Journal articles: 'Queensland hospitals'

1

Nicol, Jennifer, Jeffrey Wilks, and Maryann Wood. "Tourists as inpatients in Queensland regional hospitals." Australian Health Review 19, no. 4 (1996): 55. http://dx.doi.org/10.1071/ah960055.

Full text

Abstract:

This study analysed medical record data from seven regional hospitals in Queenslandto determine the types of medical conditions and injuries that resulted in overseas andinterstate tourists being admitted to hospital. From a total of 135- 128 admissionsto the participating hospitals, 695 (0.51- per cent) were identified as overseas touristsand 3479 (2.57- per cent) were from interstate. The main reasons for admission ofoverseas tourists, based on principal diagnoses, were injuries and poisonings (37.6- percent), circulatory disorders (11.7- per cent), digestive conditions (9.8- per cent), andgenito-urinary disorders (8.8- per cent). For interstate tourists, the main reasons foradmission were genito-urinary disorders (19.8- per cent), injuries and poisonings(15.4- per cent), neoplasms (11.4- per cent) and circulatory disorders (10.6- per cent).These findings are discussed in relation to current literature in the field of travelmedicine, emphasising the burden of care placed on the admitting hospital?s resources,and the growing number of visitors to Queensland needing health care.Introduction

APA, Harvard, Vancouver, ISO, and other styles

2

Agarwal, Renu, Roy Green, Neeru Agarwal, and Krithika Randhawa. "Benchmarking management practices in Australian public healthcare." Journal of Health Organization and Management 30, no. 1 (March 21, 2016): 31–56. http://dx.doi.org/10.1108/jhom-07-2013-0143.

Full text

Abstract:

Purpose – The purpose of this paper is to investigate the quality of management practices of public hospitals in the Australian healthcare system, specifically those in the state-managed health systems of Queensland and New South Wales (NSW). Further, the authors assess the management practices of Queensland and NSW public hospitals jointly and globally benchmark against those in the health systems of seven other countries, namely, USA, UK, Sweden, France, Germany, Italy and Canada. Design/methodology/approach – In this study, the authors adapt the unique and globally deployed Bloom et al. (2009) survey instrument that uses a “double blind, double scored” methodology and an interview-based scoring grid to measure and internationally benchmark the management practices in Queensland and NSW public hospitals based on 21 management dimensions across four broad areas of management – operations, performance monitoring, targets and people management. Findings – The findings reveal the areas of strength and potential areas of improvement in the Queensland and NSW Health hospital management practices when compared with public hospitals in seven countries, namely, USA, UK, Sweden, France, Germany, Italy and Canada. Together, Queensland and NSW Health hospitals perform best in operations management followed by performance monitoring. While target management presents scope for improvement, people management is the sphere where these Australian hospitals lag the most. Practical implications – This paper is of interest to both hospital administrators and health care policy-makers aiming to lift management quality at the hospital level as well as at the institutional level, as a vehicle to consistently deliver sustainable high-quality health services. Originality/value – This study provides the first internationally comparable robust measure of management capability in Australian public hospitals, where hospitals are run independently by the state-run healthcare systems. Additionally, this research study contributes to the empirical evidence base on the quality of management practices in the Australian public healthcare systems of Queensland and NSW.

APA, Harvard, Vancouver, ISO, and other styles

3

Cook, Graham K., Joanna WH Ling, and Robin Lee. "Extemporaneous Compounding in Queensland Hospitals." Journal of Pharmacy Practice and Research 37, no. 3 (September 2007): 204–9. http://dx.doi.org/10.1002/j.2055-2335.2007.tb00745.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

4

Walker, Sue, Jeffrey Wilks, Ian Ring, Jennifer Nicol, Brian Oldenburg, and Carl Mutzelburg. "Use of Queensland Hospital Services by Interstate and Overseas Visitors." Health Information Management 25, no. 1 (March 1995): 12–15. http://dx.doi.org/10.1177/183335839502500105.

Full text

Abstract:

In response to concerns about the number of interstate and overseas visitors using Queensland hospital services, the present study examined a sample of 1,295 hospital records to determine the proportion of patients who were incorrectly identified as Queensland residents. Across six hospitals the overall detection rate was 4.6%. Rates varied between hospitals, with the highest detection recorded for Goondiwindi near the Queensland/New South Wales border; and the lowest for Prince Charles in Brisbane. There were also important variations across hospitals based on specific holiday periods. In particular, Goondiwindi and the Gold Coast had substantially higher detection rates for the Christmas holiday period (December-January) than for the mid-year period (June-August). These findings are discussed in terms of their implications for hospital services, especially lost revenue and increased patient load. Health information managers are identified as a key group for addressing some of the current problems in this area.

APA, Harvard, Vancouver, ISO, and other styles

5

Luke, Jenny, Richard Franklin, Peter Aitkin, and Joanne Dyson. "Safer Hospitals in North Queensland - Assessment of Resilience." Prehospital and Disaster Medicine 34, s1 (May 2019): s80. http://dx.doi.org/10.1017/s1049023x19001699.

Full text

Abstract:

Introduction:Hospitals are fundamental infrastructure, and when well-designed can provide a trusted place of refuge and a central point for health and wellbeing services in the aftermath of disasters. The ability of hospitals to continue functioning is dependent on location, the resilience of buildings, critical systems, equipment, supplies, and resources as well as people. Working towards ensuring that the local hospital is resilient is essential in any disaster management system and the level of hospital resilience can be used as an indicator in measuring community resilience. The most popular measure of hospital resilience is the World Health Organisation’s Hospital Safety Index (HSI) used in over 100 countries to assess and guide improvements to achieve structurally and functionally disaster resilient hospitals. Its purpose is to promote safe hospitals where services “remain accessible and functioning at maximum capacity, and with the same infrastructure, before, during and immediately after the impact of emergencies and disasters.” It identifies likely high impact hazards, vulnerabilities, and mitigation/improvement actions.Aim:The HSI can be a valuable tool as part of the 2015-2030 Sendai Framework for Disaster Risk Reduction. However, to date, it has been used infrequently in developed countries. This project pilots the application of the HSI across seven facilities in a North Queensland health service (an area prone to cyclones and flooding), centered on a tertiary referral center, each providing 24-hour emergency health services.Results:Key indicators of resilience and the result of the audit will be discussed within geographical and cultural contexts, including the benefits of the HSI in augmenting existing hospital assessment and accreditation processes to identify vulnerabilities and mitigation strategies.Discussion:The research outcomes are to be used by the health service to improve infrastructure and provide anticipated community benefits, especially through the continuation of health services post disasters.

APA, Harvard, Vancouver, ISO, and other styles

6

Cleary, Michael, Sheree Lloyd, and Ann Maguire. "A national day only surgery benchmarking basket." Australian Health Review 22, no. 1 (1999): 122. http://dx.doi.org/10.1071/ah990122.

