A5060236637- Electronic Health Records Systems
- Machine Learning in Healthcare
- Pharmaceutical Practices and Patient Outcomes
- Patient Satisfaction in Healthcare
- Telemedicine and Telehealth Implementation
- Antibiotic Use and Resistance
- Dialysis and Renal Disease Management
- Patient Safety and Medication Errors
- Sepsis Diagnosis and Treatment
- Heart Failure Treatment and Management
- Renal Diseases and Glomerulopathies
- Quality and Safety in Healthcare
- Mobile Health and mHealth Applications
- Health Education and Validation
- Central Venous Catheters and Hemodialysis
- SARS-CoV-2 and COVID-19 Research
- Hydraulic Fracturing and Reservoir Analysis
- Chronic Kidney Disease and Diabetes
- Vasculitis and related conditions
- Healthcare Technology and Patient Monitoring
- Adolescent and Pediatric Healthcare
- COVID-19 and healthcare impacts
- Theology and Philosophy of Evil
- Delphi Technique in Research
- Medication Adherence and Compliance
Sydney Local Health District
2019-2025
Concord Repatriation General Hospital
2014-2025
The University of Sydney
2018-2025
Royal Prince Alfred Hospital
2019-2024
Menzies School of Health Research
2018-2023
University of Technology Sydney
2022
Concord Hospital
2019
UNSW Sydney
2002-2018
Royal Adelaide Hospital
2012-2017
Australia and New Zealand Dialysis and Transplant Registry
2012-2017
Background Australia has successfully controlled the COVID-19 pandemic. Similar to other high-income countries, extensively used telehealth services. Virtual health care, including telemedicine in combination with remote patient monitoring, been implemented certain settings as part of new models care that are aimed at managing patients outside hospital setting. Objective This study describe implementation and early experience virtual for community management COVID-19. Methods observational...
Abstract To compare different deep learning architectures for predicting the risk of readmission within 30 days discharge from intensive care unit (ICU). The interpretability attention-based models is leveraged to describe patients-at-risk. Several making use attention mechanisms, recurrent layers, neural ordinary differential equations (ODEs), and medical concept embeddings with time-aware were trained using publicly available electronic record data (MIMIC-III) associated 45,298 ICU stays...
The global unmet need for kidney replacement therapy means that millions of people die every year as they cannot afford treatment. Peritoneal dialysis (PD) offers comparable survival to haemodialysis and is often more affordable, but one barrier increasing access conventional manufacturing distribution PD fluid costly. Here we report the results from a pilot proof-of-principal study demonstrating first time Ellen Medical Devices Point-of-Care system can be used by patients produce sterile at...
Abstract Objective To determine whether disrupting the renin angiotensin system with receptor blockers will improve clinical outcomes in people covid-19. Design CLARITY was a pragmatic, adaptive, multicentre, phase 3, randomised controlled trial. Setting 17 hospital sites India and Australia. Participants were at least 18 years old, previously untreated blockers, laboratory confirmed diagnosis of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection who had been admitted to...
Common data models standardize the structures and semantics of health datasets, enabling reproducibility large-scale studies that leverage from multiple locations settings. The Observational Medical Outcomes Partnership Data Model (OMOP CDM) is one leading common models. While there a strong incentive to convert datasets OMOP, conversion time resource-intensive, leaving research community in need tools for mapping OMOP. We propose an extract, transform, load (ETL) framework metadata-driven...
Machine learning (ML) has enabled healthcare discoveries by facilitating efficient modeling, such as for cancer screening. Unlike clinical trials, real-world data used in ML are often gathered multiple purposes, leading to bias and missing information a specific classification task. This challenge is especially pronounced because of stringent ethical considerations resource constraints.This study proposed an integrated approach enhance the quality health evidence from task predicting...
