Explanipedia

Implementation evaluation of an evidence-informed hospital inpatient nursing framework (HIRAID® Inpatient): a protocol for a stepped-wedge cluster RCT Open

Tamsin Jones, Sarah Kourouche, Belinda Kennedy, Andrew Bartlett, Kathleen Zeitz , et al. · 2025

Background Preventable adverse events in Australian hospitals are a significant safety issue, causing harm, death and increased healthcare costs. Many stem from inadequate recognition of, or response to, clinical deterioration by nurses th…

Nudging Emergency Department Clinicians to Reduce Unnecessary Diagnostic Test Ordering: A Multi‐Arm Vignette‐Based Experiment Open

Lu Bai, Shijia Gao, Frada Burstein, J. Sajeev, Simon Craig , et al. · 2025

Background Diagnostic testing is overused in emergency departments, and clinical decision support may reduce unnecessary ordering. We examined the effects of nudge‐based clinical decision support interventions on test ordering among emerge…

Stakeholder Perspectives of the Delivery of Tele-Emergency Care: Insights from the Southeast Melbourne Virtual Emergency Department Open

Amelia Bevins, Catriona Parker, Muhuntha Sri‐Ganeshan, Andrew Underhill, Claire Charteris , et al. · 2025

Background: Emergency department (ED) demand is increasing due to rising patient complexity and an aging population complicated by limited access to general practitioners. Virtual emergency departments (VEDs) have been proposed as an alter…

Reducing blood wastage through introduction of a transfusion team Open

Biswadev Mitra, Ruby Garland, Jackson Catalano, Gerard O’Reilly, Alexandra Nevill · 2025

Background In the intense setting of reception and resuscitation of critically bleeding patients, wastage of up to 10% of blood components occur, commonly due to prolonged breaks in the cold chain. Additionally, some transfusions may be av…

Where Are the Greatest Risks for Choosing Unwisely? A Survey of Emergency Department Clinicians Open

Joseph D.V. Vu, Gerard O’Reilly, Julia Morphet, Peter Jones, Diana Egerton‐Warburton , et al. · 2025

Background Quality improvement activities targeting low‐value care are important to ensure that scarce healthcare resources are used responsibly. However, there has been little systematic research into what diagnostic testing is considered…

The development and use of data warehousing in clinical settings: a scoping review Open

Shiyang Lyu, Simon Craig, Gerard O’Reilly, David Taniar · 2025

Introduction The emergence of data warehousing in clinical settings has greatly enhanced data analysis capabilities, facilitating the accurate and comprehensive extraction of valuable information. This scoping review explores the contribut…

Using a Partnership‐Based Approach to Strengthen Acute Care Systems in the Pacific and Timor‐Leste Open

Sarah Bornstein, Rob Mitchell, Steven McGloughlin, Melanie Wratten, Karen Hammad , et al. · 2025

Emergency and critical care services are essential to universal health coverage. World Health Assembly (WHA) Resolution 76.2, adopted in 2023, outlined the importance of integrated emergency, critical and operative care systems in strength…

Implementing best practice for peripheral intravenous cannula use in Australian emergency departments: a stepped-wedge cluster-controlled trial and health economic analysis protocol Open

Diana Egerton‐Warburton, Lisa Kühn, Joanne Enticott, Sundy N.Y. Yang, Paul Buntine , et al. · 2025

Introduction Over one billion adults attend emergency departments (EDs) internationally every year, including 6.6 million in Australia. Up to half of these patients have a peripheral intravenous catheter (PIVC) inserted. Although healthcar…

The incidence and determinants of traumatic brain injury deaths occurring outside hospital in Australia Open

Gerard O’Reilly, Afroza Akhter, Kate Curtis, Biswadev Mitra, Yesul Kim , et al. · 2025

Objective To identify the determinants of death occurring outside of hospital following moderate to severe traumatic brain injury (msTBI) across Australia. Methods Design, setting: Retrospective observational study using National Coronial …

Evaluating the satisfaction of patients utilising the virtual emergency department service in southeast region of Melbourne Open

Muhuntha Sri‐Ganeshan, Amanda Harris, Christopher Thuring, Gerard O’Reilly, Biswadev Mitra , et al. · 2025