Full text

Abstract:

The efficient management of day surgery facilities benefits both patients and health administrators. Patients can benefit through minimisation of hospital stay while day surgery has the potential to increase elective surgery throughput and to reduce waiting times. This paper explores whether routinely collected morbidity data from Queensland public hospitals can be used to benchmark levels of day only surgery between hospitals. Thirteen procedures were identified that met criteria for inclusion in a day only surgery bench marking basket. Queensland public hospitals and individual procedures were benchmarked against one another and analysed to determine whether hospitals performing the 13 procedures demonstrate the same rates of day only surgery. With the development of a clinically meaningful and administratively simple tool for comparing hospital day surgery rates using routinely collected morbidity data, the opportunity now exists for health services to compare the performance of clinical services both within and between hospitals. It is also suggested that the basket of procedures identified in this study could form the basis of a national day only surgery benchmarking process.

APA, Harvard, Vancouver, ISO, and other styles

7

Avent, Minyon L., Lisa Hall, Louise Davis, Michelle Allen, Jason A. Roberts, Sean Unwin, Kylie A. McIntosh, Karin Thursky, Kirsty Buising, and David L. Paterson. "Antimicrobial stewardship activities: a survey of Queensland hospitals." Australian Health Review 38, no. 5 (2014): 557. http://dx.doi.org/10.1071/ah13137.

Full text

Abstract:

Objective In 2011, the Australian Commission on Safety and Quality in Health Care (ACSQHC) recommended that all hospitals in Australia must have an Antimicrobial Stewardship (AMS) program by 2013. Nevertheless, little is known about current AMS activities. This study aimed to determine the AMS activities currently undertaken, and to identify gaps, barriers to implementation and opportunities for improvement in Queensland hospitals. Methods The AMS activities of 26 facilities from 15 hospital and health services in Queensland were surveyed during June 2012 to address strategies for effective AMS: implementing clinical guidelines, formulary restriction, reviewing antimicrobial prescribing, auditing antimicrobial use and selective reporting of susceptibility results. Results The response rate was 62%. Nineteen percent had an AMS team (a dedicated multidisciplinary team consisting of a medically trained staff member and a pharmacist). All facilities had access to an electronic version of Therapeutic Guidelines: Antibiotic, with a further 50% developing local guidelines for antimicrobials. One-third of facilities had additional restrictions. Eighty-eight percent had advice for restricted antimicrobials from in-house infectious disease physicians or clinical microbiologists. Antimicrobials were monitored with feedback given to prescribers at point of care by 76% of facilities. Deficiencies reported as barriers to establishing AMS programs included: pharmacy resources, financial support by hospital management, and training and education in antimicrobial use. Conclusions Several areas for improvement were identified: reviewing antimicrobial prescribing with feedback to the prescriber, auditing, and training and education in antimicrobial use. There also appears to be a lack of resources to support AMS programs in some facilities. What is known about the topic? The ACSQHC has recommended that all hospitals implement an AMS program by 2013 as a requirement of Standard 3 (Preventing and Controlling Healthcare-Associated Infections) of the National Safety and Quality Health Service Standards. The intent of AMS is to ensure appropriate prescribing of antimicrobials as part of the broader systems within a health service organisation to prevent and manage healthcare-associated infections, and improve patient safety and quality of care. This criterion also aligns closely with Standard 4: Medication Safety. Despite this recommendation, little is known about what AMS activities are undertaken in these facilities and what additional resources would be required in order to meet these national standards. What does the paper add? This is the first survey that has been conducted of public hospital and health services in Queensland, a large decentralised state in Australia. This paper describes what AMS activities are currently being undertaken, identifies practice gaps, barriers to implementation and opportunities for improvement in Queensland hospitals. What are the implications for practitioners? Several areas for improvement such as reviewing antimicrobial prescribing with feedback to the prescriber, auditing, and training and education in antimicrobial use have been identified. In addition, there appears to be a lack of resources to support AMS programs in some facilities.

APA, Harvard, Vancouver, ISO, and other styles

8

Iredell, Jonathan R. "Relieving medical officers in Queensland country hospitals." Medical Journal of Australia 157, no. 8 (October 1992): 523–27. http://dx.doi.org/10.5694/j.1326-5377.1992.tb137347.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

9

Wallace, R. A. "Venous thromboprophylaxis audit in two Queensland hospitals." Internal Medicine Journal 43, no. 10 (October 2013): 1167–68. http://dx.doi.org/10.1111/imj.12273.

Full text

APA, Harvard, Vancouver, ISO, and other styles

10

Gray, N. A., H. Dent, and S. P. McDonald. "Dialysis in public and private hospitals in Queensland." Internal Medicine Journal 42, no. 8 (August 2012): 887–93. http://dx.doi.org/10.1111/j.1445-5994.2012.02795.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

11

Phillips, N. M., and V. J. Heazlewood. "Venous thromboembolism prophylaxis audit in two Queensland hospitals." Internal Medicine Journal 43, no. 5 (May 2013): 560–66. http://dx.doi.org/10.1111/imj.12033.

Full text

APA, Harvard, Vancouver, ISO, and other styles

12

Low, John, and Andrew F. Petrie. "Performance Indicators: Initial Queensland Public Hospitals' Data-Set." Australian Journal of Hospital Pharmacy 28, no. 6 (December 1998): 405–9. http://dx.doi.org/10.1002/jppr1998286405.

Full text

APA, Harvard, Vancouver, ISO, and other styles

13

McFarland, Reanna. "Telepharmacy for remote hospital inpatients in north-west Queensland." Journal of Telemedicine and Telecare 23, no. 10 (October 28, 2017): 861–65. http://dx.doi.org/10.1177/1357633x17732367.

Full text

Abstract:

Clinical pharmacy service delivery is currently a significant challenge in remote areas. Mount Isa Base Hospital provides clinical pharmacy support to ten remote sites across an area of over 300,000 square kilometres. These sites do not have on-site pharmacists available and, due to the vast distances and unpredictable travel conditions, the outreach pharmacist from Mount Isa Base Hospital only visits sporadically. Provision of direct patient care and advice on medication safety with this model was restricted and insufficient. Telepharmacy provides an opportunity for these services to be vastly expanded. In an attempt to increase pharmacist accessibility for remote hospital sites, the Mount Isa Base Hospital pharmacy department developed an inpatient telepharmacy service. Telehealth equipment is being used to communicate directly with patients and hospital staff, review inpatient medication charts, generate patient medication lists, identify and resolve clinical interventions and provide medication-related advice and counselling. As a result of this implementation, all patients and health professionals in remote north-west Queensland hospitals now have access to a pharmacist. The number of inpatient medication reviews, clinical interventions and patient–pharmacist/clinician–pharmacist interactions occurring at each remote hospital site has increased. Since service initiation, 106 medication-related reviews have been completed via telepharmacy, including 48 patient interactions, and 111 medication-related interventions have been made. This paper outlines the process for the development of an inpatient telepharmacy service for remote hospitals and discusses the benefits and limitations associated with implementation.

