Charlotte J. Molloy
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View article: Do patient safety incident investigations align with systems thinking? An analysis of contributing factors and recommendations
Do patient safety incident investigations align with systems thinking? An analysis of contributing factors and recommendations Open
Background Globally, up to 17% of hospitalised people suffer a patient safety incident. Learning from adverse events through patient safety investigation is critical to prevention; however, their utility is still questioned. Two key invest…
View article: Decades of failure to prevent harm to patients—where are we going wrong? A mixed methods study of the perspectives of health services staff across Australia and internationally
Decades of failure to prevent harm to patients—where are we going wrong? A mixed methods study of the perspectives of health services staff across Australia and internationally Open
Context Patient Safety Incident (PSI) reviews are undertaken frequently across health services in response to serious adverse events. This study investigated experiences and perceptions of healthcare professionals involved in incident revi…
View article: Perceptions and Experiences of Consumer Representatives on Patient Safety Investigation Teams: A Qualitative Analysis
Perceptions and Experiences of Consumer Representatives on Patient Safety Investigation Teams: A Qualitative Analysis Open
Introduction There is growing recognition of the importance of consumer representatives (CRs), consumers with lived experience, and advisors and volunteers in health systems to foster consumer‐oriented care. As part of this changing percep…
View article: Improving health system responses when patients are harmed: a protocol for a multistage mixed-methods study
Improving health system responses when patients are harmed: a protocol for a multistage mixed-methods study Open
Introduction At least 10% of hospital admissions in high-income countries, including Australia, are associated with patient safety incidents, which contribute to patient harm (‘adverse events’). When a patient is seriously harmed, an inves…
View article: Is it possible to make ‘living’ guidelines? An evaluation of the Australian Living Stroke Guidelines
Is it possible to make ‘living’ guidelines? An evaluation of the Australian Living Stroke Guidelines Open
View article: The quality of care delivered to residents in long-term care in Australia: an indicator-based review of resident records (CareTrack Aged study)
The quality of care delivered to residents in long-term care in Australia: an indicator-based review of resident records (CareTrack Aged study) Open
Background This study estimated the prevalence of evidence-based care received by a population-based sample of Australian residents in long-term care (LTC) aged ≥ 65 years in 2021, measured by adherence to clinical practice guideline (CPG)…
View article: Unsafe care in residential settings for older adults: a content analysis of accreditation reports
Unsafe care in residential settings for older adults: a content analysis of accreditation reports Open
Residents of aged care services can experience safety incidents resulting in preventable serious harm. Accreditation is a commonly used strategy to improve the quality of care; however, narrative information within accreditation reports is…
View article: Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review
Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review Open
Many hospitals continue to use incident reporting systems (IRSs) as their primary patient safety data source. The information IRSs collect on the frequency of harm to patients [adverse events (AEs)] is generally of poor quality, and some i…
View article: Designing clinical indicators for common residential aged care conditions and processes of care: the CareTrack Aged development and validation study
Designing clinical indicators for common residential aged care conditions and processes of care: the CareTrack Aged development and validation study Open
Background People who live in aged care homes have high rates of illness and frailty. Providing evidence-based care to this population is vital to ensure the highest possible quality of life. Objective In this study (CareTrack Aged, CT Age…
View article: A Review of Experiential School-Based Culinary Interventions for 5–12-Year-Old Children
A Review of Experiential School-Based Culinary Interventions for 5–12-Year-Old Children Open
Cooking is an essential skill and the acquisition of cooking skills at an early age is associated with higher diet quality. This review aimed to describe the characteristics of school-based experiential culinary interventions and to determ…
View article: What Constitutes “Appropriate Care” for Low Back Pain?