Objectives Evaluate patient satisfaction with paramedic and residential aged care facility (RACF) staff‐initiated tele‐emergency care through the Southeast Melbourne Virtual ED. Methods Patient satisfaction surveys were conducted across tw…

Triage systems in low-resource emergency care settings Open

Rob Mitchell, Gerard O’Reilly, Colin Banks, Garry Geregana Nou, John Junior McKup , et al. · 2025

Triage is widely regarded as a core emergency care function, as reflected in the World Health Organization (WHO) Emergency care systems framework and in recent World Health Assembly resolutions. In this article, we explore the evide…

The determinants for death in hospital following moderate to severe traumatic brain injury in Australia Open

Gerard O’Reilly, Afroza Akhter, Kate Curtis, Biswadev Mitra, Yesul Kim , et al. · 2025

Objectives To establish the determinants of death in hospital for patients with moderate to severe traumatic brain injury (TBI) in Australia. Design, setting, participants Retrospective analysis of Australia New Zealand Trauma Registry (AN…

Research outputs after the Coursework Pathway Open

Biswadev Mitra, Gim Tan, Gerard O’Reilly, Paul Jennings, Cristina Roman , et al. · 2025

Objectives The aim of the present study was to quantify research outputs after completing a Coursework Pathway (CP). Methods Emergency medicine trainees who completed a CP during 2012–2022 were included. Research outputs were identified us…

Effectiveness of Integrated Trauma System Implementation on Road Traffic Fatalities and Injuries in the North of Iran Using an Interrupted Time Series Analysis Open

Enayatollah Homaie Rad, Farideh Sadeghian, Zahra Ghodsi, Shahrokh Yousefzadeh-Chabok, Mohammad Hosein Ranjbar Hameghavandi , et al. · 2024

Background: Integrated trauma systems (ITS) have shown potential in reducing traffic crash-related injuries and mortality, although their structure and impact can vary. This study assessed the effectiveness of ITS in Guilan, Iran. Study De…

Impact of the Southeast Melbourne Virtual Emergency Department on reducing transfers from residential aged care facilities Open

Muhuntha Sri‐Ganeshan, Biswadev Mitra, Georgia Soldatos, Rachel Rosler, Neil Goldie , et al. · 2024

Objective To evaluate the impact of the Southeast Melbourne Virtual Emergency Department (SEMVED) on transfers from residential aged care facilities (RACFs) to traditional EDs. Methods A cohort study of residents requesting transfer to the…

Development of a quality indicator set for the optimal acute management of moderate to severe traumatic brain injury in the Australian context Open

Toby Jeffcote, Camila R. Battistuzzo, Rebecca Roach, Catherine Bell, Cino Bendinelli , et al. · 2024

Background The aim of this study was to develop a consensus-based set of indicators of high-quality acute moderate to severe TBI (msTBI) clinical management that can be used to measure structure, process and outcome factors that are likely…

Methods of defining major haemorrhage after injury: A scoping review Open

Michael Noonan, Cecil Johnny, Yen Kim, Gerard O’Reilly, Christopher Groombridge , et al. · 2024

Injury remains a significant global health concern, with early major haemorrhage (MH) being a leading cause of preventable death. However, the absence of a standardised definition for MH hinders research comparability and optimal clinical …

Issue Information Open

Geoff Hughes, Sierra Beck, Claire Bertenshaw, Lisa Brichko, Peter Cameron , et al. · 2024

Wiley is a founding member of the UN-backed HINARI, AGORA, and OARE initiatives.They are now collectively known as Research4Life, making online scientific content available free or at nominal cost to researchers in developing countries and…

Post-discharge follow-up of patients with spine trauma in the National Spinal Cord Injury Registry of Iran during the COVID-19 pandemic: Challenges and lessons learned Open

Zahra Azadmanjir, Moein Khormali, Mohsen Sadeghi-Naini, Vali Baigi, Habibollah Pirnejad , et al. · 2023

To improve patient accessibility, NSCIR-IR should take measures during data gathering to increase the accuracy of registered contact information. Regarding the loss to follow-ups of SCI patients, NSCIR-IR should find strategies for remote …

Adult Mental Health Presentations to Emergency Departments in Victoria, Australia between January 2018 and October 2020: Changes Associated with COVID-19 Pandemic Public Health Restrictions Open

