Robyn Clay‐Williams
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View article: Understanding mental health care experiences in the emergency department using a human factors approach
Understanding mental health care experiences in the emergency department using a human factors approach Open
Hospital emergency departments (EDs) play a critical role in providing acute psychiatric care, however mental health patients and staff report poor care experiences. This study used an ED work domain analysis (WDA), as a framework for unde…
View article: A Systematic Review of Management of Cramping Pain in Patients with Amyotrophic Lateral Sclerosis
A Systematic Review of Management of Cramping Pain in Patients with Amyotrophic Lateral Sclerosis Open
Introduction: Pain, particularly cramping, in people living with amyotrophic lateral sclerosis (ALS) is often underrecognized and under-treated. Despite affecting over 70% of people living with ALS (plwALS), cramping pain remains inadequat…
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: Exploring a Unique Mixed Methods Design to Understand How Music Appreciation is Affected by Acquired Deafness in Adults
Exploring a Unique Mixed Methods Design to Understand How Music Appreciation is Affected by Acquired Deafness in Adults Open
This research makes an important contribution to understanding the music experiences of late-deafened adults while demonstrating that mixed methods can evolve beyond traditional approaches. Drawing on our previous systematic literature rev…
View article: Unlocking the promise of virtual care in hospitals: the Smarter Hospitals Project protocol
Unlocking the promise of virtual care in hospitals: the Smarter Hospitals Project protocol Open
View article: Re: “Skill retention and remote use: AI for personal protective equipment training, remediation and education in health care”
Re: “Skill retention and remote use: AI for personal protective equipment training, remediation and education in health care” Open
View article: Identifying Hospital Built Environment Hazards Using HART and FRAM Frameworks: A Clinical Simulation Study
Identifying Hospital Built Environment Hazards Using HART and FRAM Frameworks: A Clinical Simulation Study Open
In Situ simulations of work in health settings have been adopted to proactively identify hazards and manage risks related to the built environment (BE). In particular, video‐recorded simulations allow repeated reviews and debriefings of sc…
View article: The use of personas to involve consumers in healthcare co-design: a scoping review
The use of personas to involve consumers in healthcare co-design: a scoping review Open
The use of personas to facilitate a reflective analysis of user needs and formation of responsive actions to improve health system access is promising. Attention to the inclusion of priority populations and identification of relevant stake…
View article: 219 Co-designing emergency departments to improve care for people with mental illness
219 Co-designing emergency departments to improve care for people with mental illness Open
View article: Artificial intelligence (AI) use for personal protective equipment training, remediation, and education in health care
Artificial intelligence (AI) use for personal protective equipment training, remediation, and education in health care Open
The SXR AI-PPE platform is a comprehensive tool capable of training PPE donning/doffing by HCWs in real time with implications for reducing PPE contamination and risk of nosocomial infections.
View article: Continuous quality improvement across a South Australian health service and the role it plays in a learning health system: a qualitative study
Continuous quality improvement across a South Australian health service and the role it plays in a learning health system: a qualitative study Open
View article: Outpatient Virtual Care Among People Living With and Beyond Cancer From Culturally and Linguistically Diverse Backgrounds in Australia: A Protocol for a Realist Evaluation
Outpatient Virtual Care Among People Living With and Beyond Cancer From Culturally and Linguistically Diverse Backgrounds in Australia: A Protocol for a Realist Evaluation Open
Background Virtual care is increasingly being used to deliver outpatient cancer services, yet people from culturally and linguistically diverse (CALD) backgrounds can experience inequities in accessing these services. A range of complex an…
View article: Supporting the mental wellbeing of aged care workers: A systematic review of factors and interventions
Supporting the mental wellbeing of aged care workers: A systematic review of factors and interventions Open
Understanding system-level factors is a key to designing comprehensive improvement approaches. Our new model can help guide organizations in developing targeted strategies to promote mental wellbeing and strengthen care delivery. While ind…
View article: Resilient health care performance in the real world: fixing problems that never happened
Resilient health care performance in the real world: fixing problems that never happened Open
Background Staff in health systems everywhere have exhibited flexibility and a capacity for improvisations during, and in response to, the COVID-19 pandemic. Looking to other examples of such resilient behaviours outside of those induced b…
View article: Review article: Strategies to improve emergency department care for adults living with disability: A systematic review
Review article: Strategies to improve emergency department care for adults living with disability: A systematic review Open
Equitable access means that timely, sensitive and respectful treatment is offered to all people. Adults with disability access ED care more frequently than the general population. However, in Australia and internationally, people with disa…
View article: Unlocking the promise of virtual care in hospitals: The Smarter Hospitals Project Protocol
Unlocking the promise of virtual care in hospitals: The Smarter Hospitals Project Protocol Open
Background Integration of virtual and in person care across health systems is a priority to create and sustain healthy nations by improving access to services, along with healthcare experiences, efficiency, and outcomes. Our collaborative …
