ANNUAL REPORT 2015–16 - AusHSI · 2019-02-27 · Elderly Residents (EDDIE): Implementing a hospital avoidance initiative Grant No. IG000741 Healthcare Professional Dee Jeffrey,

ANNUAL REPORT 2015–16

Contents

About us 1

Message from the Academic Director 2

Strategic Planning 3

Research 4

Training and Development 8

AusHSI Visiting Fellow 9

AusHSI Clinical Director Appointment 10

Governance 10

Appendix 1: Funded research projects 12

Appendix 2: Publications by AusHSI researchers, directors and staff 13

AusHSI Annual Report 2015–16

Our vision is: Bringing health innovation to life.

Our mission is to enable our clients to create genuine improvements in the quality and cost effectiveness of health services.

We empower health decision-makers to implement and sustain innovations for better health services.

We do this by generating insights from research, translating knowledge into practice and promoting partnerships between clinicians and academics.

Our values are our guiding principles. They represent what AusHSI stands for and define how we behave.

Knowledge-based: “Build knowledge” – We seek out new information and put knowledge into

practice.– Our actions are guided by facts.– We are independent and always behave with integrity.

Collaborate: “Better together”– We achieve more when we work together.– We build and facilitate strong, diverse partnerships.– We are open and inclusive.– By sharing expertise, we strengthen capacity

and performance.

Innovate: “Enable breakthrough achievements”– We bravely challenge the status quo.– We advance new ways for better health services.– We pioneer breakthrough ideas.

Efficient: “Accomplish more”– We seek out smart ways to optimise health benefits.– We believe in using resources wisely to accomplish

more with less.– We are skilled, pragmatic and impartial.

About us

The Australian Centre for Health Services Innovation (AusHSI) was established in 2011 by agreement between Queensland Health, the Royal Brisbane and Women’s Hospital and the Queensland University of Technology. In 2013 The University of Queensland joined as a partner.

AusHSI partners to deliver innovation and improvements for better health services. Combining leading-edge knowledge with hands-on practical experience, AusHSI integrates research findings into policy and practice, and helps make changes that result in greater efficiencies and better patient outcomes.

Page 1AusHSI Annual Report 2015–16

Building on AusHSI’s successful foundations, over the past year we have taken steps to develop our longer-term future focus and strategic direction.

Since 2011, with the support of the Queensland Government, AusHSI has provided funding and research support to clinicians and academics working together and learning from each other. AusHSI has supported over 40 groups from many clinical backgrounds. These groups have shown how health services can be improved by cost and quality outcomes.

In 2015 AusHSI has strengthened its focus on translating knowledge into practice. We now do less showing how to improve services, rather we invest in groups that have assembled good evidence for innovations and are ready to implement them into routine care. Our most recent funding round supported Trudy Dwyer for a hospital avoidance initiative, Ann Bonner to support alternate care pathways for kidney support and Maree Raymer to improve orthopaedic and neurosurgical outpatient services. AusHSI’s implementation scientist, Sonya Osborne, and health economist, Hannah Carter, are embedded with these teams to bring an academic flavour to their work and make sure the lessons from the process of improving services are disseminated.

AusHSI has welcomed Alison Kitson, author of the Promoting Action on Research Implementation in Health Services (PARiHS) framework, and Laura Damschroder who developed the Consolidated Implementation Framework for Research (CIFR) to the team.

Both of these world leaders for implementation science contributed to our inaugural training course in early 2016 that taught 30 participants the basics of good implementation science.

In 2016, as part of our commitment to seek out new alternative funding models, we have moved to ensure our activities align with Government health service strategic priorities. To this end, we are forging consultancy partnerships with selected health services in Queensland; they are natural collaborators for AusHSI. With the potential and motivation to create improvements in the quality and cost-effectiveness of health services we will support them on this journey. We offer a defined set of services that emerged from a careful consultation process that began in 2015.

AusHSI is a research partner for Hospital and Health Services (HHS) and Primary Health Networks (PHN) who must decide on the best configuration of services given scarce resources. They operate in a complex and uncertain environment. Clear thinking, using data wisely and careful research methods will empower health decision-makers to implement and sustain innovations for better health services. Our work will create and use research, translate knowledge into practice and promote partnership between clinicians and academics.

Professor Nick Graves AusHSI Academic Director

Message from the Academic Director

Page 2

Strategic Planning

To define our new direction and funding model, AusHSI began a stakeholder engagement and strategic positioning exercise in 2015–16.

NEW BUSINESS MODELThe strategic positioning exercise confirmed AusHSI’s value proposition lies in our leading edge research knowledge. This combined with AusHSI’s hands on experience of health services, enables it to facilitate and deliver practical expertise that result in greater efficiencies and improved patient outcomes.

In 2015/16, AusHSI has developed a suite of consultancy services that can be tailored to suit health service needs. These are as follows:

1. Research Funding Allocation and Support

Assist and/or oversee competitive funding rounds, providing ongoing mentoring and support for clinician researchers thereby building knowledge and strengthening innovation capacity.

2. Training and Development

Engage clinicians via high quality, practical short courses including implementation science/facilitation, cost-effectiveness, health economics, epidemiology, statistics, research methods, behavioural economics and decision-making.

3. Research Prioritisation and Advice

Review and evaluate proposed innovations or trial project outcomes. Recommend projects that offer the most significant improvements to health services. Provide best practice advice on research project methods, implementation and evaluation.

4. Evaluation of Health Services

Undertake evaluations of health service changes. Demonstrate the variation in costs and health benefits, providing valuable information to inform decision-making.

5. Implementation of Innovation

Design and facilitate an implementation for a known innovation following a proven framework to ensure successful translation of evidence into practice.


PREVIOUS AUSHSI FUNDED RESEARCHSince 2012 AusHSI has held five funding rounds, awarding three implementation grants, 28 stimulus grants, 22 postgraduate scholarships and one partnership grant, totalling $2,210,256 in awarded funding.

