Mark Putland
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View article: Developing interpretable machine learning models to predict length of stay and disposition decision for adult patients in emergency departments
Developing interpretable machine learning models to predict length of stay and disposition decision for adult patients in emergency departments Open
Objective Machine learning (ML) models have emerged as tools to predict length of stay (LOS) and disposition decision (DD) in emergency departments (EDs) to combat overcrowding. However, site-specific ML models are not transferable to diff…
View article: Healthcare workers’ perceptions of strategies supportive of their mental health
Healthcare workers’ perceptions of strategies supportive of their mental health Open
The COVID-19 pandemic exacerbated existing stressors and created additional challenges for healthcare workers, such as increased workload, rapidly changing policies and procedures, resource and workforce shortages and work-life imbalance. …
View article: The impact of electric scooters in Melbourne: data from a major trauma service
The impact of electric scooters in Melbourne: data from a major trauma service Open
Background The proliferation of electric scooters globally has been associated with an increase in related injuries and consequent economic burden. This study aims to assess the injury patterns and the economic impact associated with elect…
View article: Reverse triage in COVID surge planning: a case study of an allied health supported clinical care pathway in an acute hospital setting
Reverse triage in COVID surge planning: a case study of an allied health supported clinical care pathway in an acute hospital setting Open
Objective This case study describes the development and outcomes of a new integrated and multidisciplinary care pathway. Spearheaded by allied health, the ‘COVID community navigator team’, applied established principles of reverse triage t…
View article: Mental health symptoms in Australian general practitioners during the COVID-19 pandemic
Mental health symptoms in Australian general practitioners during the COVID-19 pandemic Open
Background General practitioners (GPs) play a central role during the COVID-19 pandemic, and yet awareness of their mental health is limited. Methods A nationwide online survey of self-identified frontline healthcare workers was conducted …
View article: Remote COVID-19 patient monitoring system: a qualitative evaluation
Remote COVID-19 patient monitoring system: a qualitative evaluation Open
Background Many COVID-19 patients are discharged home from hospital with instructions to self-isolate. This reduces the burden on potentially overwhelmed hospitals. The Royal Melbourne Hospital (RMH) Home Monitoring Programme (HMP) is a mo…
View article: Differences in Coping Strategies and Help-Seeking Behaviours among Australian Junior and Senior Doctors during the COVID-19 Pandemic
Differences in Coping Strategies and Help-Seeking Behaviours among Australian Junior and Senior Doctors during the COVID-19 Pandemic Open
Background: Throughout the COVID-19 pandemic, hospital medical staff (HMS) have faced significant personal, workplace, and financial disruption. Many have experienced psychosocial burden, exceeding already concerning baseline levels. This …
View article: Differences in Coping Strategies and Help-Seeking Behaviours among Australian Junior and Senior Doctors during the COVID-19 Pandemic
Differences in Coping Strategies and Help-Seeking Behaviours among Australian Junior and Senior Doctors during the COVID-19 Pandemic Open
Background: Throughout the COVID-19 pandemic, hospital medical staff (HMS) have faced significant personal, workplace, and financial disruption. Many have experienced psychosocial burden, exceeding already concerning baseline levels. This …
View article: High levels of psychosocial distress among Australian frontline healthcare workers during the COVID-19 pandemic: a cross-sectional survey
High levels of psychosocial distress among Australian frontline healthcare workers during the COVID-19 pandemic: a cross-sectional survey Open
Background The coronavirus disease 2019 (COVID-19) pandemic has had a profound and prolonged impact on healthcare services and healthcare workers. Aims The Australian COVID-19 Frontline Healthcare Workers Study aimed to investigate the sev…
View article: Threat of COVID-19 impacting on a quaternary healthcare service: a retrospective cohort study of administrative data
Threat of COVID-19 impacting on a quaternary healthcare service: a retrospective cohort study of administrative data Open
Objectives The threat of a pandemic, over and above the disease itself, may have significant and broad effects on a healthcare system. We aimed to describe the impact of the SARS-CoV-2 pandemic (during a relatively low transmission period)…
View article: Multi-site assessment of rapid, point-of-care antigen testing for the diagnosis of SARS-CoV-2 infection in a low-prevalence setting: A validation and implementation study
Multi-site assessment of rapid, point-of-care antigen testing for the diagnosis of SARS-CoV-2 infection in a low-prevalence setting: A validation and implementation study Open
This work was funded by the Victorian Department of Health and Human Services. The funder was not involved in data analysis or manuscript preparation.
View article: Patients presenting for hospital‐based screening for the coronavirus disease 2019: Risk of disease, and healthcare access preferences
Patients presenting for hospital‐based screening for the coronavirus disease 2019: Risk of disease, and healthcare access preferences Open
Objective Early during the coronavirus disease 2019 (COVID‐19) pandemic, Australian EDs experienced an unprecedented surge in patients seeking screening. Understanding what proportion of these patients require testing and who can be safely…
View article: Influenza With and Without Fever: Clinical Predictors and Impact on Outcomes in Patients Requiring Hospitalization
Influenza With and Without Fever: Clinical Predictors and Impact on Outcomes in Patients Requiring Hospitalization Open
Background The Infectious Diseases Society of America influenza guidelines no longer require fever as part of their influenza case definition in patients requiring hospitalization. However, the impact of fever or lack of fever on clinical …
View article: Early clinical response to a high consequence infectious disease outbreak: insights from <scp>COVID</scp> ‐19
Early clinical response to a high consequence infectious disease outbreak: insights from <span>COVID</span> ‐19 Open
Usual care must be rapidly adapted to isolate, assess and test large numbers of patients during the COVID-19 pandemic Coronavirus disease 2019 (COVID-19), which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), eme…
View article: Saliva as a Noninvasive Specimen for Detection of SARS-CoV-2
Saliva as a Noninvasive Specimen for Detection of SARS-CoV-2 Open
D iagnostic testing for COVID-19 is central to controlling the global pandemic.Recently, To and colleagues reported that 20 of 23 (87%) patients who had SARS-CoV-2 detected by reverse transcriptase PCR (RT-PCR) in nasopharyngeal swabs (NPS…
View article: A cross-sectional study of patients presenting for hospital-based screening for COVID-19: risk of disease, and healthcare access preferences
A cross-sectional study of patients presenting for hospital-based screening for COVID-19: risk of disease, and healthcare access preferences Open
Introduction Early during the SARS-CoV-2 pandemic, Australian emergency departments (EDs) have experienced an unprecedented surge in patients seeking screening for COVID-19. Understanding what proportion of these patients require screening…
View article: Sex disparities in the assessment and outcomes of chest pain presentations in emergency departments
Sex disparities in the assessment and outcomes of chest pain presentations in emergency departments Open
Objective To determine whether sex differences exist in the triage, management and outcomes associated with non-traumatic chest pain presentations in the emergency department (ED). Methods All adults (≥18 years) with non-traumatic chest pa…
View article: Impact of scribes on emergency medicine doctors’ productivity and patient throughput: multicentre randomised trial
Impact of scribes on emergency medicine doctors’ productivity and patient throughput: multicentre randomised trial Open
Objectives To evaluate the changes in productivity when scribes were used by emergency physicians in emergency departments in Australia and assess the effect of scribes on throughput. Design Randomised, multicentre clinical trial. Setting …