What Constitutes “Appropriate Care” for Low Back Pain? Open
Study Design. Multiround wiki-based Delphi expert panel survey. Objective. To provide proof of concept for an alternative method for creating sets of nationally-agreed point-of-care clinical indicators, and obtain consensus among end-user …
View article: Child and caregiver experiences and perceptions of asthma self-management
Child and caregiver experiences and perceptions of asthma self-management Open
View article: Assessing the appropriateness of the management of gastro-oesophageal reflux in Australian children: a population-based sample survey
Assessing the appropriateness of the management of gastro-oesophageal reflux in Australian children: a population-based sample survey Open
View article: Guideline adherence in the management of attention deficit hyperactivity disorder in children: An audit of selected medical records in three Australian states
Guideline adherence in the management of attention deficit hyperactivity disorder in children: An audit of selected medical records in three Australian states Open
Objective To assess General Practitioner (GP) and pediatrician adherence to clinical practice guidelines (CPGs) for diagnosis, treatment and management of attention deficit hyperactivity disorder (ADHD). Method Medical records for 306 chil…
View article: Characterising the types of paediatric adverse events detected by the global trigger tool – CareTrack Kids
Characterising the types of paediatric adverse events detected by the global trigger tool – CareTrack Kids Open
Introduction A common method of learning about adverse events (AEs) is by reviewing medical records using the global trigger tool (GTT). However, these studies generally report rates of harm. The aim of this study is to characterise paedia…
View article: Assessing the appropriateness of paediatric antibiotic overuse in Australian children: a population-based sample survey
Assessing the appropriateness of paediatric antibiotic overuse in Australian children: a population-based sample survey Open
Background Infections caused by antibiotic resistant pathogens are increasing, with antibiotic overuse a key contributing factor. Objective The CareTrack Kids (CTK) team assessed the care of children in Australia aged 0–15 years in 2012 an…
View article: Guideline adherence in the management of head injury in Australian children: A population-based sample survey
Guideline adherence in the management of head injury in Australian children: A population-based sample survey Open
This study highlights that management of head injury in children mostly follows guidelines, but also flags some specific areas of inconsistency. Individual sites are encouraged to use these results to guide investigation of local practices…
View article: The quality of preventive care for pre-school aged children in Australian general practice
The quality of preventive care for pre-school aged children in Australian general practice Open
View article: Quality of care for acute abdominal pain in children
Quality of care for acute abdominal pain in children Open
Objective To assess quality of care for children presenting with acute abdominal pain using validated indicators. Design Audit of care quality for acute abdominal pain according to 21 care quality indicators developed and validated in four…
View article: Appropriate management of acute gastroenteritis in Australian children: A population-based study
Appropriate management of acute gastroenteritis in Australian children: A population-based study Open
Adherence to clinical guidelines for children presenting to healthcare providers with AGE varies according to phase of care and healthcare setting. Although appropriate diagnostic assessment and ongoing management phase procedures are not …
View article: Assessing the adherence to guidelines in the management of croup in Australian children: a population-based sample survey
Assessing the adherence to guidelines in the management of croup in Australian children: a population-based sample survey Open
Objective To determine the extent to which care received by Australian children presenting with croup is in agreement with Clinical Practice Guidelines (CPGs). Design Retrospective population-based sample survey. Croup clinical indicators …
View article: <i>CareTrack Aged</i>: the appropriateness of care delivered to Australians living in residential aged care facilities: a study protocol
<i>CareTrack Aged</i>: the appropriateness of care delivered to Australians living in residential aged care facilities: a study protocol Open
Introduction The aged population is increasing rapidly across the world and this is expected to continue. People living in residential aged care facilities (RACFs) represent amongst the sickest and frailest cohort of the aged population, w…
View article: Assessing the appropriateness of the management of upper respiratory tract infection in Australian children: a population-based sample survey
Assessing the appropriateness of the management of upper respiratory tract infection in Australian children: a population-based sample survey Open
Objective To assess the proportion of Australian children aged 0–15 years that received care in line with clinical practice guidelines (CPGs) for upper respiratory tract infections (URTIs). Design Retrospective medical record review using …
View article: Assessing the quality of health care in the management of bronchiolitis in Australian children: a population-based sample survey
Assessing the quality of health care in the management of bronchiolitis in Australian children: a population-based sample survey Open
Background Bronchiolitis is the most common cause of respiratory hospitalisation in children aged <2 years. Clinical practice guidelines (CPGs) suggest only supportive management of bronchiolitis. However, the availability of CPGs do not g…
View article: Clinical indicators for common paediatric conditions: Processes, provenance and products of the CareTrack Kids study
Clinical indicators for common paediatric conditions: Processes, provenance and products of the CareTrack Kids study Open
A set of indicators was developed for the appropriateness of care for 21 paediatric conditions. We describe the processes (methods), provenance (origins and evolution of indicators) and products (indicator characteristics) of creating clin…
View article: Randomised study demonstrates sustained benefits of a pre-school intervention designed to improve nutrition and physical activity practices
Randomised study demonstrates sustained benefits of a pre-school intervention designed to improve nutrition and physical activity practices Open
Background Health-promoting programmes must demonstrate sustained efficacy in order to make a true impact on public health. This study aimed to determine the effect of the Healthy Incentive for Pre-schools project on health-promoting pract…
View article: Quality of Health Care for Children in Australia, 2012-2013
Quality of Health Care for Children in Australia, 2012-2013 Open
Among a sample of children receiving care in Australia in 2012-2013, the overall prevalence of adherence to quality of care indicators for important conditions was not high. For many of these conditions, the quality of care may be inadequa…
View article: The application of the Global Trigger Tool: a systematic review
The application of the Global Trigger Tool: a systematic review Open
The GTT is a flexible tool used in a range of settings with varied applications. Substantial differences in AE rates were evident across studies, most likely associated with methodological differences and disparate reviewer interpretations…
View article: An evaluation of factors which can affect the implementation of a health promotion programme under the Schools for Health in Europe framework
An evaluation of factors which can affect the implementation of a health promotion programme under the Schools for Health in Europe framework Open