APA, Harvard, Vancouver, ISO, and other styles

14

Sabesan, Sabe, Clare Senko, Andrew Schmidt, Abhishek Joshi, Ritwik Pandey, Corinne A. Ryan, Megan Lyle, et al. "Enhancing Chemotherapy Capabilities in Rural Hospitals: Implementation of a Telechemotherapy Model (QReCS) in North Queensland, Australia." Journal of Oncology Practice 14, no. 7 (July 2018): e429-e437. http://dx.doi.org/10.1200/jop.18.00110.

Full text

Abstract:

Introduction: The Queensland Remote Chemotherapy Supervision (QReCS) model enables rural nurses to administer chemotherapy in smaller rural towns under supervision by health professionals from larger centers using telehealth. Its implementation began in North Queensland, Australia (population, 650,000), in 2014 between two regional cancer centers (Townsville and Cairns as primary sites) and six rural sites (125 to 1,000 kilometers from primary sites). Our study examined the implementation processes, feasibility, and safety of this model. Methods: Details of implementation and patients’ clinical details for the period of 2014 to 2016 for descriptive analysis were extracted from telechemotherapy project notes and oncology information systems of North Queensland, respectively. Results: After a successful pilot study in Townsville Cancer Centre, statewide rural and cancer networks of Queensland Health, in collaboration with clinicians and managers across the state of Queensland, developed the QReCS model and a guide for operationalizing it. QReCS was implemented at six sites from 2014 to 2016. Main enablers across North Queensland included collaboration among clinicians and managers, availability of common electronic medical records, funding from Queensland Health, and installation of telehealth infrastructure by statewide telehealth services. Main barriers included turnover of senior management and nursing staff at two rural towns. Sixty-two patients received 327 cycles of low- to medium-risk chemotherapy agents. Rates of treatment delays, adverse events, and hospital admissions were similar to those in face-to-face care. Conclusion: Implementation of the QReCS model across a large geographic region is feasible with acceptable safety profiles. Leadership by and collaboration among clinicians and managers, adequacy of resources and common governance are key enablers.

APA, Harvard, Vancouver, ISO, and other styles

15

Cadilhac, Dominique A., Nadine E. Andrew, Monique F. Kilkenny, Kelvin Hill, Brenda Grabsch, Natasha A. Lannin, Amanda G. Thrift, et al. "Improving quality and outcomes of stroke care in hospitals: Protocol and statistical analysis plan for the Stroke123 implementation study." International Journal of Stroke 13, no. 1 (September 15, 2017): 96–106. http://dx.doi.org/10.1177/1747493017730741.

Full text

Abstract:

Rationale The effectiveness of clinician-focused interventions to improve stroke care is uncertain. Aims To determine whether an organizational intervention can improve the quality of stroke care over usual care. Sample size estimates To detect an absolute 10% difference in overall performance (composite outcome), a minimum of 21 hospitals and 843 patients per group was determined. Methods and design Before and after controlled design in hospitals in Queensland, Australia. Intervention Externally facilitated program (StrokeLink) using outreach workshops incorporating clinical performance feedback, patient outcomes (survival, quality of life at 90–180 days), local barrier assessments to best practice care, action planning, and ongoing support. Descriptive and multivariable analyses adjusted for patient correlations by hospital (intention-to-treat method). Context Concurrent implementation of financial incentives to increase stroke unit access and use of the Australian Stroke Clinical Registry for performance monitoring. Study outcome(s) Primary outcome: net change in composite score (i.e. total number of process indicators achieved divided by the sum of eligible indicators for each cohort). Secondary outcomes: change in individual indicators, change in composite score comparing hospitals that did or did not develop action plans (per-protocol analysis), impact on 90–180-day health outcomes. Sensitivity analyses: hospital self-rated status, alternate cross-sectional audit data (Stroke Foundation). To account for temporal effects, comparison of Queensland hospital performance relative to other Australian hospitals will also be undertaken. Discussion Twenty-one hospitals were recruited; however, one was unable to participate within the study time frame. Workshops were held between 11 March 2014 and 7 November 2014. Data are ready for analysis.

APA, Harvard, Vancouver, ISO, and other styles

16

Duckett, Stephen J., Michael Coory, and Kirstine Sketcher‐Baker. "Identifying variations in quality of care in Queensland hospitals." Medical Journal of Australia 187, no. 10 (November 2007): 571–75. http://dx.doi.org/10.5694/j.1326-5377.2007.tb01419.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

17

Mundy, Linda, Sarah Howard, Liam McQueen, Jacqui Thomson, and Kaye Hewson. "Fostering healthcare innovation in public hospitals: the Queensland experience." Australian Health Review 43, no. 6 (2019): 672. http://dx.doi.org/10.1071/ah18055.

Full text

Abstract:

Faced with scarce resources and a demand for health care that exceeds supply, health policy makers at all levels of government need to adopt some form of rationing when deciding which health services should be funded in the public health system. With a relatively small investment, programs such as Queensland Health’s New Technology Funding Evaluation Program (NTFEP) fosters innovation by providing funding and pilot studies for new and innovative healthcare technologies. The NTFEP assists policy makers to make informed decisions regarding investments in new safe and effective technologies based on available evidence gathered from real-world settings relevant to Queensland patients and clinicians. In addition, the NTFEP allows appropriate patient access, especially in rural and remote locations, to potentially beneficial technologies and acts a gatekeeper, protecting them from technologies that may be detrimental or harmful. What is known about the topic? Jurisdictions have struggled to identify ways to manage the introduction of new and innovative health technologies into clinical practice. The 2009 review of health technology in Australia recommended better assessment and appraisal by ensuring real-life practices in hospitals and community settings were considered, with a consumer and patient focus. What does this paper add? Queensland Health’s NTFEP provides a robust and transparent mechanism to manage the introduction of innovative healthcare technologies into clinical practice, providing an opportunity to collect real-world data outside of formal clinical trials. These data can not only be used to inform clinical, but also purchasing, decision-making within the public health system. This model of investment and innovation has the potential to be implemented in other jurisdictions and provide opportunities to share learnings. What are the implications for practitioners? Programs such as the NTFEP provide reassurance to practitioners and patients alike that innovative healthcare technologies are adopted in public hospitals using an evidence-based approach after demonstrating that they are not only safe and clinically effective, but represent value for money and improved patient outcomes in a public health system.

APA, Harvard, Vancouver, ISO, and other styles

18

McHugh, Matthew D., Linda H. Aiken, Carol Windsor, Clint Douglas, and Patsy Yates. "Case for hospital nurse-to-patient ratio legislation in Queensland, Australia, hospitals: an observational study." BMJ Open 10, no. 9 (September 2020): e036264. http://dx.doi.org/10.1136/bmjopen-2019-036264.