Jackson Newberry‐Dupé, Wanyu Chu, Simon Craig, Rohan Borschmann, Gerard O’Reilly , et al. · 2023

Road traffic injuries and associated mortality in the Islamic Republic of Iran Open

Farideh Sadeghian, Ahmad Mehri, Zahra Ghodsi, Vali Baigi, Mahdi Sharif-Alhoseini , et al. · 2023

Background: Road traffic accidents are a major public health problem globally, causing millions of injuries, deaths and disabilities, and a huge loss of financial resources, especially in low- and middle-income countries. Aim: To determine…

Systematic review: What is the impact of triage implementation on clinical outcomes and process measures in low‐ and middle‐income country emergency departments? Open

Rob Mitchell, Wendy Fang, Qiao Wen Tee, Gerard O’Reilly, Lorena Romero , et al. · 2023

Introduction Triage is widely regarded as an essential function of emergency care (EC) systems, especially in resource‐limited settings. Through a systematic search and review of the literature, we investigated the effect of triage impleme…

Modelled economic evaluation of a virtual emergency department in Victoria Open

Long Khanh‐Dao Le, Thao Thai, Peter Cameron, Muhuntha Sri‐Ganeshan, Gerard O’Reilly , et al. · 2023

Objective Virtual ED (VED) can potentially alleviate ED overcrowding which has been a public health challenge. The aim of the present study was to conduct a return‐on‐investment analysis of a VED programme developed in response to changing…

Correction to: Development of a comprehensive assessment tool to measure the quality of care for individuals with traumatic spinal cord injuries Open

Zahra Ghodsi, Seyed Behnam Jazayeri, Ahmad Pour‐Rashidi, Mohsen Sadeghi-Naini, Zahra Azadmanjir , et al. · 2023

Participating in quality improvement for emergency care: Some principles and practical tips Open

Gerard O’Reilly · 2023

If we are not trying to go forward, we will go backwards. If we are not trying to improve the quality of emergency care, the quality of emergency care will regress. If we are not participating in efforts to improve the quality of emergency…

Performance of the Interagency Integrated Triage Tool in a resource-constrained emergency department during the COVID-19 pandemic Open

Rob Mitchell, Wilma Sebby, Donna Piamnok, Alyxandra Black, Wips Amono , et al. · 2023

In this single-centre study, the IITT's sensitivity for the detection of time-critical illness was comparable to previous evaluations of the tool and within the performance range reported for other triage instruments. There was a clear rel…

Hospitalisations and in‐hospital deaths following moderate to severe traumatic brain injury in Australia, 2015–20: a registry data analysis for the Australian Traumatic Brain Injury National Data (<span>ATBIND</span>) project Open

Gerard O’Reilly, Kate Curtis, Biswadev Mitra, Yesul Kim, Afroza Akhter , et al. · 2023

Objective To describe the frequency of hospitalisation and in‐hospital death following moderate to severe traumatic brain injury (TBI) in Australia, both overall and by patient demographic characteristics and the nature and severity of the…

Developing a hospital disaster preparedness evaluation tool for Sri Lanka - A modified Delphi study Open

Nimali Lakmini Munasinghe, Gerard O’Reilly, Peter Cameron, Sunil De Alwis, Hema Dharmakeerthi Bandara Herath · 2023

The 2005 World Conference on Disaster Reduction promoted the "Safe Hospitals" concept, which ensures that all new hospitals are built with a level of resilience that strengthens their capacity to remain operational in disaster situations. …

Emergency care interventions for paediatric severe acute respiratory infections in low- and middle-income countries: A systematic review and narrative synthesis Open

Pryanka Relan, Stephanie C. Garbern, Gerard O’Reilly, Corey B Bills, M. Schultz , et al. · 2023

PROSPERO (CRD42020216117).

Issue Information Open

Geoff Hughes, Sierra Beck, Claire Bertenshaw, Lisa Brichko, Peter J‎. Cameron , et al. · 2023

Good Plan Hole Tube 1. site 2. push 3. sweep 4. keep 1. size 2. find 3. start 4. stop (or 5th) intercostal space between the anterior and mid-axillary lines Advance to 4 cm mark (i.e. last side hole is 4 cm inside the chest cavity) Age 4 s…

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