To characterise the epidemiology and outcomes of Lupus Nephritis (LN) in Fiji. All adult LN cases diagnosed from 2016 to 2020 at national referral hospital were included. Treatment response, kidney failure, dialysis dependence death reported. From 33 cases, a crude annual incidence 2.44 (95% CI 1.73-3.43) per 100,000 population an age-standardised 2.37 0.65-4.09) was derived. The median age 25.7 years (IQR 19.5-32) with predominance indigenous iTaukei ethnicity (67%). Kidney biopsy adequate...
Objectives To learn the attitudes of health professionals, informaticians and information communication technology professionals to using data in electronic records (eHRs) for performance feedback professional development. Design Qualitative research a co-design framework. Health professionals' perceptions accessibility eHRs, barriers enablers these development were explored workshops. Audio recordings workshops transcribed, de-identified, thematically analysed. Setting, participants A total...
Abstract Aims The aims of this study were to identify if an age‐specific high‐risk window for graft loss is present in Australia and New Zealand the aetiology such using Dialysis Transplant Registry. Methods Retrospective cohort analysis all renal transplants performed during 1985–2010 which survived >3 months patient spent at least some time aged 10–30 years inclusive while was functioning. Adjusted hazard ratio (aHR) according age, sex, race, cause end‐stage kidney disease, transition,...
We aim to examine and understand the work processes of antimicrobial stewardship (AMS) teams across 2 hospitals that use same digital intervention, identify barriers enablers effective AMS in each setting.
Abstract Objectives To identify research and development priorities for virtual care following the coronavirus disease 2019 pandemic from perspective of key stakeholders (patients, clinicians, informaticians academics). Design Qualitative study using a modified nominal group technique. Setting Online semi‐structured interviews workshops held in November 2022 February 2023. Participants Health workers involved delivering two metropolitan local health districts one specialty statewide network,...
Abstract Objective To describe the barriers to and facilitators of implementing delivering virtual hospital (VH) services, evidence practice gaps where further research policy changes are needed drive continuous improvement. Study design Qualitative descriptive study. Setting, participants Online semi‐structured interviews a focus group were conducted between July 2022 April 2023 with doctors, nurses leadership staff involved in VH services at three sites New South Wales, Australia. Main...
Abstract Vibrio cholerae, the bacterial pathogen responsible for diarrheal disease cholera, resides in aquatic environment between outbreaks. For bacteria, genetic variation by lateral gene transfer (LGT) is important survival and adaptation. In environment, V. cholerae predominantly found biofilms associated with chitinous organisms or chitin “rain”. Chitin induces competency which can lead to LGT. also subjected predation pressure protist. Here we investigated whether protozoal affected...
Objectives: To describe the implementation and early experience of virtual health care for community management patients with COVID-19. Design: observational cohort study. Setting: large Australian metropolitan service established program remote patient monitoring capability. Participants: COVID-19 living within who can self-isolate safely, do not require immediate admission to an inpatient setting, have no major active comorbid illness be managed at home or other suitable accommodation....
Chronic kidney disease is now a leading cause of death in Fiji. The country lacks even basic statistics about the incidence end-stage (ESKD) and presents significant challenges to conducting clinical research.To estimate characteristics ESKD Fijian adults.A retrospective cohort study was conducted patients admitted Colonial War Memorial Hospital Suva, Fiji, 2012. Suspected cases were identified from laboratory registers renal function tests confirmed through medical record review. Population...
To inform the design of electronic decision support (EDS) to facilitate deprescribing in hospitals we set out (1) explore current processes in-hospital medicines review, and communication decisions with patient's general practitioner (GP), (2) identify barriers undertaking these tasks (3) determine user preferences for EDS.Multimethod, multisite study comprising observations, semistructured interviews focus groups.General medicine, geriatric medicine rehabilitation wards at six two local...
Abstract Background Medication management processes in an Oncology setting are complex and difficult to examine isolation from interrelated contextual factors. This qualitative study aims evaluate the usability of Electronic Management System (EMMS) implemented a specialised oncology unit using Unified Theory Acceptance Use Technology (UTAUT) framework. Methods The was conducted 12-bed outpatient major teaching hospital 6 months following implementation commercial EMMS. In-depth...