Full text

Abstract:

ObjectivesTo determine whether there was variation in nurse staffing across hospitals in Queensland prior to implementation of nurse-to-patient ratio legislation targeting medical-surgical wards, and if so, the extent to which nurse staffing variation was associated with poor outcomes for patients and nurses.DesignAnalysis of cross-sectional data derived from nurse surveys linked with admitted patient outcomes data.SettingPublic hospitals in Queensland.Participants4372 medical-surgical nurses and 146 456 patients in 68 public hospitals.Main outcome measures30-day mortality, quality and safety indicators, nurse outcomes including emotional exhaustion and job dissatisfaction.ResultsMedical-surgical nurse-to-patient ratios before implementation of ratio legislation varied significantly across hospitals (mean 5.52 patients per nurse; SD=2.03). After accounting for patient characteristics and hospital size, each additional patient per nurse was associated with 12% higher odds of 30-day mortality (OR=1.12; 95% CI 1.01 to 1.26). Each additional patient per nurse was associated with poorer outcomes for nurses including 15% higher odds of emotional exhaustion (OR=1.15; 95% CI 1.07 to 1.23) and 14% higher odds of job dissatisfaction (OR=1.14; 95% CI 1.02 to 1.28), as well as higher odds of concerns about quality of care (OR=1.12; 95% CI 1.01 to 1.25) and patient safety (OR=1.32; 95% CI 1.11 to 1.57).ConclusionsBefore ratios were implemented, nurse staffing varied considerably across Queensland hospital medical-surgical wards and higher nurse workloads were associated with patient mortality, low quality of care, nurse emotional exhaustion and job dissatisfaction. The considerable variation across hospitals and the link with outcomes suggests that taking action to improve staffing levels was prudent.

APA, Harvard, Vancouver, ISO, and other styles

19

Forbes, Malcolm Peter, Sweatha Iyengar, and Margaret Kay. "Barriers to the psychological well-being of Australian junior doctors: a qualitative analysis." BMJ Open 9, no. 6 (June 2019): e027558. http://dx.doi.org/10.1136/bmjopen-2018-027558.

Full text

Abstract:

ObjectiveTo explore factors associated with the psychological well-being of junior doctors in Australia.DesignQualitative study using semistructured interviews.SettingThree teaching hospitals in Brisbane, Queensland, Australia.ParticipantsFifteen junior medical officers (postgraduate year 2 doctors) employed across three hospitals in Queensland participated in the study.Main outcome measuresFifteen de-identified interviews were analysed. Four key themes emerged—workplace issues impacting on health and well-being; experiences of bullying and harassment; strategies to improve health and well-being; and barriers to seeking healthcare.ConclusionUnderlying system and cultural factors affect the health of junior doctors. Self-stigma particularly affects junior doctors and impacts on their healthcare seeking behaviours.

APA, Harvard, Vancouver, ISO, and other styles

20

Di Bella, Alexandra L., Tracy Comans, Elise M. Gane, Adrienne M. Young, Donna F. Hickling, Alisha Lucas, Ingrid J. Hickman, and Merrilyn Banks. "Underreporting of Obesity in Hospital Inpatients: A Comparison of Body Mass Index and Administrative Documentation in Australian Hospitals." Healthcare 8, no. 3 (September 11, 2020): 334. http://dx.doi.org/10.3390/healthcare8030334.

Full text

Abstract:

Despite its high prevalence, there is no systematic approach to documenting and coding obesity in hospitals. This study aimed to determine the prevalence of obesity among inpatients, the proportion of obese patients recognised as obese by hospital administration, and the cost associated with their admission. A cross-sectional study was undertaken in three hospitals in Queensland, Australia. Inpatients present on three audit days were included in this study. Data collected were age, sex, height, and weight. Body mass index (BMI) was calculated in accordance with the World Health Organization’s definition. Administrative data were sourced from hospital records departments to determine the number of patients officially documented as obese. Total actual costing data were sourced from hospital finance departments. From a combined cohort of n = 1327 inpatients (57% male, mean (SD) age: 61 (19) years, BMI: 28 (9) kg/m2), the prevalence of obesity was 32% (n = 421). Only half of obese patients were recognised as obese by hospital administration. A large variation in the cost of admission across BMI categories prohibited any statistical determination of difference. Obesity is highly prevalent among hospital inpatients in Queensland, Australia. Current methods of identifying obesity for administrative/funding purposes are not accurate and would benefit from reforms to measure the true impact of healthcare costs from obesity.

APA, Harvard, Vancouver, ISO, and other styles

21

Toohill, Jocelyn, Jenny Gamble, and Debra K. Creedy. "A critical review of vaginal birth rates after a primary Caesarean in Queensland hospitals." Australian Health Review 37, no. 5 (2013): 642. http://dx.doi.org/10.1071/ah13044.

Full text

Abstract:

Introduction For women with a lower uterine incision without indication for repeat Caesarean section (CS), vaginal birth for their next pregnancy is a safe option. Although these women should be encouraged to consider vaginal birth after a Caesarean section (VBAC) it is not consistently supported in practice. There is relatively little information on the extent to which maternal preference, birthing decisions and outcomes match best available evidence. Aim To describe current VBAC rates for women in Queensland, Australia and compare this to safe, achievable VBAC rates reported in national and international studies. Method Perinatal data from 2004 to 2011 were reviewed to determine current VBAC rates following a primary CS for women birthing in Queensland. These were compared with VBAC rates reported in the literature. Results Queensland has a high overall CS rate and high repeat CS rate compared with the national average. In 2010, Queensland VBAC rates for next birth following primary CS were 14% (range 13–21% public sector, 7–11% private hospitals). This is substantially lower than achievable Australian rates of 24% and international rates. Conclusion Low VBAC rates reflect low numbers of women commencing labour in a pregnancy subsequent to a primary CS. There is unexplained variation in VBAC rates between maternity facilities. Clinical reviews to support evidence-based practice are warranted. What is known about the topic? Repeat CS is a major contributor to high CS rates in industrialised countries. What does this paper add? Following a primary CS, women in Queensland are less likely to commence labour and achieve a vaginal birth compared with rates reported in national and international VBAC studies. What are the implications for practitioners? Maternity clinicians need to be aware of best practice and contextualise the evidence for individual women to improve VBAC rates.

APA, Harvard, Vancouver, ISO, and other styles

22

Desai, Sachin, Michael L. Williams, and Anthony C. Smith. "Teleconsultation from a secondary hospital for paediatric emergencies occurring at rural hospitals in Queensland." Journal of Telemedicine and Telecare 19, no. 7 (October 2013): 405–10. http://dx.doi.org/10.1177/1357633x13506528.

Full text

APA, Harvard, Vancouver, ISO, and other styles

23

Berger, Daria, Felicity Smith, Vana Sabesan, Aimee Huynh, and Robert Norton. "Paediatric Salmonellosis—Differences between Tropical and Sub-Tropical Regions of Queensland, Australia." Tropical Medicine and Infectious Disease 4, no. 2 (April 10, 2019): 61. http://dx.doi.org/10.3390/tropicalmed4020061.

