A5047593283- Emergency and Acute Care Studies
- Geriatric Care and Nursing Homes
- Palliative Care and End-of-Life Issues
- Healthcare Decision-Making and Restraints
- Frailty in Older Adults
- Pharmaceutical Practices and Patient Outcomes
- Trauma and Emergency Care Studies
- Intensive Care Unit Cognitive Disorders
- Dementia and Cognitive Impairment Research
- Family and Patient Care in Intensive Care Units
- Medication Adherence and Compliance
- Cardiac Arrest and Resuscitation
- Pharmacy and Medical Practices
- Healthcare Policy and Management
- Patient Dignity and Privacy
- Acute Myocardial Infarction Research
- Chronic Disease Management Strategies
- Heart Failure Treatment and Management
- Traumatic Brain Injury and Neurovascular Disturbances
- Traumatic Brain Injury Research
- Health Systems, Economic Evaluations, Quality of Life
- Primary Care and Health Outcomes
- Emergency Medicine Education and Research
- Bacterial Infections and Vaccines
- Hip and Femur Fractures
Australian Commission on Safety and Quality in Health Care
2021-2024
University of Newcastle Australia
2015-2024
Hunter Medical Research Institute
2019-2024
Hunter New England Local Health District
2014-2024
Belmont Hospital
2020-2024
John Hunter Hospital
2010-2022
Commonwealth Fund
2010
Cornell University
2010
Older people living in Residential Aged Care Facilities (RACF) are a vulnerable, frail and complex population. They more likely than who reside the community to become acutely unwell, present Emergency Department (ED) require admission hospital. For many, hospitalisation carries with it risks. Importantly, evidence suggests that some admissions avoidable. A new collaborative model of care, Service (ACE), was developed provide clinical support nurses RACFs, allowing residents be managed place...
Objective: To assess the effectiveness of PAST (Pre-hospital Acute Stroke Triage) protocol in reducing pre-hospital and emergency department (ED) delays to patients receiving organised acute stroke care, thereby increasing access thrombolytic therapy. Design: Prospective cohort study using historical controls. Setting: Hunter Region New South Wales, September 2005 March 2006 (pre-intervention) 2007 (post-intervention). Participants: Consecutive presenting with a regional, tertiary referral...
Healthcare professionals engage in discharge planning of people with dementia during hospitalisation, however plans for transitioning the person into community services can be patchy and ineffective. The aim this study was to report acute, residential care health professionals’ (HP) perspectives on process transitional arrangements their carers. A qualitative descriptive design purposive sampling used recruit HPs from four groups: Nurses allied practitioners involved acute setting, junior...
Assessment of patients with mild traumatic brain injury (mTBI) is predominantly done using the Glasgow Coma Scale (GCS). While GCS universally accepted for assessment severity injury, it may not be appropriate to rely on alone when assessing mTBI in prehospital settings and emergency departments.To determine whether administering Revised Westmead Post-traumatic Amnesia (PTA) (R-WPTAS) addition would increase diagnostic accuracy early identification cognitive impairment mTBI.Data were...
<h3>Objective</h3> To determine the effect of cardiac troponin I testing with a point-of-care (POC) device versus central laboratory on length stay (LOS) in emergency department (ED) patients presenting possible acute coronary syndromes (ACS). <h3>Methods</h3> A 12-week randomised controlled trial at two metropolitan ED eastern Australia combined annual census 80 000. Participants were all ACS. Exclusions diagnosis ACS before arrival, ST elevation and failure to wait for complete assessment....
Aim To explore the challenges and facilitators of managing acutely unwell residents in their residential aged‐care facilities ( RACF ) transferring to emergency department a tertiary referral hospital A ustralia. Methods This exploratory study used qualitative descriptive approach incorporating structured focus group interviews with nursing staff from RACFs General Practitioners GPs within local area. Four groups were held one who visited or more during 2010. The interview data analysed for...
Older people living in residential aged care facilities (RACFs) experience acute deterioration requiring assessment and decision making. We evaluated the impact of a large-scale regional Aged Care Emergency (ACE) program reducing hospital admissions emergency department (ED) transfers.A stepped wedge nonrandomized cluster trial with 11 steps, implemented from May 2013 to August 2016.A large rural area northern western New South Wales, Australia.Nine EDs 81 RACFs participated evaluation.The...
