients can provide a unique perspective on the safety of care in hospitals. Understanding that extent to which way hospitals are organized for quality and is associated with patient perceptions becoming increasingly valued necessary direction targeted interventions across healthcare systems. The UK-developed measure (PMOS) assesses eight domains ward from point view has recently been adapted piloted Australia. aim this study test psychometric properties PMOS-Australia (PMOS-A) amongst...
We aimed to examine whether Emergency Department (ED) quality strategies, safety culture and leadership were associated with patient-level outcomes, after controlling for other organization-level factors, in 32 large Australian hospitals.Quantitative observational study, using linear multi-level modelling identify relationships between management systems at organization level; strategies ED level acute myocardial infarction (AMI), hip fracture stroke; clinician outcomes of waiting time...
Abstract Background The COVID-19 pandemic and the associated economic recession has increased parental psychosocial stress mental health challenges. This adversely impacted child development wellbeing, particularly for children from priority populations (culturally linguistically diverse (CALD) rural/regional communities) who are at an already risk of inequality. needs were compounded by closure in-person preventive promotion programs resulting in organisations embracing technology online...
The Deepening our Understanding of Quality in Australia (DUQuA) project is a multisite, multi-level, cross-sectional study 32 the largest hospitals Australia. This overview examines relationships between (i) organization-level quality management systems and department-level strategies (ii) patient-level measures (clinical treatment processes, patient-reported perceptions care clinical outcomes) within Australian hospitals.We examined hospital improvement structures, processes outcomes,...
This paper examines the principles of benchmarking in healthcare and how can contribute to practice improvement improved health outcomes for patients. It uses Deepening our Understanding Quality Australia (DUQuA) study published this Supplement DUQuA's predecessor Europe, Europe (DUQuE) study, as models. Benchmarking is where performances institutions or individuals are compared using agreed indicators standards. The rationale that will respond positively being identified a low outlier...
Abstract There are inequities in engagement with established early childhood developmental surveillance programs, eclipsing disadvantaged families. The current study sought to address this by dovetailing immunization visits and other opportunistic contacts children at general practices). While 53 General Practices were recruited, significant COVID-19 disruptions resulted only 81 being screened (both parent-administered GP completed). Of the children, 11 positive all of them along 5% screen...
Purpose The purpose of this paper is to evaluate the effectiveness negotiation training delivered senior clinicians, managers and executives, by exploring whether staff members implemented skills in their workplace following training, if so, how when. Design/methodology/approach This a qualitative study involving face-to-face interviews with 18 executives who completed two-day intensive course. Interviews were transcribed verbatim, inductive interpretive analysis techniques used identify...
This study aimed to explore the associations between organization-level quality arrangements, improvement and implementation department-level safety culture leadership measures across 32 large Australian hospitals. Quantitative observational study, using linear multi-level modelling identify relationships management systems clinician leadership. Thirty-two public Quality audit at organization level, senior manager each participating hospital, 1382 clinicians (doctors, nurses allied health...
Little is known about the influence that hospital quality systems have on at department level, in Australia and elsewhere. This study assessed relationships between organizational-level management systems, extent to which hospital-level department-level strategies are related.A multi-level, cross-sectional, mixed-method study.As part of Deepening our Understanding Quality (DUQuA) project, we invited all large hospitals (~200 or more beds) provided acute myocardial infarction (AMI), hip...
Objectives Implementing support and services early in the life course has been shown to promote positive developmental outcomes for children at high likelihood of conditions including autism. This study examined parents’/caregivers’ experiences perceptions about a digital surveillance pathway autism, autism (ASP), usual care, as (SaU) pathway, primary healthcare general practice setting. Design qualitative involves using convenience selection process full sample parents/caregivers that...