Full text

Abstract:

Salmonellosis is an important cause of morbidity in tropical regions.This study aims to describe the epidemiology of non-typhoidal Salmonellae (NTS) in children presenting to public hospitals in Queensland, Australia, over the past 20 years, with a focus on differences between tropical and sub-tropical zones in the region. This is a retrospective and descriptive cohort study of 8162 NTS positive samples collected in 0–17-year-olds from the Queensland public hospital pathology database (Auslab) over a 20-year period from 1997 to 2016. There were 2951 (36.2%) positive NTS samples collected in tropical zones and 5211 (63.8%) in the sub-tropical zones of Queensland, with a total of 8162 over the region. The tropical zone contributed a disproportionately higher number of positive NTS samples by population sub-analysis. Of the specimens collected, 7421 (90.92%) were faecal, 505 (6.2%) blood, 161 (1.97%) urine, 13 (0.16%) cerebrospinal fluid (CSF) and 62 of other origin. Other categories of specimen types isolated include swab, fluid, aspirate, lavage, bone, tissue, isolate and pus, and these were not included in sub-analysis. The most commonly identified serovars were Salmonella Typhimurium, Salmonella Virchow and Salmonella Saintpaul. This is the first and largest study that emphasises the high burden of invasive and non-invasive NTS infections resulting in hospital presentations in the paediatric population of tropical north Queensland, compared to the sub-tropics.

APA, Harvard, Vancouver, ISO, and other styles

24

Morton, Anthony P., Archie C. A. Clements, Shane R. Doidge, Jenny Stackelroth, Merrilyn Curtis, and Michael Whitby. "Surveillance of Healthcare-Acquired Infections in Queensland, Australia: Data and Lessons From the First 5 Years." Infection Control & Hospital Epidemiology 29, no. 8 (August 2008): 695–701. http://dx.doi.org/10.1086/589904.

Full text

Abstract:

Objective.To present healthcare-acquired infection surveillance data for 2001-2005 in Queensland, Australia.Design.Observational prospective cohort study.Setting.Twenty-three public hospitals in Queensland.Methods.We used computer-assisted surveillance to identify episodes of surgical site infection (SSI) in surgical patients. The risk-adjusted incidence of SSI was calculated by means of a risk-adjustment score modified from that of the US National Nosocomial Infections Surveillance System, and the incidence of inpatient bloodstream infection (BSI) was adjusted for risk on the basis of hospital level (level 1, tertiary referral center; level 2, large general hospital; level 3, small general hospital). Funnel and Bayesian shrinkage plots were used for between-hospital comparisons.Patients.A total of 49,804 surgical patients and 4,663 patients who experienced healthcare-associated BSI.Results.The overall cumulative incidence of in-hospital SSI ranged from 0.28% (95% confidence interval [CI], 0%–1.54%) for radical mastectomies to 6.15% (95% CI, 3.22%–10.50%) for femoropopliteal bypass procedures. The incidence of inpatient BSI was 0.80,0.28, and 0.22 episodes per 1,000 occupied bed-days in level 1, 2, and 3 hospitals, respectively.Staphylococcus aureuswas the most commonly isolated microorganism for SSI and BSI. Funnel and shrinkage plots showed at least 1 hospital with a signal indicating a possible higher-than-expected rate of S. aureus-associated BSI.Conclusions.Comparisons between hospitals should be viewed with caution because of imperfect risk adjustment. It is our view that the data should be used to improve healthcare-acquired infection control practices using evidence-based systems rather than to judge institutions.

APA, Harvard, Vancouver, ISO, and other styles

25

Wilks, Jeffrey, and Mlchael Coory. "Overseas visitors admitted to Queensland hospitals for water‐related injuries." Medical Journal of Australia 173, no. 5 (September 2000): 244–46. http://dx.doi.org/10.5694/j.1326-5377.2000.tb125629.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

26

BECKMANN, Michael, and Cliff NEPPE. "Morbidity associated with vaginal hysterectomies in Queensland public teaching hospitals." Australian and New Zealand Journal of Obstetrics and Gynaecology 47, no. 1 (February 2007): 70–75. http://dx.doi.org/10.1111/j.1479-828x.2006.00683.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

27

Scott, I. A., N. D. Buckmaster, and K. H. Harvey. "Clinical practice guidelines: perspectives of clinicians in Queensland public hospitals." Internal Medicine Journal 33, no. 7 (July 2003): 273–79. http://dx.doi.org/10.1046/j.1445-5994.2003.00366.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

28

Eley, Diann S., Jianzhen Zhang, and David Wilkinson. "Self-sufficiency in intern supply: the impact of expanded medical schools, medical places and rural clinical schools in Queensland." Australian Health Review 33, no. 3 (2009): 472. http://dx.doi.org/10.1071/ah090472.

Full text

Abstract:

Objective: The doctor shortage in Australia generally, and the rural shortage in particular, has led to an increase in medical schools, medical places and rural training. If effective, these strategies will first impact on the intern workforce. We studied the source of interns in Queensland. Methods: Analysis of number, source and location of interns by Rural, Remote and Metropolitan Area (RRMA) classification (an index of remoteness) from university and health department records (2003?2008). Odds ratios compared the likelihood of intern supply from Queensland universities and rural clinical schools. Results: Most interns in Queensland graduated from Queensland universities in 2007 (287 [72%]) and 2008 (344 [84%]). Proportions increased across all three RRMA groups from: 82% to 93% in RRMA1; 56% to 68% in RRMA2 and 67% to 79% in RRMA3. The University of Queensland (UQ) provides most interns in all RRMA locations including RRMA3, and this increased from 2007 (n = 33 [35%]) to 2008 (n = 57 [58%]). Interns from interstate decreased from 61 (15%) in 2007 to 40 (10%) in 2008. Interns from overseas fell from 53 (13%) in 2007 to 27 (7%) in 2008. Rural clinical schools compared with traditional urban-based schools were more likely to supply interns to RRMA3 than RRMA1 hospitals in 2007 (OR, 8.8; 95% CI, 4.6?16.7; P< 0.0001) and 2008 (OR, 6.5; 95% CI, 3.5?12.2; P< 0.0001). Conclusions: Queensland is close to self-sufficiency in intern supply and will achieve this in the next few years. Rural clinical schools are playing an important role in producing interns for RRMA3 hospitals. Due to its large cohort, UQ remains the major provider across all RRMA groups.

APA, Harvard, Vancouver, ISO, and other styles

29

Cadilhac, Dominique A., Nadine E. Andrew, Enna Stroil Salama, Kelvin Hill, Sandy Middleton, Eleanor Horton, Ian Meade, Sarah Kuhle, Mark R. Nelson, and Rohan Grimley. "Improving discharge care: the potential of a new organisational intervention to improve discharge after hospitalisation for acute stroke, a controlled before–after pilot study." BMJ Open 7, no. 8 (August 2017): e016010. http://dx.doi.org/10.1136/bmjopen-2017-016010.