To date 37 of these projects have submitted completion reports.

See appendix 1 for a list and summary of all AusHSI funded research to date, including a summary of the outcomes from completed projects.

RESEARCH IMPACT ASSESSMENTIn early 2016 AusHSI started a top level evaluation of the outcomes of the completed stimulus grants, to assess success of the interventions tested, the suitability of the intervention for wider roll-out, and to model the potential return on investment. This process was unfortunately cut short by the departure of our Clinical Director for personal reasons. This work is being continued in the 2016/17 financial year.

IMPLEMENTATION GRANTS – FUNDING ROUNDOne funding round was held in 2015/16. In early 2016, three Implementation grants were awarded, totalling $422,000.

This was the first time the implementation grants were available, as this funding replaced the previous Stimulus Grant scheme. Implementation grants of up to $150,000 were available to Queensland-based health services groups. Projects are 12 months in duration, and will support groups to conduct health services research involving implementation and evaluation in a ‘real world’ health service setting. The focus is on providing evidence for health service changes that are both effective and sustainable. The projects have the following attributes:

• A strong evidence-base for the innovation, with existing pilot data to support the impact/value and feasibility of its wider adoption.

• The innovation is supported by the leadership of the relevant health service(s).

• The team is committed to learning implementation science and building a strategy for implementation and evaluation.

• There is a partnership between health professionals, academics and decision makers.

In round one, AusHSI received 77 applications, 25 were shortlisted for further review by the Scientific Review Committee. Six applicants were interviewed and three projects were funded. The three funded projects are shown below.

Research

Page 4

Early Detection of Deterioration in Elderly Residents (EDDIE): Implementing a hospital avoidance initiative

Grant No. IG000741

Healthcare Professional Dee Jeffrey, PresCare

Academic Trudy Dwyer, Central Queensland University

Synopsis Existing models of care in residential aged care facilities (RACF) are not equipped to identify and manage the sub-acute needs of residents. The research team developed, implemented and pilot tested a hospital avoidance (HA) program at a regional RACF. The HA program focused on a proactive clinical care model with the provision of equipment, education and a suite of decision support tools to assist nursing staff to detect and respond early to the deteriorating resident, ultimately enabling residents to remain at home and reducing unnecessary emergency department presentations. The PARiHS framework (Promoting Action on Research Implementation in Health Services) will inform knowledge translation of the HA program at a subsequent regional RACF. The Early Detection of Deterioration In Elderly residents (EDDIE) study will evaluate the implementation of the program, assess the costs of the program and develop a robust protocol to support adoption of the HA program in other RACFs.

Evaluating the implementation of a Kidney Supportive Care Program into a Hospital and Health Service

Grant No. IG000754

Healthcare Professional Helen Healy, Metro North Hospital and Health Services

Academic Ann Bonner, Queensland University of Technology

Synopsis The last year of life consumes more health resources than any other period, with health needs the greatest in groups with high burden of disease such as end stage kidney disease. This project will evaluate the innovative person-centred Kidney Supportive Care Program (KSCp) in Metro North Hospital and Health Service. We aim to show that systemising a multidisciplinary collaborative approach based on international kidney and palliative care evidence sustains independent living, expands resilience for complex health decision making and provides care that meets patients’ disease experience in addition to timely symptom control. The impact of these changes will deliver greater patient and health service outcomes in a highly vulnerable patient group.


Research

Implementing economic modelling to improve service planning in specialist orthopaedic and neurosurgical outpatient service

Grant No. IG000728

Healthcare Professional Maree Raymer, Royal Brisbane and Women’s Hospital, Metro North Hospital and Health Services

Academic Tracy Comans, Griffith University

Synopsis Many people suffer musculoskeletal problems like back pain, neck pain and knee arthritis and need to seek specialist care at public hospitals. Demand for these services is much higher than what services can currently provide, resulting in long waits. Our project will use a computer model to work out the demand for orthopaedic and neurosurgical outpatient services and how it can be most efficiently managed. This is done by creating a computer generated population, sending them through different pathways of care and counting how long they will have to wait. We will work out the best way of managing the demand by modelling different mixes of traditional specialist led and physiotherapy led services to meet the needs of patients across three health service regions. The results will allow these health services to understand the demand for services and plan the most efficient combination of services to provide in the future.

AUSHSI RESEARCH CONSULTANCY PROJECTSAs AusHSI’s partnerships with health services develop, more opportunities arise for research consultancy projects. These research consultancy projects are carried out to the same high academic standard as all of AusHSI’s research, with the only difference being the source of funding, which comes direct from health service partners. In 2015/16, AusHSI has been commissioned to undertake a range of consultancy projects with:

• Children’s Health Queensland• Queensland Emergency Medicine Research Fund• Queensland Health, Healthcare Leadership Unit• Queensland Health, Healthcare Purchasing

Strategy Unit• Sunshine Coast Hospital and Health Services

Queensland• University of the Sunshine Coast.

Page 6

AUSHSI COMPETITIVELY FUNDED RESEARCHAs a national leading health services research group, AusHSI continues to hold a number of competitively funded research grants as outlined below.

