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Letteratura scientifica selezionata sul tema "Postal service - Australia - Safety measures"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 1 febbraio 2022

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Articoli di riviste sul tema "Postal service - Australia - Safety measures"

Elizabeth Loughnan, Margaret, Nigel J. Tapper, Thu Phan e Judith A. McInnes. "Can a spatial index of heat-related vulnerability predict emergency service demand in Australian capital cities?" International Journal of Emergency Services 3, n. 1 (4 marzo 2014): 6–33. http://dx.doi.org/10.1108/ijes-10-2012-0044.

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Purpose – The purpose of this paper is to demonstrate a spatial model of population vulnerability (VI) capable of identifying areas of high emergency service demand (ESD) during extreme heat events (EHE). Design/methodology/approach – An index of population vulnerability to EHE was developed from a literature review. Threshold temperatures for EHE were defined using local temperatures, and indicators of increased morbidity. Spearman correlations determined the strength of the relationship between the VI and morbidity during EHE. The VI was mapped providing a visual guide of risk during EHE. Future changes in population vulnerability based on future population projections (2020-2030) were mapped. Findings – The VI can be used to explain the spatial distribution of ESD during EHE. Mapping future changes in population density/demography indicated several areas currently showing high risk will continue to show increased risk. Research limitations/implications – The limitations include using outdoor temperatures to determine health-related thresholds. Due to data restrictions three different measures of morbidity were used and aggregated to postal areas. Practical implications – Identifying areas of increased service demand during EHE allows the development of proactive as-well-as reactive responses to heat. The model uses readily available data, is replicable in larger urban areas. Social implications – The model allows emergency service providers to work with high risk communities to build resilience to heat exposure and subsequently save lives. Originality/value – To the authors’ knowledge this triangulated approach using heat thresholds, ESD and projected changes in risk in a spatial framework has not been presented to date.

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Bismark, Marie M., Simon J. Walter e David M. Studdert. "The role of boards in clinical governance: activities and attitudes among members of public health service boards in Victoria". Australian Health Review 37, n. 5 (2013): 682. http://dx.doi.org/10.1071/ah13125.

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Objectives To determine the nature and extent of governance activities by health service boards in relation to quality and safety of care and to gauge the expertise and perspectives of board members in this area. Methods This study used an online and postal survey of the Board Chair, Quality Committee Chair and two randomly selected members from the boards of all 85 health services in Victoria. Seventy percent (233/332) of members surveyed responded and 96% (82/85) of boards had at least one member respond. Results Most boards had quality performance as a standing item on meeting agendas (79%) and reviewed data on medication errors and hospital-acquired infections at least quarterly (77%). Fewer boards benchmarked their service’s quality performance against external comparators (50%) or offered board members formal training on quality (53%). Eighty-two percent of board members identified quality as a top priority for board oversight, yet members generally considered their boards to be a relatively minor force in shaping the quality of care. There was a positive correlation between the size of health services (total budget, inpatient separations) and their board’s level of engagement in quality-related activities. Ninety percent of board members indicated that additional training in quality and safety would be ‘moderately useful’ or ‘very useful’. Almost every respondent believed the overall quality of care their service delivered was as good as, or better than, the typical Victorian health service. Conclusions Collectively, health service boards are engaged in an impressive range of clinical governance activities. However, the extent of engagement is uneven across boards, certain knowledge deficits are evident and there was wide agreement among board members that further training in quality-related issues would be useful. What is known about the topic? There is an emerging international consensus that effective board leadership is a vital element of high-quality healthcare. In Australia, new National Health Standards require all public health service boards to have a ‘system of governance that actively manages patient safety and quality risks’. What does this paper add? Our survey of all public health service Boards in Victoria found that, overall, boards are engaged in an impressive range of clinical governance activities. However, tensions are evident. First, whereas some boards are strongly engaged in clinical governance, others report relatively little activity. Second, despite 8 in 10 members rating quality as a top board priority, few members regarded boards as influential players in determining it. Third, although members regarded their boards as having strong expertise in quality, there were signs of knowledge limitations, including: near consensus that (additional) training would be useful; unfamiliarity with key national quality documents; and overly optimistic beliefs about quality performance. What are the implications for practitioners? There is scope to improve board expertise in clinical governance through tailored training programs. Better board reporting would help to address the concern of some board members that they are drowning in data yet thirsty for meaningful information. Finally, standardised frameworks for benchmarking internal quality data against external measures would help boards to assess the performance of their own health service and identify opportunities for improvement.