Full text

Abstract:

ObjectiveProvision of a discharge care plan and prevention therapies is often suboptimal. Our objective was to design and pilot test an interdisciplinary, organisational intervention to improve discharge care using stroke as the case study using a mixed-methods, controlled before–after observational study design.SettingAcute care public hospitals in Queensland, Australia (n=15). The 15 hospitals were ranked against a benchmark based on a composite outcome of three discharge care processes. Clinicians from a ‘top-ranked’ hospital participated in a focus group to elicit their success factors. Two pilot hospitals then participated in the organisational intervention that was designed with experts and consumers.ParticipantsHospital clinicians involved in discharge care for stroke and patients admitted with acute stroke or transient ischaemic attack.InterventionA four-stage, multifaceted organisational intervention that included data reviews, education and facilitated action planning.Primary and secondary outcome measuresThree discharge processes collected in Queensland hospitals within the Australian Stroke Clinical Registry were used to select study hospitals: (1) discharge care plan; (2) antihypertensive medication prescription and (3) antiplatelet medication prescription (ischaemic events only). Primary measure: composite outcome. Secondary measures: individual adherence changes for each discharge process; sensitivity analyses. The performance outcomes were compared 3 months before the intervention (preintervention), 3 months postintervention and at 12 months (sustainability).ResultsData from 1289 episodes of care from the two pilot hospitals were analysed. Improvements from preintervention adherence were: antiplatelet therapy (88%vs96%, p=0.02); antihypertensive prescription (61%vs79%, p<0.001); discharge planning (72%vs94%, p<0.001); composite outcome (73%vs89%, p<0.001). There was an insignificant decay effect over the 12-month sustainability period (composite outcome: 89% postintervention vs 85% sustainability period, p=0.08).ConclusionDischarge care in hospitals may be effectively improved and sustained through a staged and peer-informed, organisational intervention. The intervention warrants further application and trialling on a larger scale.

APA, Harvard, Vancouver, ISO, and other styles

30

Smith, Anthony C., Michael Williams, Jasper Van Der Westhuyzen, Robert Mccrossin, Alan Isles, and Richard Wootton. "A comparison of telepaediatric activity at two regional hospitals in Queensland." Journal of Telemedicine and Telecare 8, no. 3_suppl (December 2002): 58–62. http://dx.doi.org/10.1258/13576330260440880.

Full text

Abstract:

summary We conducted a 15-month feasibility study of telepaediatrics. A novel service was offered to two hospitals in Queensland (Mackay and Hervey Bay). We used data from all other hospitals throughout the state as the control group. Although both intervention hospitals were provided with the same service, the telepaediatric activity generated and the effect on admissions and outpatient activity were markedly different. There was a significant decrease in the number of patient admissions to Brisbane from the Mackay region. In addition, there was an increase in the number of Mackay patients treated locally (as outpatients). In contrast, little change was observed in Hervey Bay. We assessed whether the observed differences between the two hospitals were due to various factors which influenced the use of the telepaediatric service. These factors included the method of screening patients before transfer to the tertiary centre and the physical distance between each facility and the tertiary centre. We believe that the screening method used for patient referrals was the most important determinant of the use of the telepaediatric service.

APA, Harvard, Vancouver, ISO, and other styles

31

Marquess, John, Wenbiao Hu, Graeme R. Nimmo, and Archie C. A. Clements. "Spatial Analysis of Community-OnsetStaphylococcus aureusBacteremia in Queensland, Australia." Infection Control & Hospital Epidemiology 34, no. 3 (March 2013): 291–98. http://dx.doi.org/10.1086/669522.

Full text

Abstract:

Objectives.TO investigate and describe the relationship between indigenous Australian populations, residential aged care services, and community-onsetStaphylococcus aureusbacteremia (SAB) among patients admitted to public hospitals in Queensland, Australia.Design.Ecological study.Methods.We used administrative healthcare data linked to microbiology results from patients with SAB admitted to Queensland public hospitals from 2005 through 2010 to identify community-onset infections. Data about indigenous Australian population and residential aged care services at the local government area level were obtained from the Queensland Office of Economic and Statistical Research. Associations between community-onset SAB and indigenous Australian population and residential aged care services were calculated using Poisson regression models in a Bayesian framework. Choropleth maps were used to describe the spatial patterns of SAB risk.Results.We observed a 21% increase in relative risk (RR) of bacteremia with methicillin-susceptibleS. aureus(MSSA; RR, 1.21 [95% credible interval, 1.15–1.26]) and a 24% increase in RR with nonmultiresistant methicillin-resistantS. aureus(nmMRSA; RR, 1.24 [95% credible interval, 1.13–1.34]) with a 10% increase in the indigenous Australian population proportion. There was no significant association between RR of SAB and the number of residential aged care services. Areas with the highest RR for nmMRSA and MSSA bacteremia were identified in the northern and western regions of Queensland.Conclusions.The RR of community-onset SAB varied spatially across Queensland. There was increased RR of community-onset SAB with nmMRSA and MSSA in areas of Queensland with increased indigenous population proportions. Additional research should be undertaken to understand other factors that increase the risk of infection due to this organism.

APA, Harvard, Vancouver, ISO, and other styles

32

Nelson, Brendan. "Leadership in health: Effecting change." Australian Health Review 21, no. 2 (1998): 65. http://dx.doi.org/10.1071/ah980065.

Full text

Abstract:

The following article is an edited version of a paper presented to the joint AustralianPrivate Hospitals Association and Australian Healthcare Association Conference,?Caring with Skill?, held at Southport, Queensland, on 7?8 April 1998.

APA, Harvard, Vancouver, ISO, and other styles

33

Boots, R. J., C. Joyce, D. V. Mullany, C. Anstey, N. Blackwell, P. M. Garrett, S. Gillis, and N. Alexander. "Near-Hanging as Presenting to Hospitals in Queensland: Recommendations for Practice." Anaesthesia and Intensive Care 34, no. 6 (December 2006): 736–45. http://dx.doi.org/10.1177/0310057x0603400610.

Full text

APA, Harvard, Vancouver, ISO, and other styles

34

Wangoo, Laltaksh, Robin A. Ray, and Yik-Hong Ho. "Staff Attitudes and Compliance Toward the Surgical Safety Checklist in North Queensland." International Surgery 103, no. 5-6 (May 1, 2018): 270–79. http://dx.doi.org/10.9738/intsurg-d-16-00013.1.

Full text

Abstract:

The Surgical Safety Checklist (SSC) has been reported to decrease complications and mortality; however, it is unclear which aspects are most crucial in producing its associated benefits and whether the positive attitudes of the operating room (OR) staff toward the SSC translates into better checklist compliance. This study aims to compare staff attitudes about reported benefits of and potential barriers to the SSC against observed compliance in 3 multispecialty North Queensland hospitals. SSC compliance, attitudes, and socio-professional factors were assessed via a staff survey consisting of a modified OR version of the Surgical Attitudes Questionnaire. A direct observation study of 165 procedures was concurrently performed to assess compliance with and accuracy of SSC completion at The Townsville Hospital. A total of 205 responses were received (response rate, 70%). Of these, 29.6% of responses were from private hospital staff. Survey responses versus observations indicated a 20% margin between satisfactory initiation and verbal completion of the SSC, with Sign Out both unsatisfactorily initiated (26%) and verbally completed (18%) (P < 0.05). “Staff introduction” was poorly completed and reported as not important (P = 0.005). Disinterest from other staff as perceived by nurses was seen as the greatest barrier to SSC completion. Surgeons and anesthesiologists valued the importance and benefits of the checklist less than half as much as nurses (P < 0.05). The SSC in its present form is not fully embraced in North Queensland hospitals. Making amendments to the checklist and its implementation protocols that reflect local cultural and social settings is desirable to improve compliance.