Grant Title Funding Source AusHSI researchers involved

Futile treatment at the end of life: legal, policy, sociological and economic perspectives

ARC Linkage grant LP120100096 – with industry partner RBWH

Prof Nick Graves, Hannah Carter,

A/Prof Adrian Barnett

The Cost-effectiveness of Improving Health and Reducing Offending Among Recently Released Prisoners in Australia

NHMRC Project grant 1060024 Prof Nick Graves, Qinglu Cheng

Identifying a cost-effective approach to MRSA control in Australia

NHMRC Project grant APP1027589 Dr Kate Halton, A/Prof Adrian Barnett,

Prof Nick Graves,

Researching Effective Approaches to Cleaner Hospitals (The REACH Trial)

NHMRC Partnership Grant – industry partner Wesley Research Institute

Prof Nick Graves, A/Prof Adrian Barnett,

Dr Lisa Hall, Dr Kate Halton,

Dr Katie Page, Alison Farrington

Appropriate incentives for low cost wound care in Australia

Wound Management Innovation CRC Prof Nick Graves

Researching the impact of Cerebral Palsy Research

Cerebral Palsy Research Alliance A/Prof Adrian Barnett

Development of evidence-based approaches that will improve the antimicrobial stewardship and infection prevention and control practices in general practice settings – Health Economics costing study and cost-effectiveness analysis

Federal Government (Department of Health) – Competitive Tender and sub-contract to QUT

Dr Kate Halton, Dr Lisa Hall

Using thermal clothing to reduce morbidity during winter

Heart Foundation Vanguard Grant A/Prof Adrian Barnett

CHERISH: Better, cheaper hospital care Queensland Government Accelerate Partnerships

Prof Nick Graves, A/Prof Adrian Barnett

Building capacity for health services research in Australia

NHMRC Research Fellowship APP1059565 Prof Nick Graves

AusHSI Annual Report 2015–16 Page 7

SHORT COURSE SERIESIn 2015/16, AusHSI continued to deliver training through its practical short course series covering the following topics:

• Cost-Effectiveness• Research, Translation and Implementation• Health Economics for Leadership• Communications Training • Interpreting healthcare data using statistics

AusHSI collects anonymous feedback from participants who attend AusHSI courses, and this feedback continues to show that the courses are well received and appropriately targeted at the audiences.

Training and Development

Page 8

In 2015, AusHSI hosted Laura Damschroder, an international leader in advancing the science of implementation. She has extensive experience in applying pragmatic study designs and mixed qualitative and quantitative analytic methods for evaluations, especially applied to implementation research.

Laura is the lead author of the seminal paper introducing the Consolidated Framework for Implementation Research (CFIR). She is a research scientist with the U.S. Veteran’s Affairs Center for Clinical Management Research in Ann Arbor, MI and has led 14 funded research projects.

VISITING FELLOW SEMINARS• Monday 14 March 2016, Institute of Health and

Biomedical Innovation, QUT

Implementation Science: Where theory and praxis collide

All too often, benefits of evidence-based practices are not fully realized in real-world clinical settings compared to those seen in controlled clinical trials.

A series of case studies were presented showing how a theory-derived framework can be used in practical ways that also contribute to the scientific knowledge-base. Approaches to gain understanding about what innovations and strategies work in which settings and why were described.

• Monday 7 March, Medical Grand Rounds, Royal Brisbane and Women’s Hospital

Preventing Diabetes: The challenge of translation

• Monday 21 March, Princess Alexandra Hospital/TRI Research Grand Rounds

Clarity out of Chaos: Use of practical theory in implementation research

• Tuesday 22 March, Mater Health Services South Brisbane

Implementation science as potential catalyst for large-scale system improvement

• Thursday 24 March, Centre for Children’s Health Research (CCHR)

Implementation science: Its value and practical applications

AusHSI Visiting Fellow


CLINICAL DIRECTORProfessor William Parsonage

Professor Parsonage joined AusHSI as Clinical Director in July 2016. Alongside his roles as Senior Staff Cardiologist at The Royal Brisbane and Women’s Hospital and Holy Spirit Northside Private Hospital, he is also Senior Lecturer with the University of Queensland.

As Clinical Director, Professor Parsonage contributes to AusHSI’s strategic and clinical leadership, overseeing research policy, maintenance of research clinical standards and AusHSI’s strategic and operational planning and delivery. He also plays an important role in mentoring associated researchers.

Professor Parsonage has an ongoing interest in the translation of clinical research into practice. He is currently working on a $1 million clinical redesign project, which aims to apply the findings of a study to establish faster and safer ways of investigating patients with chest pain across public hospitals in Queensland. Once complete, the project has the potential to impact the care of up to 15,000 patients per year across the state, with potential estimated savings of approximately $21 million per year. He has also been engaged in further studies relating to patients presenting to hospital with undifferentiated chest pain. His principle research interests focus on areas of accelerated diagnostic protocols, using methods of risk stratification, biomarkers and non-invasive investigations for coronary heart disease.

MANAGEMENT COMMITTEEAccountability for the implementation and management of AusHSI is shared by Queensland Health, the Royal Brisbane and Women’s Hospital, the University of Queensland and the Queensland University of Technology through the forum of the Management Committee.

The Management Committee is accountable for the financial management of AusHSI. The Committee maintains and regularly reviews AusHSI’s system of internal controls, performance reporting and financial policies and procedures.

In 2015/16 the Management Committee members were:

Ross Young (Chair) Queensland University of Technology

Nick Graves AusHSI Academic Director

Megan Campbell AusHSI Centre Manager

Kerry Andersen Royal Brisbane and Women’s Hospital

Amanda Dines Royal Brisbane and Women’s Hospital

Sue Hooper Department of Health

Jan Philips Department of Health

Nick Steele Department of Health

Patsy Yates Queensland University of Technology

Bruce Abernethy University of Queensland

Nick Fisk University of Queensland

The AusHSI Management Committee met four times in 2015/16.

AusHSI Clinical Director Appointment

Governance

Page 10

SCIENTIFIC REVIEW COMMITTEEThe Scientific Review Committee, a sub-committee of the Management Committee evaluates research proposals and recommends research funding priorities to the Management Committee.

In 2015/16 the Scientific Review Committee members were:

Nick Graves AusHSI Academic Director

Adrian Barnett AusHSI Statistician

Ian Wilkey Ethics – independent reviewer

Lisa Hall QUT Senior Research Fellow

Sonya Osborne QUT Implementation Scientist

Steven McPhail Associate

Amy Marshall Research Associate, Adelaide University

Gillian Harvey Senior Research Fellow, Adelaide University

Committee secretariat was provided by AusHSI Centre Manager, Megan Campbell. The Scientific Review Committee met once in 2015/16.