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Sibbritt, David, Jon Adams e Vijayendra Murthy. "The Prevalence and Determinants of Chinese Medicine Use by Australian Women: Analysis of a Cohort of 10,287 Women Aged 56–61 Years". American Journal of Chinese Medicine 41, n. 02 (gennaio 2013): 281–91. http://dx.doi.org/10.1142/s0192415x13500201.

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This study aimed to examine the factors associated with Chinese medicine use amongst a sample of 10,287 Australian women aged 56–61 years. Data was obtained from a cross-sectional postal questionnaire conducted in 2007, this being the fifth survey of the Australian Longitudinal Study on Women's Health. This representative sample of 10,287 women was randomly selected from the Health Insurance Commission (Medicare) database. The outcome measure was the use of Chinese medicine in the previous 12 months. The predictive factors included demographics, health status measures and health service utilization measures. Statistical analyses included univariate chi-square and ANOVA tests and backward stepwise multiple logistic regression modelling. The use of Chinese medicine amongst women aged 56–61 years appears to be strongly influenced by their country of birth, consultation with a range of CAM practitioners, and the use of some self-prescribed CAM. Interestingly, severe tiredness was the only symptom or diagnosis that predicted Chinese medicine use. Given the substantial prevalence of Chinese medicine use and the finding that the use of Chinese medicine is heavily integrated alongside the use of many other CAM and conventional treatments, it is imperative for the safety of patients that health professionals (across complementary and conventional healthcare) fully recognise the possible Chinese medicine use amongst their practice populations. In order to help inform relevant practice and policy development it is also important that future research further examining women's decision-making, motivations and evaluations regarding Chinese medicine use considers such issues within the context of broader CAM and conventional health care utilization.

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McCulloch, Hannah, Jonathan Syred, Gillian Holdsworth, Chris Howroyd, Elena Ardines e Paula Baraitser. "Communication Strategies Used to Obtain Clinical Histories Before Remotely Prescribing Antibiotics for Postal Treatment of Uncomplicated Genital Chlamydia: Service Evaluation". Journal of Medical Internet Research 22, n. 6 (17 giugno 2020): e15970. http://dx.doi.org/10.2196/15970.

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Background Web-based services for testing of sexually transmitted infections are widely available across the United Kingdom. Remote prescriptions with medications posted home may support prompt treatment; however, the absence of face-to-face contact with clinicians raises clinical safety issues as medical history may not be accurately provided. Objective This service evaluation aimed to capture the use and explore the safety of 3 remote communication strategies employed within a web-based service offering remote prescriptions of antibiotics, delivered via post, for uncomplicated genital Chlamydia trachomatis. User acceptability and time-from-diagnosis-to-treatment were also obtained. Methods Three iterations of the service were compared, where medical history was collected via SMS text message, telephone, or a secure web form before a prescription was issued. We contacted users after they were issued a prescription and completed the medical history a second time via telephone, asking when they took their medication and how they felt about the service. The primary safety measure was agreement in information supplied at 2 assessments (ie, clinical and evaluation assessment) on key elements of safe prescribing: allergies, current medications, or contraindicating clinical conditions or symptoms. Agreement in information between clinical and evaluation assessment was summarized as a binary variable. Factors associated with the assessment agreement variable were explored using univariate and multivariate analysis. The secondary evaluation measures were recall of and adherence to instructions for taking medication, time-from-diagnosis-to-treatment, and acceptability of the web-based service. Results All web-based service users, resident in the London Boroughs of Lambeth and Southwark with a positive chlamydia diagnosis, who were eligible for and chose postal treatment between February 15, 2017, and October 24, 2017, were invited to participate in this service evaluation. Of 321 eligible users, 62.0% (199) participated. A total of 27.6% (55/199) users completed the clinical assessment via SMS text message, 40.7% (81/199) users via telephone, and 31.7% (63/199) users via a secure web form. Those who were assessed for prescription via SMS text message were less likely to have an agreement in safe prescribing information than those assessed via telephone (adjusted odds ratio [aOR] 0.22, 95% CI 0.08-0.61; P=.004). We found no statistically significant difference in odds of agreement between the web form and telephone assessment (aOR 0.50, 95% CI 0.17-1.43; P=.20). Median time-to-treatment was 4 days (IQR 3-5.5). In addition, 99.0% (196/199) of users reported understanding remote communication, and 89.9% (178/198) would use the service again. Conclusions Postal treatment is an acceptable and rapid treatment option for uncomplicated genital chlamydia. Clinical assessment via SMS text message before remote prescription may not be accurate or sufficient. As health care is delivered via the web, strategies that support safe remote prescribing are increasingly important, as is their evaluation, which should be robust and carefully considered.