APA, Harvard, Vancouver, ISO, and other styles

35

Faoagali, Joan, Wendy Coles, Lee Price, and David Siebert. "Telepathology." Journal of Telemedicine and Telecare 7, no. 2_suppl (December 2001): 71–72. http://dx.doi.org/10.1258/1357633011937209.

Full text

Abstract:

The development of a Queensland-wide videoconferencing network provided an opportunity to develop telepathology. In 1999, weekly videoconferences began with remote laboratories and clinical staff in four peripheral hospitals and the Royal Brisbane Hospital and in 2000 biweekly videoconference pathology grand rounds started across Queensland with up to six sites, from Cairns to the Gold Coast, joining in or presenting. The average number of sites connected was 3.0 in 1998, 3.5 in 1999, 4.4 in 2000 and 4.5 in 2001. Problems included the complexity of the system, timing and need for bookings, coordination of presenters and presentations, and the time needed to organize sessions, set up linkages, advertise sessions and attend the telepathology conference. Successful meetings have been associated with well prepared cases, time for discussion, attendance by all sites, timeliness of cases and responses, and the presence of experts to respond to questions, as well as effective linkages and trouble-free hardware. Future needs include better infrastructure and trained staff to coordinate the linkages and presentations. Telepathology has an important part to play in the provision of cost-effective medical care in Queensland.

APA, Harvard, Vancouver, ISO, and other styles

36

Silva, Munasinghe, and Aathavan Shanmuga Anandan. "General surgical unit experience of traumatic vascular injuries in an Australian regional hospital." International Surgery Journal 10, no. 1 (December 30, 2022): 23. http://dx.doi.org/10.18203/2349-2902.isj20223588.

Full text

Abstract:

Background: Vascular trauma is a significant burden to the regional community due to the associated high morbidity and mortality from the complications of the injuries. This may be due to the complexity of the injuries and the issues with initial management at the regional hospitals. Vascular injury management training should improve the outcome of initial surgical management by the general surgical team in regional centres. The study aims to describe the epidemiology and management of vascular injury in regional hospitals in Queensland, Australia.Methods: A retrospective descriptive analysis was performed using the data of patients with traumatic vascular injuries between January 2017 and July 2021 presented to Hervey Bay hospital in Queensland, Australia.Results: Fifty-nine patients with vascular injuries were reviewed. The reported number of penetrating and blunt trauma cases were 43 (72.9%) and 16 (27.1%) respectively, and 42 (71.2%) were males. Most mechanisms of injury were cuts (n=32, 54.2%), followed by falls (n=16, 27.1%) and stabs (n=11, 18.7%). Fifty-one (86.4%) were initially surgically managed regionally, with 21 (35.6%) requiring transfer to a tertiary trauma centre. Outcomes of the incidents resulted in one (1.7%) patient requiring amputation, three (5.1%) needing a fasciotomy and the mortality of two (3.4%) patients.Conclusions: Vascular trauma causes a significant burden to Australian regional hospitals. Identifying injury patterns and common causes for vascular injury will help in early identification and prompt management. Vascular trauma management training should improve the quality of care from the general surgeons in the regional centres.

APA, Harvard, Vancouver, ISO, and other styles

37

Iedema, Joel. "Effect of a state hospital formulary on medicines utilisation in Australia." Australian Health Review 45, no. 6 (2021): 704. http://dx.doi.org/10.1071/ah20330.

Full text

Abstract:

ObjectiveThe provision of medicines through state public hospitals is comparatively restrictive compared with the federally funded Pharmaceutical Benefits Scheme (PBS). Individual states are progressively moving towards statewide medicines formularies. Although a statewide formulary has existed in Queensland for some time. The effects of hospital formularies on medicines utilisation and policy in Australia has not been quantified. Thus, the aim of the present study was to quantify the effects of the Queensland Health List of Approved Medicines (LAM) on medicines utilisation in Queensland at a state and PBS-purchasing level and describe the implications for medicines policy. MethodsThis study used a quasi-experimental design with an interrupted time series (with control for PBS) examining utilisation effects of medicines within the therapeutic classes of proton pump inhibitors and non-vitamin K oral anticoagulants with LAM listing or delisting. ResultsThe LAM was demonstrated to be highly effective at controlling utilisation within Queensland Health purchasing. Effects on PBS utilisation were evident, resulting in increases in generic utilisation (where available) and associated reduced total costs both within Queensland Health and to the PBS. The full benefit is likely underestimated due to limitations in the PBS datasets. ConclusionThe LAM is a highly effective state medicines policy tool with demonstrable effects on PBS utilisation. With increased use of statewide medicines formularies, this will be an increasingly relevant aspect of Australia’s overall medicines policy. What is known about the topic?State medicines policy is comparatively restrictive compared with the federal PBS. Most Australian states have, or are developing, statewide medicines formularies. What does this paper add?By examining several classes of medicines, a substantial quantitative effect of the Queensland state formulary on both state and PBS medicines utilisation can be demonstrated. Increased use of generic medicines and reduced costs are seen. What are the implications for practitioners?With increased use of state medicines formularies, state medicines formularies will become increasingly relevant to medicines policy makers and advocates at both the state and federal level.

APA, Harvard, Vancouver, ISO, and other styles

38

Scott, Ian A., Irene C. Darwin, Kathy H. Harvey, Andy B. Duke, Hazel Harden, Nicholas D. Buckmaster, John Atherton, and Michael Ward. "Multisite, quality‐improvement collaboration to optimise cardiac care in Queensland public hospitals." Medical Journal of Australia 180, no. 8 (April 2004): 392–97. http://dx.doi.org/10.5694/j.1326-5377.2004.tb05992.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

39

Hadfield, Clive D. "Multisite, quality‐improvement collaboration to optimise cardiac care in Queensland public hospitals." Medical Journal of Australia 181, no. 3 (August 2004): 175. http://dx.doi.org/10.5694/j.1326-5377.2004.tb06221.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

40

Scott, Ian A., Irene C. Darwin, Kathy H. Harvey, Andy B. Duke, Nicholas D. Buckmaster, John Atherton, Hazel E. Harden, and Michael Ward. "Multisite, quality‐improvement collaboration to optimise cardiac care in Queensland public hospitals." Medical Journal of Australia 181, no. 3 (August 2004): 175. http://dx.doi.org/10.5694/j.1326-5377.2004.tb06222.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

41

Mahmoud, Ibrahim, Xiang-yu Hou, Kevin Chu, and Michele Clark. "Language affects length of stay in emergency departments in Queensland public hospitals." World Journal of Emergency Medicine 4, no. 1 (2013): 5. http://dx.doi.org/10.5847/wjem.j.issn.1920-8642.2013.01.001.

Full text

APA, Harvard, Vancouver, ISO, and other styles

42

Thompson, Maureen. "Nurse initiated medications and dispensing in rural hospitals – regulatory practices in Queensland." Collegian 5, no. 3 (January 1998): iv. http://dx.doi.org/10.1016/s1322-7696(08)60306-6.