STRATEGIC ADVISORY GROUPThe Strategic Advisory Group provides high level strategic advice and guidance to the Management Committee on strategic and priority areas of research, training, consultancy and knowledge transfer. The External Advisory Committee has no powers or accountability in relation to management of the Centre.

In 2015/16 the Strategic Advisory Group members were:

Fionnagh Dougan Chief Executive, Children’s Health Queensland

Ian Wronski Deputy Vice Chancellor, James Cook University

Julie Hartley-Jones Chief Executive, Cairns & Hinterland HHS

Ken Whelan Chief Executive, MNHHS

Tami Photinos Executive Director, Women’s & Children, RBWH

David Rosengren Chair, Clinical Senate

Merrilyn Banks Director of Nutrition and Dietetics, RBWH

Richard Ashby Chief Executive, MSHHS

Julie Squires Chief Executive, Townsville HHS

Jan Philips Exec Director, Health Systems Innovation Branch, Department of Health

Alison Mudge Physician, Internal Medicine and Aged Care, RBWH

Mark Tucker-Evans CEO Health Consumers Queensland, Council for the Ageing

Ex officio members:

Ross Young Chair, AusHSI Management Committee, Exec Dean Faculty of Health, QUT

Nick Graves Academic Director, AusHSI

Megan Campbell Centre Manager, AusHSI

There were two Strategic Advisory Group meetings held in 2015/16.

Governance


Due to the length of this appendix, full details including project summaries and updates have been made available online as a separate attachment.

http://www.aushsi.org.au/wp-content/uploads/2017/04/Appendix-1-AusHSI-Funded-Research_updates.pdf

Appendix 1: Funded research projects

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http://www.aushsi.org.au/wp-content/uploads/2017/04/Appendix-1-AusHSI-Funded-Research_updates.pdf

2015-16 Publications from AusHSI funded research1. Aung, E., M. Donald, J. Coll, J. Dower, G.M. Williams,

and S.A. Doi, The impact of concordant and discordant comorbidities on patient-assessed quality of diabetes care. Health Expect, 2015. 18(5): p. 1621-32.

2. Aung, E., M. Donald, J.R. Coll, G.M. Williams, and S.A. Doi, Association between patient activation and patient-assessed quality of care in type 2 diabetes: results of a longitudinal study. Health Expect, 2016. 19(2): p. 356-66.

3. Aung, E., M. Donald, G.M. Williams, J.R. Coll, and S.A. Doi, Joint influence of Patient-Assessed Chronic Illness Care and patient activation on glycaemic control in type 2 diabetes. Int J Qual Health Care, 2015. 27(2): p. 117-24.

4. Aung, E., R. Ostini, J. Dower, M. Donald, J.R. Coll, G.M. Williams, and S.A. Doi, Patient Assessment of Chronic Illness Care (PACIC) in Type 2 Diabetes: A Longitudinal Study. Eval Health Prof, 2016. 39(2): p. 185-203.

5. Hale, A., I. Coombes, J. Stokes, S. Aitken, F. Clark, and L. Nissen, Patient satisfaction from two studies of collaborative doctor-pharmacist prescribing in Australia. Health Expect, 2016. 19(1): p. 49-61.

6. Happell, B., R. Stanton, W. Hoey, and D. Scott, Reduced ambivalence to the role of the cardiometabolic health nurse following a 6-month trial. Perspect Psychiatr Care, 2015. 51(2): p. 80-5.

7. Harris, M.G., M.J. Hobbs, P.M. Burgess, J.E. Pirkis, S. Diminic, D.J. Siskind, G. Andrews, and H.A. Whiteford, Frequency and quality of mental health treatment for affective and anxiety disorders among Australian adults. Med J Aust, 2015. 202(4): p. 185-9.

8. Mudge, A.M., P. McRae, and M. Cruickshank, Eat Walk Engage: An Interdisciplinary Collaborative Model to Improve Care of Hospitalized Elders. American Journal of Medical Quality, 2015. 30(1): p. 5-13.

9. Rickard, C.M., N.M. Marsh, J. Webster, N.C. Gavin, M.R. McGrail, E. Larsen, A. Corley, D. Long, J.R. Gowardman, M. Murgo, J.F. Fraser, R.J. Chan, M.C. Wallis, J. Young, D. McMillan, L. Zhang, M.A. Choudhury, N. Graves, and E. Geoffrey Playford, Intravascular device administration sets: Replacement after standard versus prolonged use in hospitalised patients - A study protocol for a randomised controlled trial (The RSVP Trial). BMJ Open, 2015. 5(2).

10. Ryan, B., R.C. Franklin, F.M. Burkle, Jr., P. Aitken, E. Smith, K. Watt, and P. Leggat, Identifying and describing the impact of cyclone, storm and flood related disasters on treatment management, care and exacerbations of non-communicable diseases and the implications for public health. PLoS Currents, 2015. 7(DISASTERS).

11. Ryan, B.J., F.M. Burkle, P. Aitken, and P. Leggat, Defining, Describing, and Categorizing Public Health Infrastructure Priorities for Tropical Cyclone, Flood, Storm, Tornado, and Tsunami-Related Disasters. Disaster Medicine and Public Health Preparedness, 2016. 10(4): p. 598-610.

12. Ryan, B.J., R.C. Franklin, F.M. Burkle, K. Watt, P. Aitken, E.C. Smith, and P. Leggat, Analyzing the impact of severe tropical cyclone Yasi on public health infrastructure and the management of noncommunicable diseases. Prehospital and disaster medicine, 2015. 30(1): p. 28-37.

13. Standfield, L.B., T.A. Comans, and P.A. Scuffham, An empirical comparison of Markov cohort modeling and discrete event simulation in a capacity-constrained health care setting. European Journal of Health Economics, 2015: p. 1-15.

14. Young, A.M., A.M. Mudge, M.D. Banks, L. Rogers, J. Allen, B. Vogler, and E. Isenring, From Hospital to Home: Limited Nutritional and Functional Recovery for Older Adults. J Frailty Aging, 2015. 4(2): p. 69-73.