View article: Establishing a Learning Health System through the implementation of a health service wide Continuous Quality Improvement program: A qualitative evaluation
Establishing a Learning Health System through the implementation of a health service wide Continuous Quality Improvement program: A qualitative evaluation Open
Introduction Continuous quality improvement (CQI) initiatives are commonly used to enhance patient safety and quality of care. A novel South Australian Local Health Network (SALHN) Continuous Improvement Program (CIP009) has integrated a t…
View article: The Chartered Institute of Ergonomics and Human Factors at 75: perspectives on contemporary challenges and future directions for Ergonomics and Human Factors
The Chartered Institute of Ergonomics and Human Factors at 75: perspectives on contemporary challenges and future directions for Ergonomics and Human Factors Open
As the UK's Chartered Institute of Ergonomics and Human Factors (CIEHF) celebrates its 75th anniversary, it is worth reflecting on our discipline's contribution, current state, and critical future endeavours. We present the perspectives of…
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: Birang Daruganora: what do Aboriginal and Torres Strait Islander communities need in a new hospital? A qualitative study
Birang Daruganora: what do Aboriginal and Torres Strait Islander communities need in a new hospital? A qualitative study Open
Objectives To elicit the Aboriginal community’s cultural and healthcare needs and views about six prominent and emerging models of care, to inform the development of a new hospital. Design Cross-sectional qualitative study co-designed and …
View article: The (in)visibility of deafness: Identity, stigma, quality of life and the potential role of totally implantable cochlear implants
The (in)visibility of deafness: Identity, stigma, quality of life and the potential role of totally implantable cochlear implants Open
Introduction The disclosure of deafness is complex, given the historic and on‐going stigma associated with being deaf. The aim of this study was to explore how identity, stigma, and quality of life may be impacted when using cochlear impla…
View article: Bringing clarity and transparency to the consultative process underpinning the implementation of an ethics framework for AI-based healthcare applications: a qualitative study
Bringing clarity and transparency to the consultative process underpinning the implementation of an ethics framework for AI-based healthcare applications: a qualitative study Open
Artificial intelligence (AI) has been applied in healthcare to address various aspects of the COVID-19 crisis including early detection, diagnosis and treatment, and population monitoring. Despite the urgency to develop AI solutions for CO…
View article: Leading Quality and Safety on the Frontline – A Case Study of Department Leaders in Nursing Homes
Leading Quality and Safety on the Frontline – A Case Study of Department Leaders in Nursing Homes Open
Evidence from this study showed that external contextual factors (eg, legislations and finances) and internal factors (eg, relationships and expectations) are experienced as barriers and enablers when department leaders are enacting the du…
View article: Correction: Strategies to improve care for older adults who present to the emergency department: a systematic review
Correction: Strategies to improve care for older adults who present to the emergency department: a systematic review Open
View article: Improving emergency department care for adults presenting with mental illness: a systematic review of strategies and their impact on outcomes, experience, and performance
Improving emergency department care for adults presenting with mental illness: a systematic review of strategies and their impact on outcomes, experience, and performance Open
Background Care delivery for the increasing number of people presenting at hospital emergency departments (EDs) with mental illness is a challenging issue. This review aimed to synthesise the research evidence associated with strategies us…
View article: Innovative Models of Care for Hospitals of the Future
Innovative Models of Care for Hospitals of the Future Open
New ways of providing acute care outside of traditional hospital building complexes, such as virtual care or hospital in the home, are becoming more common. Despite this, many hospitals are still conceived as "bricks and mortar" centralise…
View article: Consumer and provider perceptions of the specialist unit model of care: A qualitative study
Consumer and provider perceptions of the specialist unit model of care: A qualitative study Open
Background Specialist care units cater to targeted cohorts of patients, applying evidence-based practice to people with a specific condition (e.g., dementia) or meeting other specific criteria (e.g., children). This paper aimed to collate …
View article: Strategies to improve care for older adults who present to the emergency department: a systematic review
Strategies to improve care for older adults who present to the emergency department: a systematic review Open
Background The aim of this systematic review was to examine the relationship between strategies to improve care delivery for older adults in ED and evaluation measures of patient outcomes, patient experience, staff experience, and system p…
View article: Eadem Sed Aliter. Validating an emergency department work domain analysis across three hospital configurations
Eadem Sed Aliter. Validating an emergency department work domain analysis across three hospital configurations Open
Work Domain Analysis (WDA), the foundational phase in the Cognitive Work Analysis Framework (CWA), provides a platform for understanding and designing complex systems. Though it has been used extensively, there are few applications in heal…
View article: Participatory Process Anchored in Systems Thinking for Implementing Ethics in Medical AI: A Qualitative Study
Participatory Process Anchored in Systems Thinking for Implementing Ethics in Medical AI: A Qualitative Study Open
Implementing ethics is a complex issue and should engage stakeholders. Yet, ensuring a fair, transparent, and meaningful participatory process contributes to the complexity. This qualitative study explores how to engage with stakeholders a…