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Moretto, Nicole, Michelle Stute, Sonia Sam, Marita Bhagwat, Maree Raymer, Peter Buttrum, Merrilyn Banks e Tracy A. Comans. "A uniform data set for determining outcomes in allied health primary contact services in Australia". Australian Journal of Primary Health 26, n. 1 (2020): 58. http://dx.doi.org/10.1071/py18104.

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The project aim was to develop and implement a set of metrics to capture and demonstrate the performance of newly established allied health primary contact services. Selection of the metrics and performance indicators was guided by an existing state-wide data collection system and from a review of the published literature. The metrics were refined after consultation with a working group of health service managers and clinicians. The data collection and reporting framework were developed for use in allied health primary contact services and implemented at public health facilities in Queensland, Australia. The set of metrics consists of 18 process and outcome measures. Patient-reported metrics include the global rating of change scale and patient satisfaction. Service metrics include wait times; referral source; triage category; diagnosis; occasions of service; referrals and investigations initiated; effects; care duration; discharge status; waitlist reinstatement reasons; treatment non-completion reasons; and expedited care. Safety, patient demographics and service improvement metrics were included. The metrics will enable analysis of the effectiveness of allied health primary contact services and will facilitate reporting, advocacy, service improvement, service continuity and research. The metrics are suitable for use by all providers of allied health primary contact services in hospital and primary care settings.

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Davies, Sarah, Cathryn Keenan e Bernice Redley. "Health Assistant in Nursing: a Victorian health service pilot". Asia Pacific Journal of Health Management 12, n. 2 (18 luglio 2017): 17–24. http://dx.doi.org/10.24083/apjhm.v12i2.73.

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Objective: Develop and evaluate pilot of a new role to support nursing care delivery in hospital settings. Design: A naturalistic, three-stage pre-post, multimethod pilot design used data collected from hospital administrative datasets, and surveys and focus groups with staff participants. Setting: Three wards at three hospital sites of a large tertiary health service in Victoria, Australia. Subjects: Staff performing the new role and registered nurses working on participating wards. Intervention: Pilot of a new Health Assistant in Nursing (HAN) role. Main outcome measures: Staff outcomes were work satisfaction and workload of registered nurses; quality outcomes included reported patient falls and medication errors; organisational outcomes included service costs and sick leave. Results: Work satisfaction and workload of registered nurses remained stable after introducing the new role. The frequency of reported patient falls reduced in two of the three wards. Costing outcomes suggested potential for cost benefits attributed to reduced falls in acute wards. Conclusions: This pilot identified the new HAN role has capacity to contribute to improved patient quality and safety outcomes without compromising nurse job satisfaction and workload. Potential cost benefits of thenew role warrant further consideration in the acute care sector. Abbreviations: CPO – Constant Patient Observer; CSN – Clinical Support Nurse; HAN – Health Assistant in Nursing. NWSQ – Nursing Workplace Satisfaction

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McVeigh, Mary Jo, e Susan Heward-Belle. "Necessary and good: a literature review exploring ethical issues for online counselling with children and young people who have experienced maltreatment". Children Australia 45, n. 4 (dicembre 2020): 266–78. http://dx.doi.org/10.1017/cha.2020.59.

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AbstractThe World Health Organization categorised the Corona virus as a public health emergency of international concern. As a result of this declaration, a raft of procedures to stem the spread of the virus to safeguard the health and safety of its citizens was enacted by the Australian Government. The promotion of social isolation and distancing were among these measures. The governmental social distancing measures put in place in Australia resulted in a curtailing of face-to-face work and moving to online service delivery for many agencies who provide counselling for children/young people who have experienced maltreatment. This article presents the findings of a review of the literature on the pertinent ethical issues in relation to online counselling. The results of the review highlighted common ethical issues discussed across the literature, with a major gap in the literature focusing on issues for children and young people and a continued privileging of the adult voice over children and young people’s needs.

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Lloyd, Sheree, Cynthia Cliff, Gerard FitzGerald e Jean Collie. "Can publicly reported data be used to understand performance in an Australian rural hospital?" Health Information Management Journal 50, n. 1-2 (16 settembre 2020): 35–46. http://dx.doi.org/10.1177/1833358320948559.

