Research Week Abstract Book - Northern Health

More documents

Recommendations

Info

Health Service Evaluation EFFECTS OF HOSPITAL ACQuireD CONDITIONS ON LENGTH OF STay FOR DiabeTIC PATIENTS Cromarty J, Parikh S, Lim WK, Jackson TJ. Background Inpatients with diabetes are known to have longer lengths of stay (LOS) when hospitalized. Understanding differences in the rates and patterns of hospital acquired conditions between diabetes and similarly-complex patient sub-populations may reveal preventative measures to improve patient welfare and minimise length of stay. Aim To evaluate the rate of hospital acquired conditions amongst diabetic and non-diabetic patients, to characterise differences in the type of complications these patients are most at risk of developing, and any effects on length of stay. Methodology 47615 admission episodes from The Northern Hospital database (1 July 2011 to 30 June 2012) were reviewed in this study. These episodes were divided into four groups: 1) patients with no recorded diabetes (n=45299), 2) patients with a diagnosis of diabetes without end-organ complications (n=356), 3) patients with a diagnosis of diabetes with end-organ complications (n=1775), and 4) a subset of Group 1 non-diabetic patients with a Charlson co-morbidity score ≥1 (n=9255). Hospital acquired conditions were defined using the Classification of Hospital Acquired Diagnoses (CHADx). Linear regression was used to analyse the impact of group membership and the number of CHADx, on length of stay. Results Almost 30% of all admissions of diabetic patients with end-organ complications had at least one hospital acquired condition, compared to only 13% for all non-diabetic patients and 17.6% for the subgroup of non-diabetic patients with a Charlson comorbidity score ≥1. While the types of hospital-acquired conditions in diabetic patients with end-organ complications were similar to their non-diabetic counterparts, their rates were consistently higher than the rates of similarly complex non-diabetic patients. The younger non-diabetes and diabetes with no end-organ complications groups had intermediate rates of these conditions. Linear regression demonstrated that diabetes patients with end-organ damage stay longer than other patients, and that each complication in a diabetes episode has a larger effect on LOS. Conclusion We demonstrate that increased infection rates and delayed wound healing are not the only conditions leading to excess length of stay. These findings may provide a foundation for future clinical and cost-effectiveness studies of preventative practices for this high-risk patient population 46 Research Week Abstract Book Northern Health 2013
Health Service Evaluation INNOVATIVE PODIATRY STUDenT PlaCemenTS AT NORTHERN HEALTH Health SERVICE EVALUAtion Grollo A, Morphet A, Gazarek J. Background Tertiary institution processes have recently changed with student enrolments increasing, placing new demands on placements within the healthcare setting. In response to changing university curriculum and in line with Victorian Department of Health, Clinical Placement Networks and Health Workforce Australia, Northern Health (NH) Podiatry department identified a unique opportunity in provision of clinical placement education. NH developed an innovative approach to the management and delivery of podiatry student clinical placements to ultimately increase capacity. Aim To ensure provision of high quality, evidence based and safe student clinical education whilst supporting clinicians and students. Methodology To address increasing placement demands and a decrease in students being graduate-ready when on placement; NH created a Podiatry Clinical Educator (CE) position. This role involved a gap analysis and facilitation of developments including: augmenting 2:1 model of supervision; integrating simulation into traditional clinical education; evidence based tutorials and support provision to podiatrists and students. Pre and post introduction of the CE position qualitative data was collated via surveys. Results Evaluation findings of student (N = 8) and podiatrist (N = 9) perspectives in areas including confidence, communication, support, supervision and placement experience show high podiatrist and student satisfaction. Conclusion The addition of a Podiatry CE position and great team communication; strategies implemented allow consistent provision of high quality, evidence based student clinical placements, where students develop skills whilst working in a well supported clinical environment. 47
Page 1 and 2: 2013 Research Week Abstract Book Br
Page 3 and 4: contents appointments contents at L
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
Page 13 and 14: Aged Care Aged Care Does physiother
Page 15 and 16: Aged Care Aged Care A COMParison OF
Page 17 and 18: Aged Care Aged Care FALLS TRENDS WI
Page 19 and 20: Aged Care 17
Page 21 and 22: Chronic Disease Management A SYSTEM
Page 23 and 24: Chronic Disease Management APProPri
Page 25 and 26: Chronic Disease Management INTRODUC
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
Page 35 and 36: HaematOLOGY 33
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: Health Service Evaluation EValuaTIN
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

Create successful ePaper yourself

Delete template?

Save as template?