Research Week Abstract Book - Northern Health

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Chronic Disease Management YOU CAN DO IT TOO! THE DEVELOPMENT OF A SATELLITE MOTor NEURONE Disease CliniC IN MELBOURNE Howe J 1 , Bennett R 2 , Jeffress S 2 , Lamont R 2 , Mills P 2 , Ng K 2 . 1 Calvary Health Care Bethlehem 2 Home and Community Care (HACC) Allied Health Team, Bundoora Extended Care Centre, Northern Health Background Patients with Motor Neurone Disease (MND) faced difficulties in receiving coordinated care in the northern suburbs of Melbourne. Thus a multidisciplinary satellite MND clinic was set up in 2005 as a joint venture between Calvary Health Care Bethlehem, Bundoora Extended Care Centre, the Victorian Respiratory Support Service and the Motor Neurone Disease Association of Victoria. Aim To determine if a multidisciplinary satellite MND clinic is a positive model of care and if the quality of services meet the needs of patients with MND and their carers. Methodology An exploratory study of an existing service was conducted. Data of patients with MND who attended the satellite MND clinic was analysed between 2008 and 2011. Data included total patients seen, interventions provided, number of allied health encounters and phenotypes of MND. A satisfaction survey with implied consent stated at the cover sheet was also completed to look at patient satisfaction of services provided. Results Phenotype data indicated that the clinic services a normal MND population. From 2009 to 2011, over 58% of patients had involvement from four or more allied health disciplines (N=84). Results from the satisfaction survey indicated 88% of current patients (N=12) had a high level of satisfaction of services received. Conclusion This multidisciplinary clinic demonstrates a positive model of care. There is a high level of patient satisfaction with this model of care in the management of MND. A similar clinic in Geelong is now in development, you can do it too! 20 Research Week Abstract Book Northern Health 2013
Chronic Disease Management APProPriaTE OR NOT? A SURVEY OF ANTIMICrobial PresCribinG AT THE NORThern HOSPITal Chhanabhai A 1 , Hume S 2 , Jeremiah C 2 , Yeung L 1 . 1 Pharmacy Department, Northern Health CHROnIC DISEASE Management 2 Department of Medicine, Northern Health Background Antimicrobial resistance is a growing problem globally, and is compounded by a lack of new antimicrobials in the drug development pipeline. There is good evidence that regional antimicrobial resistance rates correlate with corresponding regional antimicrobial consumption. Up to 50% of antimicrobials used in hospitals in Australia and overseas are considered inappropriate and are associated with adverse patient outcomes, while also driving resistance. Aim To conduct a baseline survey of antimicrobial prescribing trends at The Northern Hospital (TNH) and identify areas that could be targeted for quality improvement through Northern Health’s antimicrobial stewardship program. Methodology Two teams, each consisting of an infectious diseases physician and a pharmacist, reviewed the charts of randomly selected inpatients throughout TNH. When the patient was prescribed an antimicrobial, the team reviewed the patient’s notes and pathology investigations and assessed the appropriateness of the antimicrobial. Where possible, the Australian Therapeutic Guidelines: Antibiotic Version 14 was used as the reference standard. Results Thirty of 80 (37.5%) patients surveyed were on at least one antimicrobial. The indication for the antimicrobial was documented in 24 (80%) patients. In thirteen patients (43.3%), the prescribed antimicrobial was considered inappropriate. Categories of inappropriate antimicrobial prescribing included: antimicrobials not indicated, inappropriately broad-spectrum antimicrobials and extension of surgical prophylaxis beyond 24 hours. Conclusion The results show there are a number of areas in which the prescribing of antimicrobials can be improved to optimise patient outcomes while minimising unintended consequences of antimicrobial use. These areas will provide targets for future antimicrobial stewardship activities within the hospital. 21
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Page 5 and 6: Introduction Health Literacy And Cl
Page 7 and 8: Introduction cont’d IntRODUCTION
Page 9 and 10: Event Schedule cont’d event sched
Page 11 and 12: ABSTRACTS Abstracts 9
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Page 21: Chronic Disease Management A SYSTEM
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Page 27 and 28: CHROnIC DISEASE Management 25
Page 29 and 30: Haematology HaematOLOGY THE IMPleme
Page 31 and 32: Haematology HaematOLOGY HIGH-DOSE M
Page 33 and 34: Haematology HaematOLOGY Intermitten
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Page 37 and 38: Women’s Health and Paediatrics MU
Page 39 and 40: Women’s Health and Paediatrics TH
Page 41 and 42: Women’s Health and Paediatrics IM
Page 43 and 44: Women’s Health and Paediatrics SA
Page 45 and 46: Health Service Evaluation ESTablish
Page 47 and 48: Health Service Evaluation EValuaTIN
Page 49 and 50: Health Service Evaluation INNOVATIV
Page 51 and 52: Health Service Evaluation EMERGENCY
Page 53 and 54: Health Service Evaluation Northern
Page 55 and 56: Orthopaedics ORTHOPAEDICS DisTAL RA
Page 57 and 58: Orthopaedics ORTHOPAEDICS RETURNING
Page 59 and 60: Orthopaedics ORTHOPAEDICS THEATre S
Page 62: Broadmeadows Health Service 35 John

Research Week Abstract Book - Northern Health

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