Australian Health Review

Australian Health Review is a magazine focusing on Medicine

Articles from Vol. 33, No. 3, August

Actions and Results from the Queensland Health "Better Workplaces" Staff Opinion Survey
ObjectivesIn April 2006, the Workplace Culture and Leadership Centre (the Centre) from Queensland Health launched the "Better Workplaces" initiative. The objective was to improve workplace culture and increase the capabilities of its leaders. A comprehensive...
Admission Variables Predicting Short Lengths of Stay of Acutely Unwell Older Patients: Relevance to Emergency and Medical Short-Stay Units
AbstractObjective: To help develop criteria to identify older patients suitable for admission to medical short-stay units, by determining predictors of length of stay (LOS) of 3 days or less.Methods: The data were prospectively collected from consecutive...
Are Immigrants at Risk of Heart Disease in Australia? A Systematic Review
AbstractWe systematically reviewed the peer-reviewed literature to establish the prevalence of cardiovascular disease (CVD) among immigrants in Australia and whether being an immigrant is a CVD risk factor. Of 23 studies identified, 12 were included....
Dementia Risk Reduction in Primary Care: What Australian Initiatives Can Teach Us
AbstractOnly limited research has been undertaken to identify factors that impede or facilitate the implementation of evidence-based health promotion, prevention and early intervention (PPEI) activities within primary practice. We examined recent Australian...
Developing and Implementing an Action-Oriented Staff Survey: Queensland Health and the "Better Workplaces" Initiative
QUEENSLAND HEALTH IMPLEMENTED the "Better Workplaces" staff opinion survey (the survey) in May 2006. The initiative stands as the largest single staff survey ever conducted in Queensland, and one of the largest in Australia. This case study outlines...
Digital Pen and Paper Technology Is an Effective Way of Capturing Variance Data When Using Arthroplasty Clinical Pathways
AbstractThe aim of this study was to test the effectiveness of digital pen and paper technology (DP&PT) to capture clinical pathway variance data in real time and at the point of care for patients on an arthroplasty pathway.This study was conducted...
Discharge Delay in Acute Care: Reasons and Determinants of Delay in General Ward Patients
AbstractTo identify the reasons and determinants of discharge delay in acute care patients, information associated with delayed discharge was extracted from the medical record of 1958 patients in a tertiary referral hospital in New South Wales. A logistic...
Editorial
Australian Health Review has featured the Models of Care section for its third year. The aim of the section is to highlight the vast issues that impact various "models of care", expose the breadth and depth of the models and their impact and increase...
Enhancing Patient Care: A Practical Guide to Improving Quality and Safety in Hospitals
Enhancing patient care: a practical guide to improving quality and safety in hospitals Wolff A, Taylor S MJA Books, Sydney, 2009. http://shop.mja.com.au/ ISBN 978 0 9775786 5; iv + 242 pp; RRP $49.95WHAT AN INTERESTING, topical and refreshing text on...
Evaluating Multidisciplinary Health Care Teams: Taking the Crisis out of CRM
AbstractHigh-reliability organisations are those, such as within the aviation industry, which operate in complex, hazardous environments and yet despite this are able to balance safety and effectiveness. Crew resource management (CRM) training is used...
Health Care Leadership, Quality and Safety
THIS ISSUE OF Australian Health Review started as part of a Festschrift to celebrate the work and leadership of Professor Mike Ward, currently Commissioner of the Health Quality and Complaints Commission in Queensland but previously inaugural Senior...
Leadership Transformation in Queensland Health
IN 2006, QUEENSLAND HEALTH embarked upon a major reform program that included a comprehensive leadership development program for senior leaders, managers and supervisors. The objective was to achieve improvements in the leadership capabilities of key...
Letter to the Editor
People with an intellectual disability in the discourse of chronic and complex conditions: an invisible group?TO THE EDITOR: Goddard et al, authors of "People with an intellectual disability in the discourse of chronic and complex conditions: an invisible...
Medical Model for Hospital in the Home: Effects on Patient Management
AbstractObjective: To evaluate the effects of a change to a medical model for hospital in the home (HITH).Design and setting: This was a retrospective pre- and post-intervention study in the Royal Melbourne Hospital HITH between 28 March 2002 and 29...
Multifaceted Guideline Implementation Strategies Improve Early Identification and Management of Osteoporosis
AbstractBackground: Osteoporosis contributes significantly to fractures, subsequent disability and premature mortality in Australia. Better detection and management of osteoporosis will reduce unnecessary health expenditure.Objective: To evaluate, in...
Necessity Breeds Innovation: GPs Help Prevent an Emergency Department Closure
AbstractIn January 2006 the Maryborough Base Hospital in Queensland faced imminent closure of its emergency department (ED) due to a shortage of senior medical staff. At the same time patient confidence in Queensland Health was low. During consultation...
Patient Safety - a Balanced Measurement Framework
AbstractEvidence of the unacceptably high incidence of patient harm associated with health care has resulted in patient safety becoming a major reform agenda. Despite significant investment by governments on strategies to reduce patient harm, confusion...
Practising Inspired Leadership: The Use of Applied Theatre "Prophetical" in the Executive Leadership Development Program for Queensland Health
QUEENSLAND HEALTH as an organisation has been under a great deal of pressure in recent times. On 26 April 2005, the Queensland Government announced an independent review of Queensland Health's administrative, workforce and performance management systems....
Self-Sufficiency in Intern Supply: The Impact of Expanded Medical Schools, Medical Places and Rural Clinical Schools in Queensland
AbstractObjective: 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....
Should Patient Safety Be More Patient Centred?
AbstractIn a patient-centred health system the views, experiences and rights of the patient drive the way that care is delivered. There is now an increasing emphasis on patient-centredness as an essential characteristic of safe and high quality care,...
Standardising Practices through Form Design and Education Improves Insulin Management
AbstractDiabetes is common in hospitalised patients and insulin is frequently required for management. Insulin is a high-risk drug, accounting for about 15% of reported medication-related incidents. Despite its complexity, insulin management in hospitals...
Statistical Process Control Part 2: Using Statistical Process Control to Measure Process Improvement in Patient Flow
THE FIRST ARTICLE in this series, "Statistical process control part 1: a primer for using statistical process control in health care process improvement"1 (in this issue of the Journal), introduced the basic concepts of statistical process control (SPC)...
Statistical Process Control Part I: A Primer for Using Statistical Process Control in Health Care Process Improvement
QUALITY IMPROVEMENT is increasingly important for health care organisations both nation-wide and internationally. There is greater recognition of both the variances in patient care and the gaps between evidence-based research and current practice. At...
Using Research to Make Health Care Safer
AbstractThere is a fine balance that needs to be maintained between research and improvement in safety and quality in health care - when do we need more research and when can we just get on with it? The moral imperative to improve care may have been...

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