Appendix 2: Publications by AusHSI researchers, directors and staff


2015-16 Publications from AusHSI staff1. Willmott, L., B. White, C. Gallois, M. Parker, N. Graves, S.

Winch, L.K. Callaway, N. Shepherd, and E. Close, Reasons doctors provide futile treatment at the end of life: A qualitative study. Journal of Medical Ethics, 2016.

2. White, B., L. Willmott, E. Close, N. Shepherd, C. Gallois, M.H. Parker, S. Winch, N. Graves, and L.K. Callaway, What does “futility” mean? An empirical study of doctors’ perceptions. Medical Journal of Australia, 2016. 204(8): p. 318.e1-318.e5.

3. Tyack, Z., K.-a. Frakes, A. Barnett, P. Cornwell, S. Kuys, and S. McPhail, Predictors of health-related quality of life in people with a complex chronic disease including multimorbidity: a longitudinal cohort study. Quality of Life Research, 2016: p. 1-14.

4. Stephen, D.M. and A.G. Barnett, Effect of temperature and precipitation on salmonellosis cases in South-East Queensland, Australia: An observational study. BMJ Open, 2016. 6(2).

5. Ryan, K., J. Greenslade, E. Dalton, K. Chu, A.F. Brown, and L. Cullen, Factors associated with triage assignment of emergency department patients ultimately diagnosed with acute myocardial infarction. Aust Crit Care, 2016. 29(1): p. 23-6.

6. Russo, P.L., G. Chen, A.C. Cheng, M. Richards, N. Graves, J. Ratcliffe, and L. Hall, Novel application of a discrete choice experiment to identify preferences for a national healthcare-associated infection surveillance programme: a cross-sectional study. BMJ Open, 2016. 6(5): p. e011397.

7. Pickering, J.W., J.H. Greenslade, L. Cullen, D. Flaws, W. Parsonage, P. George, A. Worster, P.A. Kavsak, and M.P. Than, Validation of presentation and 3 h high-sensitivity troponin to rule-in and rule-out acute myocardial infarction. Heart, 2016.

8. Norman, R.E., M. Gibb, A. Dyer, J. Prentice, S. Yelland, Q. Cheng, P.A. Lazzarini, K. Carville, K. Innes-Walker, K. Finlayson, H. Edwards, E. Burn, and N. Graves, Improved wound management at lower cost: A sensible goal for Australia. International Wound Journal, 2016. 13(3): p. 303-316.

9. Mitchell, B.G., J.K. Ferguson, M. Anderson, J. Sear, and A. Barnett, Length of stay and mortality associated with healthcare-associated urinary tract infections: a multi-state model. Journal of Hospital Infection, 2016. 93(1): p. 92-99.

10. Merlo, G., N. Graves, D. Brain, and L. Connelly, Economic Evaluation of Fecal Microbiota Transplantation for the Treatment of Recurrent Clostridium Difficile Infection in Australia. J Gastroenterol Hepatol, 2016.

11. Meek, R., G. Braitberg, L. Cullen, M. Than, A. Graudins, and D. Glynn, Outcome at 30 days for low-risk chest pain patients assessed using an accelerated diagnostic pathway in the emergency department. Emerg Med Australas, 2016.

12. McGrath, C., G. Mihala, V.L. Beesley, B.M. Lynch, N. Graves, and L.G. Gordon, “Cancer Put My Life on Hold”: Work-Related Challenges Among Middle-aged Adults 12 Months After a Diagnosis of Colorectal Cancer. Cancer Nursing, 2016.

13. Jimmieson, N.L., M.K. Tucker, K.M. White, J. Liao, M. Campbell, D. Brain, K. Page, A.G. Barnett, and N. Graves, The role of time pressure and different psychological safety climate referents in the prediction of nurses’ hand hygiene compliance. Safety Science, 2016. 82: p. 29-43.

14. Imai, C., A.G. Barnett, M. Hashizume, and Y. Honda, The role of influenza in the delay between low temperature and ischemic heart disease: Evidence from simulation and mortality data from Japan. International Journal of Environmental Research and Public Health, 2016. 13(5).

15. Hall, L., A. Farrington, B.G. Mitchell, A.G. Barnett, K. Halton, M. Allen, K. Page, A. Gardner, S. Havers, E. Bailey, S.J. Dancer, T.V. Riley, C.A. Gericke, D.L. Paterson, and N. Graves, Researching effective approaches to cleaning in hospitals: Protocol of the REACH study, a multi-site stepped-wedge randomised trial. Implementation Science, 2016. 11(1).

16. Gurunathan, U., I.L. Rapchuk, G. King, A.G. Barnett, and J.F. Fraser, The effect of pregabalin and celecoxib on the analgesic requirements after laparoscopic cholecystectomy: a randomized controlled trial. Journal of Anesthesia, 2016. 30(1): p. 64-71.

17. Guo, Y., H. Zeng, R. Zheng, S. Li, A.G. Barnett, S. Zhang, X. Zou, R. Huxley, W. Chen, and G. Williams, The association between lung cancer incidence and ambient air pollution in China: A spatiotemporal analysis. Environmental Research, 2016. 144: p. 60-65.


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18. Greenslade, J.H., W. Parsonage, M. Than, A. Scott, S. Aldous, J.W. Pickering, C.J. Hammett, and L. Cullen, A Clinical Decision Rule to Identify Emergency Department Patients at Low Risk for Acute Coronary Syndrome Who Do Not Need Objective Coronary Artery Disease Testing: The No Objective Testing Rule. Ann Emerg Med, 2016. 67(4): p. 478-489 e2.

19. Greenslade, J.H., D. Beamish, W. Parsonage, T. Hawkins, J. Schluter, E. Dalton, K. Parker, M. Than, C. Hammett, A. Lamanna, and L. Cullen, Relationship Between Physiological Parameters and Acute Coronary Syndrome in Patients Presenting to the Emergency Department With Undifferentiated Chest Pain. J Cardiovasc Nurs, 2016. 31(3): p. 267-73.

