Emergency medicine Australasia : EMA
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Emerg Med Australas · Oct 2024
Making the most of what we have: What does the future hold for Emergency Department data?
Over 10 million ED visits occur each year across Australia and Aotearoa New Zealand. Outside basic administrative data focused on time-based targets, there is minimal information about clinical performance, quality of care, patient outcomes, or equity in emergency care. ⋯ The present paper outlines a proposal for a National Acute Care Secure Health Data Environment, including design, possible applications, and the steps taken to date by the Australasian College for Emergency Medicine ED Epidemiology Network in collaboration with the College of Emergency Nursing Australasia. Optimal use of the existing information collected routinely during clinical care of emergency patients has the potential to enable data-driven quality improvement and research, leading to better care and better outcomes for millions of patients and families each year.
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Emerg Med Australas · Oct 2024
Nationwide status of aeromedical pre-hospital and retrieval medicine in Australia.
To survey the current structure, capability and operational scope of pre-hospital and retrieval aeromedical teams across Australia. ⋯ Aeromedicine in Australia has many consistent elements, but variable contexts have resulted in a diversity of operational models.
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Emerg Med Australas · Oct 2024
Short waits, happy patients and expert care, moving basic musculoskeletal care from the emergency department to a physiotherapist-led diversion pathway.
Patients with musculoskeletal conditions (MSKCs) are highly prevalent in ED. This project explores the impact of the pilot phase of a 'diversion pathway', which directed patients with MSKCs from the ED waiting room to an outpatient clinic led by advanced-scope physiotherapists. ⋯ A new pathway resulted in reduced LOS, reduced DNW, high patient satisfaction and more people being discharged within 4 h for diverted patients compared to usual ED care. The pathway increased ED capacity, improved key ED performance metrics and safely expedited care delivery for patients.
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Emerg Med Australas · Oct 2024
Health consumers' ethical concerns towards artificial intelligence in Australian emergency departments.
To investigate health consumers' ethical concerns towards the use of artificial intelligence (AI) in EDs. ⋯ Health consumers view AI as an emerging technology that they want to see comprehensively regulated to ensure it functions safely and securely with EDs. Without considerations made for the ethical design, implementation and use of AI technologies, health consumer trust and acceptance in the use of these tools will be limited.
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Emerg Med Australas · Oct 2024
Virtual Toxicology Service decreases the average length of stay of poisoned patients and saves bed days.
We aimed to assess the impact a Virtual Toxicology Service had on the ALOS of poisoned patients. ⋯ The introduction of a Virtual Toxicology Service appeared to be associated with a decreased ALOS of poisoned patients.