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Background: Despite agreement among policymakers, funders, consumers and researchers about the value of public reporting of health information, limited attention has been paid to how it can be used to understand the performance of rural hospitals. Objective: To determine whether publicly available information can be used to measure health service performance in a rural hospital. Method: The study used performance data routinely reported for public consumption in Australia. Data across four domains, multiple measures and time periods were collected to examine access and equity; efficiency and sustainability; quality, safety and patient orientation; and employee engagement. Performance of the rural hospital was examined using a visualisation tool. Results: Visualisation of multiple measures of performance over time was achievable but required a high degree of health information management skills. Conclusion and implications: Publicly reported data can be used to represent performance for a rural hospital. Timeliness, level of detail available and peer groupings of data limits optimal utility. Consumers, clinicians and health service managers wanting to understand the performance of rural hospitals will need to use significant health information management skills to gain a picture of performance. Further research in the applied use of publicly available performance data and relevant dashboards for rural hospitals is suggested.

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Delbosc, Alexa, James Reynolds, Wesley Marshall e Andrew Wall. "American Complete Streets and Australian SmartRoads: What Can We Learn from Each Other?" Transportation Research Record: Journal of the Transportation Research Board 2672, n. 39 (8 giugno 2018): 166–76. http://dx.doi.org/10.1177/0361198118777379.

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Road management in both Australasia and America has historically focused on facilitating vehicle movement and reducing congestion. More recently, however, there has been a shift to acknowledge the wider role that roads play in society. Road safety, equity impacts, considerations of “place” and the needs of different road users (including transit, pedestrians, and cyclists) are all gaining prominence. Two relatively new approaches to road design and management—Complete Streets in the United States and SmartRoads network operations planning in Australia—embody the spirit of this change. This paper summarizes the development of the Complete Streets movement in America and introduces the SmartRoads management framework, which was developed in the state of Victoria, Australia. In the SmartRoads process, roads within a network are classified in a multimodal Road User Hierarchy, network issues are identified using multimodal level of service measures, and possible operational or design solutions are compared using decision-making Network Fit Assessment software. We compare the scope, emphasis, and approach of the two frameworks; although they were developed at around the same time, the two approaches differ in significant ways. Yet the two approaches can learn from each other in order to significantly improve the management and design of roads in both Australia and the United States.

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Izett-Kay, Matthew L., Dana Aldabeeb, Anthony S. Kupelian, Rufus Cartwright, Alfred S. Cutner, Simon Jackson, Natalia Price e Arvind Vashisht. "Long-term mesh complications and reoperation after laparoscopic mesh sacrohysteropexy: a cross-sectional study". International Urogynecology Journal 31, n. 12 (3 luglio 2020): 2595–602. http://dx.doi.org/10.1007/s00192-020-04396-0.

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Abstract Introduction and hypothesis The paucity of long-term safety and efficacy data to support laparoscopic mesh sacrohysteropexy is noteworthy given concerns about the use of polypropylene mesh in pelvic floor surgery. This study is aimed at determining the incidence of mesh-associated complications and reoperation following this procedure. Methods This was a cross-sectional postal questionnaire study of women who underwent laparoscopic mesh sacrohysteropexy between 2010 and 2018. Potential participants were identified from surgical databases of five surgeons at two tertiary urogynaecology centres in the UK. The primary outcome was patient-reported mesh complication requiring removal of hysteropexy mesh. Secondary outcomes included other mesh-associated complications, reoperation rates and Patient Global Impression of Improvement (PGI-I) in prolapse symptoms. Descriptive statistics and Kaplan–Meier survival analyses were used. Results Of 1,766 eligible participants, 1,121 women responded (response proportion 63.5%), at a median follow-up of 46 months. The incidence of mesh complications requiring removal of hysteropexy mesh was 0.4% (4 out of 1,121). The rate of chronic pain service use was 1.8%, and newly diagnosed systemic autoimmune disorders was 5.8%. The rate of reoperation for apical prolapse was 3.7%, and for any form of pelvic organ prolapse it was 13.6%. For PGI-I, 81.4% of patients were “much better” or “very much better”. Conclusions Laparoscopic mesh sacrohysteropexy has a low incidence of reoperation for mesh complications and apical prolapse, and a high rate of patient-reported improvement in prolapse symptoms. With appropriate clinical governance measures, the procedure offers an alternative to vaginal hysterectomy with apical suspension. However, long-term comparative studies are still required.