20. Graves, N., K. Page, E. Martin, D. Brain, L. Hall, M. Campbell, N. Fulop, N. Jimmeison, K. White, D. Paterson, and A.G. Barnett, Cost-Effectiveness of a national initiative to improve hand hygiene compliance using the outcome of healthcare associated staphylococcus aureus bacteraemia. PLoS ONE, 2016. 11(2).

21. Douglas, C., S. Osborne, C. Windsor, R. Fox, C. Booker, L. Jones, and G. Gardner, Nursing and medical perceptions of a hospital rapid response system: New process but same old game? Journal of Nursing Care Quality, 2016. 31(2): p. E1-E10.

22. Douglas, C., C. Booker, R. Fox, C. Windsor, S. Osborne, and G. Gardner, Nursing physical assessment for patient safety in general wards: Reaching consensus on core skills. Journal of Clinical Nursing, 2016. 25(13-14): p. 1890-1900.

23. Cullen, L., J.H. Greenslade, L. Menzies, A. Leong, M. Than, C. Pemberton, S. Aldous, J. Pickering, E. Dalton, B. Crosling, R. Foreman, and W.A. Parsonage, Time to presentation and 12-month health outcomes in patients presenting to the emergency department with symptoms of possible acute coronary syndrome. Emergency Medicine Journal, 2016. 33(6): p. 390-395.

24. Cullen, L., J.H. Greenslade, E.W. Carlton, M. Than, J.W. Pickering, A. Ho, K. Greaves, S.L. Berndt, R. Body, K. Ryan, and W.A. Parsonage, Sex-specific versus overall cut points for a high sensitivity troponin I assay in predicting 1-year outcomes in emergency patients presenting with chest pain. Heart, 2016. 102(2): p. 120-6.

25. Clarke, P., D. Herbert, N. Graves, and A.G. Barnett, A randomized trial of fellowships for early career researchers finds a high reliability in funding decisions. Journal of Clinical Epidemiology, 2016. 69: p. 147-151.

26. Cheng, Q., P. Lazzarini, M. Gibb, P. Derhy, E. Kinner, E. Burn, N. Graves, and R.E. Norman, A cost-effectiveness analysis of optimal care of diabetic foot ulcers in Australia. International Wound Journal 2016. In Press.

27. Cheng, Q., J.H. Greenslade, W.A. Parsonage, A.G. Barnett, K. Merollini, N. Graves, W.F. Peacock, and L. Cullen, Change to costs and lengths of stay in the emergency department and the Brisbane protocol: An observational study. BMJ Open, 2016. 6(2).

28. Campbell, J.L., F.M. Coyer, and S.R. Osborne, Incontinence-associated dermatitis: A cross-sectional prevalence study in the Australian acute care hospital setting. International Wound Journal, 2016. 13(3): p. 403-411.

29. Campbell, J.L., F.M. Coyer, and S.R. Osborne, The Skin Safety Model: Reconceptualizing Skin Vulnerability in Older Patients. Journal of Nursing Scholarship, 2016. 48(1): p. 14-22.

30. Boeddinghaus, J., T. Reichlin, L. Cullen, J.H. Greenslade, W.A. Parsonage, C. Hammett, J.W. Pickering, T. Hawkins, S. Aldous, R. Twerenbold, K. Wildi, T. Nestelberger, K. Grimm, M. Rubini-Gimenez, C. Puelacher, V. Kern, K. Rentsch, M. Than, and C. Mueller, Two-Hour Algorithm for Triage toward Rule-Out and Rule-In of Acute Myocardial Infarction by Use of High-Sensitivity Cardiac Troponin I. Clin Chem, 2016. 62(3): p. 494-504.

31. Bellapart, J., K. Cuthbertson, K. Dunster, S. Diab, D.G. Platts, O.C. Raffel, L. Gabrielian, A. Barnett, J. Paratz, and R. Boots, cerebral Microcirculation during experimental normovolaemic anemia. Frontiers in neurology, 2016. 7.

32. Barnett, A.G., M.J. Campbell, and C.L. Burns, Research funding for telemedicine: an Australian perspective. J Telemed Telecare, 2016. 22(3): p. 189-91.

33. Barnett, A., I. Stewart, D. Platts, and J. Fraser, Using thermal clothing to reduce heart failure morbidity during winter: Protocol for a randomised controlled trial. 2016.


34. Aitken, L.M., B. Macfarlane, W. Chaboyer, M. Schuetz, C. Joyce, and A.G. Barnett, Physical Function and Mental Health in Trauma Intensive Care Patients: A 2-Year Cohort Study. Critical Care Medicine, 2016. 44(4): p. 734-746.

35. White, K.M., L.C. Starfelt, N.L. Jimmieson, M. Campbell, N. Graves, A.G. Barnett, W. Cockshaw, P. Gee, K. Page, E. Martin, D. Brain, and D. Paterson, Understanding the determinants of Australian hospital nurses’ hand hygiene decisions following the implementation of a national hand hygiene initiative. Health Education Research, 2015. 30(6): p. 959-970.

36. White, K.M., N.L. Jimmieson, P.L. Obst, N. Graves, A. Barnett, W. Cockshaw, P. Gee, L. Haneman, K. Page, M. Campbell, E. Martin, and D. Paterson, Using a theory of planned behaviour framework to explore hand hygiene beliefs at the ‘5 critical moments’ among Australian hospital-based nurses 59. BMC Health Services Research, 2015. 15(1).

37. White, K.M., N.L. Jimmieson, N. Graves, A. Barnett, W. Cockshaw, P. Gee, K. Page, M. Campbell, E. Martin, D. Brain, and D. Paterson, Key beliefs of hospital nurses’ hand-hygiene behaviour: Protecting your peers and needing effective reminders. Health Promotion Journal of Australia, 2015. 26(1): p. 74-78.