With this paper, we initiate the Supplement on Deepening our Understanding of Quality in Australia (DUQuA). DUQuA is an at-scale, cross-sectional research programme examining quality activities 32 large hospitals across Australia. It based on, with suitable modifications and extensions, improvement Europe (DUQuE) programme, also published as a Journal, 2014. First, briefly discuss key data about Australia, health its population system. Then, to provide context for work, previous care leading...
Abstract Background: Significant challenges remain in the early identification of child developmental conditions community. Implementing supports and services life course has been shown to promote positive outcomes for children at high likelihood including autism. As part a cluster randomised controlled trial, this study seeks examine compare perspectives experiences Australian general practitioners (GPs) relation digital surveillance program autism usual care pathway, practice clinics....
Abstract Background Significant challenges remain in the early identification of child developmental disabilities community. Implementing supports and services life course has been shown to promote positive outcomes for children at high likelihood disabilities, including autism. As part a cluster randomised controlled trial, this study seeks examine compare perspectives experiences Australian general practitioners (GPs) relation digital surveillance program autism usual care pathway,...
Introduction An understanding of the real-world provision oncology outpatient services can help maintain service quality in face escalating demand and tight budgets, by informing design interventions that improve effectiveness or efficiency provision. The aims this study are threefold. First, to develop an cancer clinics characterising organisation practice multidisciplinary care (MDC). Second, explore key areas of: (a) clinical decision-making (b) engagement with patients’ supportive needs....
Abstract Objective There have been few descriptions of how outpatient cancer care is provided to patients from culturally and linguistically diverse (CALD) communities. As populations who experience disparities in access outcomes, deeper understanding needed help identify those factors which can shape the receipt multidisciplinary ambulatory settings. This paper reports on data collected analysed as part a multicentre characterisation Australian public hospital clinics (OPCs). Results...
This study aimed to refine and validate a tool measure safety culture leadership in Australian hospitals.The clinician questionnaire was constructed by combining refining the following two previously validated scales: Safety Attitudes Questionnaire Leadership Effectiveness Survey. Statistical processes were used explore factor structure, reliability, validity descriptive statistics of new instrument.Thirty-two large public hospitals.1382 clinicians (doctors, nurses allied health...
Healthcare organisations vary in the degree to which they implement quality and safety systems strategies. Large-scale cross-sectional studies have been implemented explore whether this variation is associated with outcomes relevant at patient level. The Deepening our Understanding of Quality Australia (DUQuA) study draws from earlier research type, examine these issues 32 Australian hospitals. This paper outlines key implementation analysis challenges faced by DUQuA. Many logistical...
Abstract Background Encouraging healthy childhood development and aiding the early identification of developmental difficulties are crucial to providing best possible outcomes. Young children in rural areas at a higher risk missing timely screening than their non-rural counterparts. This study examined feasibility acceptability digital surveillance program with service navigator, Watch Me Grow-Electronic (WMG-E), trialled Australia via randomised controlled trial (RCT). Methods Ten parents...
<title>Abstract</title> Background Children and families from priority populations experienced significant psychosocial mental health issues to the COVID-19 pandemic. Yet they also faced barriers service access, particularly culturally linguistically diverse (CALD) backgrounds. With most child family nurse clinics ceasing in-person consultations due pandemic, many children missed out on developmental checks. The aim of this study was investigate perspectives experiences members providers an...
Background Brief intervention services provide rapid, mobile and flexible short-term delivery of interventions to resolve mental health crises. These may an alternative pathway the emergency department or in-patient psychiatric for children young people (CYP), presenting with acute condition. Aims To synthesise evidence on effectiveness brief in improving outcomes CYP (0–17 years) Method A systematic literature search was conducted, studies’ methodological quality assessed. Five databases...
Abstract Background Children and families from priority populations experienced significant psychosocial mental health issues to the COVID-19 pandemic. Yet they also faced barriers service access, particularly culturally linguistically diverse (CALD) backgrounds. With most child family nurse clinics ceasing in-person consultations due pandemic, many children missed out on developmental checks. The aim of this study was investigate perspectives experiences members providers an urban, CALD...