Research Week Abstract Book - Northern Health

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Chronic Disease Management PRESCRIBING EVIDENCE-baseD MEDICINE IN HEART FAILURE: A PhysiCian- TARGETED INTERVENTION Chua C, Hutchinson A, Tacey M, Lim K, Aboltins C. Background Exacerbation of heart failure is a major cause of hospitalisation and readmissions worldwide. Despite strong evidence recommending the use of beta-blockers and angiotensin-converting enzyme inhibitors (ACEi) or angiotensin receptor blockers (ARB) in chronic heart failure management, these medications have been under-utilised. Aim To evaluate the effectiveness of a quality improvement initiative targeted at physicians on prescription of beta-blockers and ACEi/ARB for heart failure management in a hospital setting. Methodology A prospective audit of medical records was conducted at The <strong>Northern</strong> Hospital between January 2009 and April 2012. Data regarding the use of beta-blockers and ACEi/ARB were randomly collected from approximately 10% of patients discharged every month from each general medical and aged care unit with a primary diagnosis of heart failure. A two-staged intervention was carried out. From November 2009 to December 2010, a heart failure management protocol was established and presented during Grand Rounds and junior doctor education sessions. The second stage commenced in February 2011 and consist of three-monthly feedback meetings for each participating medical unit. Results A significant rise in the prescription rates for both beta-blockers (p=0.014) and ACEi/ARB (p=0.002) was identified in the first six months. However no further significant changes were seen during the remaining period of the initial intervention. The second stage of the intervention resulted in a significant upward trend for ACEi/ARB prescription rates (p
Chronic Disease Management INTRODUCTION OF A MULTIDisCIPlinary KNEE OSTEOARTHRITIS (oa) GrouP ProGRAM IN COMMUNITY THERAPY SERVICes (CTS) TO IMProVE PATIENT ACCess TO CONSERVATIVE MANAGemenT, SELF-rePorTED UNDersTANDinG TO SELF-MANAGE, FUNCTIONAL MOBILITY AND QualiTY OF LIFE (QOL) AT broaDmeaDOWS HEALTH SERVICE (bhs). CHROnIC DISEASE Management Koh KWZ, & Stillman M. Background Patients referred to BHS CTS with knee OA were categorised as a low priority contributing to significant time waiting for conservative management. As a result they were unable to access therapy prior to their follow up specialist appointments. Aim To improve patient access to physiotherapy, knowledge in self-management, functional outcomes and quality of life (QoL) through the introduction of a multidisciplinary knee OA group program. Methods Patients from the CTS BHS waitlist consented to a knee OA group program during 2012. The group ran once a week over 4 weeks and included education and exercise. Education sessions included information on OA, activities of daily living, exercise, weight management and supplements. Exercise included tailored strength, balance and flexibility exercises. Outcomes included waiting time, patient survey on self-management, 6-minute walk test (6MWT) and Knee Osteoarthritis Outcome Score (KOOS). Results Twenty patients joined the program resulting in decreasing the waiting time from 12 months in 2011 to 4 weeks by the end of 2012. A Wilcoxon signed-ranked test showed statistically significant improvements in patients’ understanding of selfmanagement (n=9, p=0.015). There was no significant difference in 6MWT. Only sports/recreation (n=8, p=0.011) and QoL (n=8, p=0.026) in KOOS showed statistical significance. Conclusion A multidisciplinary knee OA group program greatly improves patients’ access to conservative management. Results suggest improvements in patients’ understanding to self-manage, as well as QoL and sports/recreation domains of KOOS. Further studies should address the high drop-outs rates, assess long-term effect and compare findings to non-group conservative management. 23
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Page 7 and 8: Introduction cont’d IntRODUCTION
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Page 29 and 30: Haematology HaematOLOGY THE IMPleme
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Page 37 and 38: Women’s Health and Paediatrics MU
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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
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