A5025676656- Emergency and Acute Care Studies
- Emergency Medicine Education and Research
- Trauma and Emergency Care Studies
- Nursing Roles and Practices
- Family and Patient Care in Intensive Care Units
- Healthcare cost, quality, practices
- Islamic Finance and Banking Studies
- Pediatric Pain Management Techniques
- Atrial Fibrillation Management and Outcomes
- Palliative Care and End-of-Life Issues
- Sepsis Diagnosis and Treatment
- Global trade and economics
- Aortic Disease and Treatment Approaches
- Healthcare Decision-Making and Restraints
- Healthcare Policy and Management
- Potassium and Related Disorders
- Patient Safety and Medication Errors
- Venous Thromboembolism Diagnosis and Management
- Magnesium in Health and Disease
- Cassava research and cyanide
- Foreign Body Medical Cases
- Nosocomial Infections in ICU
- Heme Oxygenase-1 and Carbon Monoxide
- Asian Studies and History
- Pressure Ulcer Prevention and Management
Austin Health
2011-2024
Marvell (United States)
2024
Australasia Paediatric Endocrine Group
2023
Austin Hospital
2010-2022
The University of Melbourne
2012
Victorian Institute of Forensic Medicine
2004
Salisbury University
1995
ACADEMIC EMERGENCY MEDICINE 2012; 19:1212–1215 © 2012 by the Society for Academic Emergency Medicine Abstract Objectives: The objective was to determine, among emergency department (ED) patients, factors associated with a high level of satisfaction pain management. Methods: This prospective cohort study in single ED. Consecutive adult triage scores ≥4 (numerical rating scale = 0 10), were enrolled. Variables examined included demographics, presenting complaint, scores, nurse‐initiated...
Abstract Objective: To evaluate a dual doctor and nurse triage system at tertiary referral hospital. Methods: Data were compared between periods of multidisciplinary standard triage. comparison was also made rostered shifts non‐multidisciplinary shifts. Staff satisfaction with the process assessed. Results: The percentage patients seen within Australasian Triage Scale performance indicator thresholds increased from 75% to 81% in Category 2 ( P = 0.12) 56% 78% 3 < 0.0001). There reduction...
This study was undertaken to examine the association of hydrogen cyanide and carboxyhaemoglobin in victims fire related deaths Australia. The secondary aim document demographic data about Australian deaths.An observational retrospective autopsy reports from Victorian Institute Forensic Medicine. Reports were electronically searched using terms burns, "smoke" or "fire" as a cause death calender years 1992 1998. Data on circumstances results toxicological screening obtained 178 persons....
To investigate factors that impact upon compliance with antibiotic regimens among patients in the emergency department (ED).This was a prospective cohort study of prescribed antibiotics single ED. Patients were identified by witnessing consultation, medical records and 'after hours' prescriptions. Data collected on demographics, presenting condition, usual medications, regimen instructions given. At follow up 7 days later, data compliance, cost packaging, side effects, difficulty...
Emergency department clinicians, and particularly nurses in triage, frequently perform routine blood tests on patients whose allocated triage category is not time critical (triage categories 3, 4 5 of the Australasian Triage Scale). Some observers have questioned utility testing these acute healthcare settings given cost workload implications.
Objective To determine the patient and clinical variables associated with administration of any analgesia, nurse-initiated analgesia (NIA, prescribed administered by a nurse) early (within 30 min presentation). Methods We undertook retrospective cohort study patients who presented to metropolitan ED in Melbourne, Australia, during July August, 2013. The has an established NIA programme. Patients were included if they aged 18 years or more painful complaint. sample was randomly selected from...
Abstract Objective The utility of calcium, magnesium and phosphate measurement in the ED is limited. We aimed to determine clinical risk variables for abnormal levels these electrolytes order inform development an ordering guideline. Methods performed a retrospective, observational study patients who presented tertiary referral between January June 2017. Adult had serum or tests completed during their stay were included. Presenting symptoms signs, comorbidities, medication use laboratory...
To detect and analyse incidents (Is) adverse events (AEs) in the ED. We hypothesised that I/AE are associated with patient load.We undertook a case-control study tertiary level hospital ED (from 1 April 2012 to 31 March 2013). Three percent of patients were randomly selected screened for I/AEs. I/AEs adjudicated by consensus four FACEMs. Controls matched cases 2:1. Logistic regression was used data.We sampled 2167 patients. After exclusions, 217 detected analysed. The I AE rates 6.0 4.1%,...
Background Acute biliary pain is the most common presentation of gallstone disease. Untreated patients risk recurrent pain, cholecystitis, obstructive jaundice, pancreatitis and multiple hospital presentations. We examine outcome implementing a policy to offer laparoscopic cholecystectomy on index with colic in tertiary Australia. Methods This retrospective cohort study adult presenting emergency department (ED) during three 12‐month periods. Outcomes Group A, 3 years prior implementation,...
Abstract Objective To retrospectively assess the accuracy and inter‐rater reliability of aortic dissection detection risk score (ADD‐RS). Methods Single‐centre, observational, diagnostic study undertaken in a university‐affiliated, tertiary hospital ED. Results Two hundred patients were enrolled. Five diagnosed with acute had an elevated ADD‐RS >0. The was 100% sensitive negative positive predictive values (if ≥1). Inter‐rater moderate (Kappa = 0.55). Conclusion highly our cohort. Further...
Abstract Objective To compare performance and factors predicting failure to reach Ontario Australian government time targets between a Canadian (Sunnybrook Hospital) an (Austin Health) academic tertiary‐level hospitals in 2012, assess for change of 2016 the same hospitals. Methods This was retrospective, observational study patient administrative data two calendar years. The main outcome measure reaching ED admissions, high low urgency discharges. Secondary outcomes were these targets....
Abstract Objective To determine how frequently calcium (Ca), magnesium (Mg) and phosphate (PO 4 ) tests change ED patient management. Methods We undertook a retrospective observational study in an Australian tertiary referral ED. enrolled adult patients (aged ≥18 years) who presented between 1 January 30 June 2017 had serum Ca, Mg or PO test ordered completed during their stay. Patient symptoms, medical history, electrolyte levels management changes were extracted from the electronic record....
Abstract Objective To determine the average medication costs associated per emergency department ( ED ) presentation. top 10 medications by cost to ED. Methods Retrospective analysis of all pharmacy‐related and patient presentations from 1 January 2013 31 December 2013. Medication expenditure data were collected pharmacy software Merlin Hospital Drug Management System. Patient presentation hospital information system MedTrak ). Results The episode care was AU $7.49. alteplase, diphtheria...
Previous studies have shown the benefits of Emergency Physicians on patient care. This study evaluated effect EPs instead middle grade doctors working overnight in a single UK ED. was not planned study, but came about due to roster gaps leaving shift without senior coverage. The authors did state total hours night shift. Over six-month period, worked 26 shifts (18 were weekends), and these compared 156 done by usual doctors. staffing levels nurses junior otherwise similar. Acuity for shift,...