The Effectiveness Of A Clinical Practice Change Intervention In Increasing, On A Health Service Wide Basis, Community Health Clinician Adherence To Preventive Care Guidelines.
Funder
National Health and Medical Research Council
Funding Amount
$612,290.00
Summary
The delivery of preventive care that aims to decrease smoking, risky alcohol use, physical inactivity and inadequate fruit and vegetable consumption is less than optimal in community health services. The study examines the effectiveness of an intervention in increasing the delivery of such across an area health service. The findings will demonstrate the ability of community health clinicians to routinely provide preventive care, and hence improve the health of the community.
The OPTIMISE Project: Collaborative Improvement Of Primary Health Care Delivery To The Australian Refugee Community
Funder
National Health and Medical Research Council
Funding Amount
$1,022,303.00
Summary
Identifying and addressing the health needs of refugees arriving in Australia can be difficult amidst current primary care system limitations. Our team will build the capacity of frontline health services for providing comprehensive, evidence-based care to this vulnerable community, while addressing system gaps in health service access and coordination. Our framework for effective, practical and sustainable primary health care delivery will improve health outcomes for refugees nationally.
FitSkills: A Community-university Partnership To Increase Participation In Exercise Among Youth With Disability
Funder
National Health and Medical Research Council
Funding Amount
$857,941.00
Summary
Youth with disability have poorer health and are more socially isolated that their typically developing peers. Participation in exercise can improve their health and social connectedness. FitSkills is an evidence-based program that matches a young person with disability with a mentor and the pair exercise together at their local gymnasium. This research translation project will implement FitSkills as an on-going community-university partnership.
Transforming Nursing Assessment In Acute Hospitals: A Cluster Randomised Controlled Trial Of An Evidence-based Core Assessment Protocol (the ENCORE Trial)
Funder
National Health and Medical Research Council
Funding Amount
$1,069,268.00
Summary
Patients in acute care hospital are increasingly dependent on effective nursing surveillance for early detection of decline in clinical stability. But to meet the imperatives of the safety and quality agenda hospitals are universally moving towards systems that track physiological decline and trigger emergency response. This research will study the effectiveness of an intervention that supports nurses’ patient surveillance practices to achieve reduction in the events of clinical deterioration.
A Practice Change Intervention To Increase The Provision Of Antenatal Care Addressing Maternal Alcohol Consumption During Pregnancy: A Stepped-wedge Trial
Funder
National Health and Medical Research Council
Funding Amount
$766,349.00
Summary
Alcohol consumption during pregnancy contributes to a range of adverse outcomes for the child. Despite guidelines recommending no alcohol use in pregnancy, less than half of all health professionals routinely raise the topic with pregnant women and pregnant women continue to consume alcohol. This study aims to determine if a practice change intervention can increase best-practice care for alcohol consumption in pregnancy.
HARMONY: A Cluster Randomised Controlled Trial Of A Whole Of General Practice Intervention To Prevent And Reduce Domestic Violence Among Migrant And Refugee Communities
Funder
National Health and Medical Research Council
Funding Amount
$595,289.00
Summary
Migrant and refugee victims of domestic violence (DV) are at grave risk of harm and murder and under-identified in primary care. The Harmony partnership builds on evidence-based models of DV response, to trial an innovative intervention of culturally competent and safe care in general practices with significant numbers of migrant patients. Harmony will result in data platforms that enhance assessment and care plans for DV victims, and safer outcomes for those from vulnerable populations.
Whiplash injury incurs a huge health burden on Australia as many people do not recover well. This project aims to implement and evaluate a Clinical Pathway of Care for whiplash injury that guides primary care providers in their assessment and treatment of people with acute whiplash. This will improve health ouctomes and recovery following the injury.
An Intervention To Improve The Detection And Management Of Familial Hypercholesterolaemia In Primary Care
Funder
National Health and Medical Research Council
Funding Amount
$518,588.00
Summary
Familial hypercholesterolaemia (FH) is an inherited condition affecting 45,000 Australians, with 10% diagnosed. FH has been managed mainly through hospital clinics with the majority under-treated despite effective primary care treatment being available. The application integrates specialist and primary care management with data fed into the new national FH registry. It is a partnership between 7 Universities and 5 States: service providers; community organisations; policy managers and industry.
Prioritising Responses Of Nurses To Deteriorating Patient Observations (PRONTO)
Funder
National Health and Medical Research Council
Funding Amount
$459,688.00
Summary
Vital signs are the most common assessment technique employed in healthcare. If vital signs of deterioration are missed, misinterpreted or mismanaged, then patient harm and death may result. Early detection requires frequent and accurate measurement of vital signs by nurses, intervention and escalation to appropriate clinicians. This study will measure the effectiveness of an intervention to improve nurses vital sign measurement, treatment and escalation of patients with abnormal vital signs.
Optimising Computerised Decision Support To Transform Medication Safety And Reduce Prescriber Burden
Funder
National Health and Medical Research Council
Funding Amount
$325,546.00
Summary
As medication management in Australian hospitals shifts from paper to electronic formats, organisations are faced with a difficult decision: should drug-drug interaction (DDI) alerts be turned on and if so, which alerts? In this study, we propose a highly innovative approach to assess DDI alerts, which combines a robust evaluation of error rates with a human factors evaluation of alerts.