38. Westbrook, J.I., E. Gospodarevskaya, L. Li, K.L. Richardson, D. Roffe, M. Heywood, R.O. Day, and N. Graves, Cost-effectiveness analysis of a hospital electronic medication management system. Journal of the American Medical Informatics Association, 2015. 22(4): p. 784-793.

39. Watts, R.P., I. Bilska, S. Diab, K.R. Dunster, A.C. Bulmer, A.G. Barnett, and J.F. Fraser, Novel 24-h ovine model of brain death to study the profile of the endothelin axis during cardiopulmonary injury. Intensive care medicine experimental, 2015. 3(1): p. 1.

40. Solomon, D., N. Graves, and J. Catherwood, Allied health growth: What we do not measure we cannot manage. Human Resources for Health, 2015. 13(1).

41. Shekar, K., J.A. Roberts, A.G. Barnett, S. Diab, S.C. Wallis, Y.L. Fung, and J.F. Fraser, Can physicochemical properties of antimicrobials be used to predict their pharmacokinetics during extracorporeal membrane oxygenation? Illustrative data from ovine models. Critical Care, 2015. 19(1).

42. Russo, P.L., A.C. Cheng, M. Richards, N. Graves, and L. Hall, Healthcare-associated infections in Australia: Time for national surveillance. Australian Health Review, 2015. 39(1): p. 37-43.

43. Russo, P.L., A.C. Cheng, M. Richards, N. Graves, and L. Hall, Variation in health care-associated infection surveillance practices in Australia. American Journal of Infection Control, 2015. 43(7): p. 773-775.

44. Russo, P.L., A.G. Barnett, A.C. Cheng, M. Richards, N. Graves, and L. Hall, Differences in identifying healthcare associated infections using clinical vignettes and the influence of respondent characteristics: A cross-sectional survey of Australian infection prevention staff. Antimicrobial Resistance and Infection Control, 2015. 4(1).

45. Rickard, C.M., N.M. Marsh, J. Webster, N.C. Gavin, M.R. McGrail, E. Larsen, A. Corley, D. Long, J.R. Gowardman, M. Murgo, J.F. Fraser, R.J. Chan, M.C. Wallis, J. Young, D. McMillan, L. Zhang, M.A. Choudhury, N. Graves, and E. Geoffrey Playford, Intravascular device administration sets: Replacement after standard versus prolonged use in hospitalised patients - A study protocol for a randomised controlled trial (The RSVP Trial). BMJ Open, 2015. 5(2).

46. Page, K., A.G. Barnett, M. Campbell, D. Brain, E. Martin, N. Fulop, and N. Graves, Response to Grayson’s letter to the editor: ‘Response to K. Page et al., ‘Costing the Australian National Hand Hygiene Initiative’’. J Hosp Infect, 2015. 89(2): p. 138-9.

47. Nelson, R.E., S.D. Nelson, K. Khader, E.L. Perencevich, M.L. Schweizer, M.A. Rubin, N. Graves, S. Harbarth, V.W. Stevens, and M.H. Samore, The magnitude of time-dependent bias in the estimation of excess length of stay attributable to healthcare-associated infections. Infection Control and Hospital Epidemiology, 2015. 36(9): p. 1089-1094.

48. Merlo, G., K. Page, J. Ratcliffe, K. Halton, and N. Graves, Bridging the Gap: Exploring the Barriers to Using Economic Evidence in Healthcare Decision Making and Strategies for Improving Uptake. Applied Health Economics and Health Policy, 2015. 13(3): p. 303-309.

49. Luangasanatip, N., M. Hongsuwan, D. Limmathurotsakul, Y. Lubell, A.S. Lee, S. Harbarth, N.P.J. Day, N. Graves, and B.S. Cooper, Comparative efficacy of interventions to promote hand hygiene in hospital: Systematic review and network meta-analysis. BMJ (Online), 2015. 351.


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50. Lazarevic, N., A.J. Dobson, A.G. Barnett, and L.D. Knibbs, Long-term ambient air pollution exposure and self-reported morbidity in the Australian Longitudinal Study on Women’s Health: A cross-sectional study. BMJ Open, 2015. 5(10).

51. Koh, R., M. Pukallus, S. Kularatna, L.G. Gordon, A.G. Barnett, L.J. Walsh, and W.K. Seow, Relative cost-effectiveness of home visits and telephone contacts in preventing early childhood caries. Community Dentistry and Oral Epidemiology, 2015. 43(6): p. 560-568.

52. Knibbs, L.D. and A.G. Barnett, Assessing environmental inequalities in ambient air pollution across urban Australia. Spatial and Spatio-temporal Epidemiology, 2015. 13: p. 1-6.

53. Keys, M., B.Z. Sim, O. Thom, M.J. Tunbridge, A.G. Barnett, and J.F. Fraser, Efforts to Attenuate the Spread of Infection (EASI): A prospective, observational multicentre survey of ultrasound equipment in Australian emergency departments and intensive care units. Critical Care and Resuscitation, 2015. 17(1): p. 43-46.

54. Huang, C., C. Chu, X. Wang, and A.G. Barnett, Unusually cold and dry winters increase mortality in Australia. Environmental Research, 2015. 136: p. 1-7.

55. Herbert, D.L., N. Graves, P. Clarke, and A.G. Barnett, Usingsimplified peer review processes to fund research: A prospective study. BMJ Open, 2015. 5(7).

56. Guo, Y., H. Zeng, R. Zheng, S. Li, A.G. Barnett, S. Zhang, X. Zou, R.R. Huxley, W. Chen, and G. Williams, Lung cancer incidence and ambient air pollution in China: a spatial age–period cohort study 1990–2009. The Lancet, 2015. 386: p. S5.

57. Guo, Y. and A.G. Barnett, Invited commentary: Assessment of air pollution and suicide risk. American Journal of Epidemiology, 2015. 181(5): p. 304-308.

58. Gallois, C., L. Wilmott, B. White, S. Winch, M. Parker, N. Graves, N. Shepherd, and E. Close, Futile Treatment in Hospital: Doctors’ Intergroup Language. Journal of Language and Social Psychology, 2015. 34(6): p. 657-671.