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Tesi sul tema "Postal service - Australia - Safety measures"

Simpson, Ian Robert Safety Science Faculty of Science UNSW. "An investigation into the use of positive performance indicators to measure OHS performance". Awarded by:University of New South Wales. School of Safety Science, 2006. http://handle.unsw.edu.au/1959.4/25732.

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This thesis describes the development, application and evaluation of an OHS measurement tool incorporating positive performance indicators to measure OHS performance in Australia Post, a large multi-site postal organisation. Positive Performance Indicators (PPIs) are identified as systematically implemented measures of the management processes initiated to achieve strategic goals. A literature review indicated that there was widespread support for the use of PPIs to measure OHS performance, with proponents advocating their use to monitor and promote implementation of target OHS strategies, and to evaluate the effectiveness of these strategies by using PPIs in conjunction with outcome indicators. Despite this widespread support, there was little practical guidance published on the development or application of PPIs, nor was there empirical evidence validating the claims of advocates. A series of research projects was undertaken to firstly develop - then evaluate - a set of OHS self-assessment tools incorporating PPIs. These projects comprised: review of the Australia Post OHS strategic plan, as the basis for the development of PPIs to measure that plan; development of a set of paper-based self-assessment tools incorporating quantitative OHS PPIs to measure the local implementation of the OHS strategic plan; quasi-experimental pilot study of the use of the OHS PPI self-assessment tools by Postal Managers, to investigate the reliability and effectiveness of the OHS PPI process in monitoring and driving conformance of OHS management processes; experimental study of the use of the OHS PPI self-assessment tools by Postal Delivery Facility Managers, to validate and extend the findings of the pilot study; development of a web-based software application to facilitate OHS PPI data collection and reporting; and, the use of correlation statistics to study the relationship of OHS PPIs with OHS outcome measures, and to assess their role in evaluating the effectiveness of specific OHS strategies. The studies demonstrated that the OHS PPI self-assessment tool could be effectively used by local facility managers to assess and report their implementation of the OHS strategic plan. In addition, the OHS PPI self-assessment process proved to strongly improve the local implementation of those OHS management processes measured. The study further showed that the consistent attention to OHS management processes driven by the OHS PPI measurement process assisted in the achievement of impressive OHS outcome improvements. However, the study showed that the use of correlation statistics to link OHS PPIs with outcome measures to evaluate the effectiveness of OHS management strategies has only limited value. Limitations in both the OHS PPI and outcome measurement data and in the correlation statistics restrict the extent to which findings can be interpreted or that conclusive judgements concerning the effectiveness of strategies can be drawn. The thesis concludes with an account of Australia Post's experiences in integrating OHS PPIs into its OHS management system.

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Libri sul tema "Postal service - Australia - Safety measures"

Chernenko, E. N. Pochtovai︠a︡ bezopasnostʹ: Spravochnoe posobie dli︠a︡ pochtovykh rabotnikov i spet︠s︡ialistov pochtovoĭ bezopasnosti. Moskva: Krasnyĭ proletariĭ, 1999.

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Butenko, B. P., e E. N. Chernenko. Pochtovai︠a︡ bezopasnostʹ: Spravochnoe posobie dli︠a︡ pochtovykh rabotnikov i spet︠s︡ialistov pochtovoĭ bezopasnosti. Moskva: [s.n.], 1998.

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United States. Congress. House. Committee on Post Office and Civil Service. Subcommittee on Postal Personnel and Modernization. U.S. Postal Service safety policy: Hearing before the Subcommittee on Postal Personnel and Modernization of the Committee on Post Office and Civil Service, House of Representatives, Ninety-ninth Congress, second session, September 11, 1986. Washington: U.S. G.P.O., 1986.

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Modernization, United States Congress House Committee on Post Office and Civil Service Subcommittee on Postal Personnel and. U.S. Postal Service safety policy: Hearing before the Subcommittee on Postal Personnel and Modernization of the Committee on Post Office and Civil Service, House of Representatives, Ninety-ninth Congress, second session, September 11, 1986. Washington: U.S. G.P.O., 1986.

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Administration, United States Congress House Committee on House. Oversight hearing on Congressional mail delivery: Hearing before the Committee on House Administration, House of Representatives, One Hundred Seventh Congress, second session, hearing held in Washington, DC, May 8, 2002. Washington: U.S. G.P.O., 2003.

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Oversight of the U.S. Postal Service: Ensuring the safety of postal employees and the U.S. mail : hearing before the Committee on Government Reform, House of Representatives, One Hundred Seventh Congress, first session, October 30, 2001. Washington: U.S. G.P.O., 2002.

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