Full text

APA, Harvard, Vancouver, ISO, and other styles

43

HENDERSON, A. "Casemix based funding for Queensland discriminates against hospitals treating very sick patients." Australian and New Zealand Journal of Medicine 26, no. 3 (June 1996): 421–22. http://dx.doi.org/10.1111/j.1445-5994.1996.tb01937.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

44

Haga, Hirofumi, Elisa Tran, and Nicholas Rieger. "Colonoscopy quality of GP endoscopists in three rural hospitals in Queensland, Australia." Australian Journal of General Practice 51, no. 12 (December 1, 2022): 979–85. http://dx.doi.org/10.31128/ajgp-01-22-6293.

Full text

APA, Harvard, Vancouver, ISO, and other styles

45

Fox, Haylee, Emily Callander, Daniel Lindsay, and Stephanie M. Topp. "Is there unwarranted variation in obstetric practice in Australia? Obstetric intervention trends in Queensland hospitals." Australian Health Review 45, no. 2 (2021): 157. http://dx.doi.org/10.1071/ah20014.

Full text

Abstract:

ObjectiveThe aim of this study was to report on the rates of obstetric interventions within each hospital jurisdiction in the state of Queensland, Australia. MethodsThis project used a whole-of-population linked dataset that included the health and cost data of all mothers who gave birth in Queensland, Australia, between 2012 and 2015 (n=186789), plus their babies (n=189909). Adjusted and unadjusted rates of obstetric interventions and non-instrumental vaginal delivery were reported within each hospital jurisdiction in Queensland. ResultsHigh rates of obstetric intervention exist in both the private and public sectors, with higher rates demonstrated in the private than public sector. Within the public sector, there is substantial variation in rates of intervention between hospital and health service jurisdictions after adjusting for confounding variables that influence the need for obstetric intervention. ConclusionsDue to the high rates of obstetric interventions statewide, a deeper understanding is needed of what factors may be driving these high rates at the health service level, with a focus on the clinical necessity of the provision of Caesarean sections. What is known about the topic?Variation in clinical practice exists in many health disciplines, including obstetric care. Variation in obstetric practice exists between subpopulation groups and between states and territories in Australia. What does this paper add?What we know from this microlevel analysis of obstetric intervention provision within the Australian population is that the provision of obstetric intervention varies substantially between public sector hospital and health services and that this variation is not wholly attributable to clinical or demographic factors of mothers. What are the implications for practitioners?Individual health service providers need to examine the factors that may be driving high rates of Caesarean sections within their institution, with a focus on the clinical necessity of Caesarean section.

APA, Harvard, Vancouver, ISO, and other styles

46

Andrews, Robert, Moe T. Wynn, Kirsten Vallmuur, Arthur H. M. ter Hofstede, and Emma Bosley. "A Comparative Process Mining Analysis of Road Trauma Patient Pathways." International Journal of Environmental Research and Public Health 17, no. 10 (May 14, 2020): 3426. http://dx.doi.org/10.3390/ijerph17103426.

Full text

Abstract:

In this paper we report on key findings and lessons from a process mining case study conducted to analyse transport pathways discovered across the time-critical phase of pre-hospital care for persons involved in road traffic crashes in Queensland (Australia). In this study, a case is defined as being an individual patient’s journey from roadside to definitive care. We describe challenges in constructing an event log from source data provided by emergency services and hospitals, including record linkage (no standard patient identifier), and constructing a unified view of response, retrieval, transport and pre-hospital care from interleaving processes of the individual service providers. We analyse three separate cohorts of patients according to their degree of interaction with Queensland Health’s hospital system (C1: no transport required, C2: transported but no Queensland Health hospital, C3: transported and hospitalisation). Variant analysis and subsequent process modelling show high levels of variance in each cohort resulting from a combination of data collection, data linkage and actual differences in process execution. For Cohort 3, automated process modelling generated ’spaghetti’ models. Expert-guided editing resulted in readable models with acceptable fitness, which were used for process analysis. We also conduct a comparative performance analysis of transport segment based on hospital ‘remoteness’. With regard to the field of process mining, we reach various conclusions including (i) in a complex domain, the current crop of automated process algorithms do not generate readable models, however, (ii) such models provide a starting point for expert-guided editing of models (where the tool allows) which can yield models that have acceptable quality and are readable by domain experts, (iii) process improvement opportunities were largely suggested by domain experts (after reviewing analysis results) rather than being directly derived by process mining tools, meaning that the field needs to become more prescriptive (automated derivation of improvement opportunities).

APA, Harvard, Vancouver, ISO, and other styles

47

Lowe, John B., Kevin P. Balanda, Warren R. Stanton, Chris Del Mar, and Vivienne O’Connor. "Dissemination of an Efficacious Antenatal Smoking Cessation Program in Public Hospitals in Australia: A Randomized Controlled Trial." Health Education & Behavior 29, no. 5 (October 2002): 608–19. http://dx.doi.org/10.1177/109019802237028.

Full text

Abstract:

This study investigated the impact of a behaviorally based intervention designed to increase the number of hospitals that routinely provide effective smoking cessation programs for pregnant women. In Queensland, Australia, 70 publicly funded hospitals were matched on numbers of births and maternal socioeconomic status and randomly allocated to an awareness-only intervention group or a behaviorally based intervention group. Success was defined as the routine offer of an evidence-based smoking cessation program to at least 80% of the pregnant clients who smoke. At 1 month, 65% of the behaviorally based intervention hospitals agreed to provide materials about smoking cessation programs for their antenatal patients, compared with 3% of the awarenessonly hospitals. After 1 year, 43% of the intervention hospitals still provided the material, compared with 9% of the awareness-only hospitals. These findings showthat a brief intervention to hospitals can encourage antenatal staff to provide smoking cessation materials to pregnant women.

APA, Harvard, Vancouver, ISO, and other styles

48

Scott, Ian A., Mark A. Jones, Andy B. Duke, Irene C. Darwin, and Kathy H. Harvey. "Variations in indicated care of patients with acute coronary syndromes in Queensland hospitals." Medical Journal of Australia 182, no. 7 (April 2005): 325–30. http://dx.doi.org/10.5694/j.1326-5377.2005.tb06729.x.

Full text

APA, Harvard, Vancouver, ISO, and other styles

49

Si, Damin, Naomi Runnegar, John Marquess, Mohana Rajmokan, and Elliott G. Playford. "Characterising health care‐associated bloodstream infections in public hospitals in Queensland, 2008–2012." Medical Journal of Australia 204, no. 7 (April 2016): 276. http://dx.doi.org/10.5694/mja15.00957.

Full text

APA, Harvard, Vancouver, ISO, and other styles

50

Worth, Leon J., Ann L. Bull, and Michael J. Richards. "Characterising health care‐associated bloodstream infections in public hospitals in Queensland, 2008–2012." Medical Journal of Australia 205, no. 6 (September 2016): 282. http://dx.doi.org/10.5694/mja16.00564.

Full text

APA, Harvard, Vancouver, ISO, and other styles

Journal articles on the topic 'Queensland hospitals'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles