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.
Closing The Evidence-practice Gap In Total Knee Replacement: Optimising Evidence-based Decision-making Through A Multi-dimensional Surgeon Feedback Intervention
Funder
National Health and Medical Research Council
Funding Amount
$1,091,926.00
Summary
Total knee replacement (TKR) is one of the most successful surgeries for treating knee arthritis. With an ageing population demand for TKR will increase dramatically, placing burden on our health system. It is estimated that 25% of TKRs are performed in inappropriate candidates according to evidence-based guidelines. This project evaluates a program for surgeons that will improve adherence to using guidelines, which will improve efficiencies & equitability of this important surgical procedure.
Changing Decision-making Behaviour In General Practice By Providing Access To Online Evidence.
Funder
National Health and Medical Research Council
Funding Amount
$206,375.00
Summary
The case for a shift to evidence-based practice, and the substantial economic and health outcome benefits of that shift, have been repeatedly made. Despite the vision, significant barriers to evidence-based practice remain, and the demonstration of a positive role for on-line systems would result in a significant change in strategies for clinician behaviour change. This study will make a specific and significant contribution to our understanding of the efficacy and effectiveness of online eviden ....The case for a shift to evidence-based practice, and the substantial economic and health outcome benefits of that shift, have been repeatedly made. Despite the vision, significant barriers to evidence-based practice remain, and the demonstration of a positive role for on-line systems would result in a significant change in strategies for clinician behaviour change. This study will make a specific and significant contribution to our understanding of the efficacy and effectiveness of online evidence retrieval systems as a component in any evidence-based strategy, through a rigorous and controlled approach to the study of clinical behaviour change. It will also provide a powerful test of the value of search filters as a specific technology in support of evidence retrieval. The focus on prescribing patterns in NHMRC priority areas as an outcome measure will also provide a significant data set reflecting current practice in primary care.Read moreRead less
Developing group-based elicitation methods to improve decision making. This project aims to develop an elicitation methodology enabling multiple members of a team to contribute to the same technical problem - enabling expertise to be accurately combined while avoiding group and individual sources of bias. Good elicitation methods minimise bias in estimates and forecasts - which otherwise erode value and lead to sub-optimal decision making. Existing methods, however, ignore group structures; that ....Developing group-based elicitation methods to improve decision making. This project aims to develop an elicitation methodology enabling multiple members of a team to contribute to the same technical problem - enabling expertise to be accurately combined while avoiding group and individual sources of bias. Good elicitation methods minimise bias in estimates and forecasts - which otherwise erode value and lead to sub-optimal decision making. Existing methods, however, ignore group structures; that is that decisions made by, or on, the advice of teams have different characteristics than individual decisions and often preclude the use of methods designed to limit individuals' biases. By encoding the method into a computerised tool the project will assist public and private sector enterprises to improve group decision making.Read moreRead less
Managing knowledge in telehealth projects: creating better solutions and improving patient care. Telehealth is the use of information and communication technologies for the delivery of healthcare and medical education across a distance. This project will propose more effective ways to support telehealth initiatives by managing the knowledge and expertise that is an integral part of such projects, resulting in improved outcomes.
Developing And Measuring Palliative Care Decision Making Skill
Funder
National Health and Medical Research Council
Funding Amount
$137,000.00
Summary
Relationships and communication skills that health professionals develop with patients are critical to patient involvement in decision making. This project will build on previous decision making research and the development of palliative care education for undergraduate students. The key components of successful decision making skills will be investigated and an education program and skill measures for undergraduate and postgraduate health professional students will be developed and pilot tested ....Relationships and communication skills that health professionals develop with patients are critical to patient involvement in decision making. This project will build on previous decision making research and the development of palliative care education for undergraduate students. The key components of successful decision making skills will be investigated and an education program and skill measures for undergraduate and postgraduate health professional students will be developed and pilot tested.Read moreRead less
The mathematics and language of engineering uncertainty, preference and utility. Australian engineering firms are principals in many high-profile projects. To defend their position, they must demonstrate both sound engineering and quality processes, which by international standards includes the traceability of decisions. Yet, there are few tools to vet the multitude of decisions that go into large-scale engineering works. This project aims to form mathematical models of decision-making based on ....The mathematics and language of engineering uncertainty, preference and utility. Australian engineering firms are principals in many high-profile projects. To defend their position, they must demonstrate both sound engineering and quality processes, which by international standards includes the traceability of decisions. Yet, there are few tools to vet the multitude of decisions that go into large-scale engineering works. This project aims to form mathematical models of decision-making based on the language modelling of what is written in engineering documentation about the bases of decisions. The new methods will help decision makers to pinpoint irrationalities in decisions and notify them of possible errors. The research can therefore be applied to important problems in the engineering sector such as risk management.Read moreRead less
Methodology for assessing the vulnerability of multimodal transport networks and developing remedial measures to safeguard network performance. When transport networks fail, the effects on people and the economy can be devastating. The consequences for Hobart of the 1975 Tasman Bridge collapse provide a prime example. Failure may also result from extreme weather and natural disasters, traffic congestion and incidents, commercial failure, human error, or malevolence (such as sabotage). This proje ....Methodology for assessing the vulnerability of multimodal transport networks and developing remedial measures to safeguard network performance. When transport networks fail, the effects on people and the economy can be devastating. The consequences for Hobart of the 1975 Tasman Bridge collapse provide a prime example. Failure may also result from extreme weather and natural disasters, traffic congestion and incidents, commercial failure, human error, or malevolence (such as sabotage). This project will develop a methodology for auditing a transport network to identify where infrastructure failure will have the worst consequences for movement of people and goods. The research will provide tools for planners to determine critical network locations, and devise strategies and remedial measures to safeguard network performance.Read moreRead less