59. Fjeldsoe, B.S., Y.D. Miller, N. Graves, A.G. Barnett, and A.L. Marshall, Randomized Controlled Trial of an Improved Version of MobileMums, an Intervention for Increasing Physical Activity in Women with Young Children. Annals of Behavioral Medicine, 2015. 49(4): p. 487-499.

60. Cullen, L., J. Greenslade, K. Merollini, N. Graves, C.J.K. Hammett, T. Hawkins, M.P. Than, A.F.T. Brown, C.B. Huang, S.E. Panahi, E. Dalton, and W.A. Parsonage, Cost and outcomes of assessing patients with chest pain in an Australian emergency department. Medical Journal of Australia, 2015. 202(8): p. 427-432.

61. Coulter, S., K. Merollini, J.A. Roberts, N. Graves, and K. Halton, The need for cost-effectiveness analyses of antimicrobial stewardship programmes: A structured review. International Journal of Antimicrobial Agents, 2015. 46(2): p. 140-149.

62. Correa-Velez, I., A.G. Barnett, and S. Gifford, Working for a better life: Longitudinal evidence on the predictors of employment among recently arrived refugee migrant men living in Australia. International Migration, 2015. 53(2): p. 321-337.

63. Corley, A., T. Bull, A.J. Spooner, A.G. Barnett, and J.F. Fraser, Direct extubation onto high-flow nasal cannulae post-cardiac surgery versus standard treatment in patients with a BMI ≥30: a randomised controlled trial. Intensive Care Medicine, 2015. 41(5): p. 887-894.

64. Chow, C.K., J. Redfern, G.S. Hillis, J. Thakkar, K. Santo, M.L. Hackett, S. Jan, N. Graves, L. De Keizer, T. Barry, S. Bompoint, S. Stepien, R. Whittaker, A. Rodgers, and A. Thiagalingam, Effect of lifestyle-focused text messaging on risk factor modification in patients with coronary heart disease: A randomized clinical trial. JAMA - Journal of the American Medical Association, 2015. 314(12): p. 1255-1263.

65. Caruana, L.R., J.D. Paratz, A. Chang, A.G. Barnett, and J.F. Fraser, The time taken for the regional distribution of ventilation to stabilise: An investigation using electrical impedance tomography. Anaesthesia and Intensive Care, 2015. 43(1): p. 88-91.


66. Burn, E., A.L. Marshall, Y.D. Miller, A.G. Barnett, B.S. Fjeldsoe, and N. Graves, The cost-effectiveness of the MobileMums intervention to increase physical activity among mothers with young children: a Markov model informed by a randomised controlled trial. BMJ open, 2015. 5(4): p. e007226.

67. Barnett, A.G., J.C. Van Der Pols, and A.J. Dobson, Correction to: Regression to the mean: What it is and how to deal with it [Int J Epidemiol 2005;34:215-20.]. International Journal of Epidemiology, 2015. 44(5): p. 1748.

68. Barnett, A.G., K. Page, M. Campbell, D. Brain, E. Martin, S. Winters, L. Hall, D. Paterson, and N. Graves, Changes in healthcare-associated infections after the introduction of a national hand hygiene initiative. Healthcare Infection, 2015. 19(4): p. 128-134.

69. Barnett, A.G., D.L. Herbert, M. Campbell, N. Daly, J.A. Roberts, A. Mudge, and N. Graves, Streamlined research funding using short proposals and accelerated peer review: an observational study. BMC Health Serv Res, 2015. 15: p. 55.

70. Barnett, A.G., N. Graves, P. Clarke, and D. Herbert, The impact of a streamlined funding application process on application time: Two cross-sectional surveys of Australian researchers. BMJ Open, 2015. 5(1).

71. Barnett, A.G., N. Graves, P. Clarke, and T. Blakely, What is the impact of research funding on research productivity? 2015.

72. Barnett, A.G., Reducing grant application numbers: the shame stick or prize carrot? Australian Centre for Health Services Innovation, 2015.

73. Barnett, A.G., R code for estimating the effect of a time-dependent environmental exposure during pregnancy. 2015.

74. Barnett, A.G., Turning temperature measures outside-in. Epidemiology (Cambridge, Mass.), 2015. 26(1): p. e11-e12.

75. Barnett, A. and L. Morawska, Virtual Special Issue:“The impact of temperature on human health: new insights”. Science of the Total Environment, 2015.

76. Barnett, A., An updated analysis of death data during the Morwell mine fire. 2015.

77. Baker, J., M. Janda, N. Graves, J. Bauer, M. Banks, A. Garrett, N. Chetty, A.J. Crandon, R. Land, M. Nascimento, J.L. Nicklin, L.C. Perrin, and A. Obermair, Quality of life after early enteral feeding versus standard care for proven or suspected advanced epithelial ovarian cancer: Results from a randomised trial. Gynecologic Oncology, 2015. 137(3): p. 516-522.

78. Ash, S., E.K. Martin, S. Rodger, M. Clark, and N. Graves, Student and supervisor productivity change during nutrition and dietetic practice placements: A cohort study. Nutrition and Dietetics, 2015. 72(2): p. 163-169.

79. Aitken, L.M., B. Macfarlane, W. Chaboyer, M. Schuetz, C. Joyce, and A.G. Barnett, Physical Function and Mental Health in Trauma Intensive Care Patients: A 2-Year Cohort Study. Critical Care Medicine, 2015.


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Partners

AusHSI’s partners are The Queensland Government, The Royal Brisbane and Women’s Hospital, Queensland University of Technology, and The University of Queensland.

web www.aushsi.org.au email [email protected]

Documents

ANNUAL REPORT 2015–16 - AusHSI · 2019-02-27 · Elderly Residents (EDDIE): Implementing a hospital avoidance initiative Grant No. IG000741 Healthcare Professional Dee Jeffrey,