Emergency Medicine AustralasiaVolume 29, Issue 6 p. 712-716 Acute Geriatrics Frailty, thy name is… Glenn Arendts, Arendts glenn.arendts@uwa.edu.au orcid.org/0000-0001-7830-7756 Department of Medicine, The University Western Australia, Perth, AustraliaSearch for more papers by this authorEllen Burkett, Ellen Burkett Department, Princess Alexandra Hospital, Brisbane, Queensland, authorCarolyn Hullick, Carolyn Hullick orcid.org/0000-0002-6157-8880 John Hunter Newcastle, New South Wales,...
Older people living in Residential Aged Care (RAC) are at high risk of clinical deterioration. Telehealth has the potential to provide timely, patient-centred care where transfer hospital can be a burden and avoided. The extent which video telehealth is superior other forms telecommunication its impact on management acutely unwell residents aged facilities not been explored previously.In this study, video-telehealth consultation was added an existing program, Emergency (ACE) aiming further...
This case study describes a multi-organisation aged care emergency (ACE) service. The service was designed to enable point-of-care assessment and management for older people in residential facilities (RACFs). Design of the ACE involved consultation engagement multiple key stakeholders. implemented large geographical region single Medicare Local (ML) New South Wales, Australia. developed over several phases. A control pilot evaluation one department (ED) four RACFs revealed 16% reduction...
People with dementia (PWD) and cognitive impairment are particularly vulnerable to medication problems, unplanned admission hospital presents an opportunity address polypharmacy, potentially inappropriate medications (PIMs) anticholinergic burden. This study aimed compare PIMS other data for PWD determine whether these changed during hospitalization. Medications documented in patient's records at discharge were evaluated recruited phase one of a prospective quasi-experimental...
Emergency Medicine AustralasiaVolume 30, Issue 6 p. 843-850 Acute Geriatrics Avoiding anchoring bias by moving beyond 'mechanical falls' in geriatric emergency medicine Guruprasad Nagaraj, Nagaraj Hornsby Ku-ring-gai Hospital, Sydney, New South Wales, Australia Royal North Shore AustraliaSearch for more papers this authorCarolyn Hullick, Carolyn Hullick orcid.org/0000-0002-6157-8880 Department, John Hunter Newcastle, School of and Public Health, The University authorGlenn Arendts, Glenn...
Older people who present to the Emergency Department (ED) experience high rates of prevalent and incident delirium. This study aimed determine whether an assistant workforce in ED could effectively conduct screening inform assessment care planning for older as well enhance supportive activities prevention delirium.Using a pre-post design, data was collected before after introduction Person Technical Assistants (OPTAs) ED. OPTA activity recorded during intervention period medical record audit...
In-depth understanding of dementia carer experience can assist clinicians by providing insight into onset, symptoms and management, help conceptualize understand the pattern progress over time what is needed. We undertook a qualitative study to carers experiences care reasons for admission residential aged facility (RACF). Three themes were identified: (1) Challenges in path diagnosis care, leading delays accessing support; (2) Carer role impacted living circumstances; (3) Variation decision...
To determine the proportion of adverse events in patients discharged after ED assessment for possible acute coronary syndrome.Prospective observational cohort study enrolling consecutive presenting with symptoms suggestive syndrome. Main outcome was (defined a priori) within 30 days.Of 2627 patients, 1819 (69%) were without diagnosis syndrome and 808 (31%) admitted further investigation treatment. Of these, 385 (14.7%) given final On day follow up, 18 diagnosed (0.7%; 95% confidence...
Objective To compare annual costs of an intervention for acutely unwell older residents in residential age care facilities (RACFs) with usual care. The intervention, the Aged Care Emergency (ACE) program, includes telephone clinical support aimed to reduce avoidable emergency department (ED) presentations by RACF residents. Methods This costing ACE examines perspective service providers: RACFs, Hunter Medicare Local, Ambulance Service New South Wales, and EDs England Local Health District....