Research Week Abstract Book - Northern Health

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Orthopaedics EVALUATion of A PersPEX PosiTioninG DEVICE on POST OPERATIVE imaGING followinG TOTAL Knee rePLACemenT (TKR) McLeod-Mills L, Hammond N, Dunn S and Hau RC Background Post-operative imaging is important in the evaluation of the success of a total knee replacement (TKR). The Orthopaedic surgeon uses post-operative imaging to assess sizing and sagittal and coronal alignments of the prosthesis. Poor radiographic technique can hinder this evaluation and in some cases patients require additional imaging prior to discharge which has resource and cost implications. This is a combined Radiology and Orthopaedic quality assurance project. Aim The aim of this project is to evaluate the effect of a new positioning device on the quality of immediate post-operative imaging of patients who have undergone a TKR. Methodology In January 2012 the Radiology department introduced a new positioning device. The device allows radiographers to obtain required images without repositioning the patient between views and provides improved patient comfort. Improved positioning and patient comfort in combination with a simple marking technique allows radiographers to make small changes to correct rotation or tilt. Two senior radiographers reviewed the immediate post-operative examinations performed on patients who underwent TKR at The Northern Hospital between July 2011 and June 2012. The images were categorised as good, acceptable and requires re-imaging. Results A total of 69 examinations prior to the introduction of the new device and 46 examinations following the introduction were reviewed. Prior to the introduction of the device 74% (51) anterior-posterior (AP) images and 88% (60) lateral images were rated as good-acceptable. These results increased to 87% (40) for AP images and 96% (44) for lateral images following the introduction of the new device. Conclusion The introduction of the new positioning device has resulted in an overall improvement in the quality of the post-operative imaging following TKR. 56 Research Week Abstract Book Northern Health 2013
Orthopaedics ORTHOPAEDICS THEATre START Time AUDIT (ORThoPAEDIC uniT QUALITY PROJECT) Easton J, McLeod-Mills L and Hau RC Background Delays in the commencement of first cases in The Northern Hospital (TNH) Orthopaedic theatre lists have been noted. These delays can lead to the cancellation of cases requiring rescheduling or reduced access for opportunistic emergency cases, which have patient care and cost implications. Aim The aim of the theatre start time audit was to investigate start time of the first case on Orthopaedic lists and identify delays in the patient journey from arrival in Day Procedure Unit (DPU) to knife-to-skin time. Methodology Scheduled Orthopaedic lists from 21/11/11 to 16/12/11 were reviewed. A total of 30 lists out of a possible 66 (45%) were reviewed. The first case on each list was audited and a range of time points between patient arrival and operative start time were recorded. Results The earliest knife-to-skin time occurred 16 minutes after scheduled list start time, the latest was 70 minutes and on average the delay was 35 minutes. On average patients arrived in the anaesthetic bay 4 minutes prior to start time with an average of 40 minutes from this point to surgery commencing. The most efficient patient journey from the patient’s arrival in a DPU cubicle to knife-to-skin time was 30 minutes and the maximum journey measured was 160 minutes. Conclusion Delays in start time of the first cases in Orthopaedic lists were common. Routine recording of time points for the first case in a list and reasons for delay would allow planning and changes to systems and staffing in order to increase productivity of theatres. 57
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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 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: Orthopaedics ORTHOPAEDICS RETURNING
Page 62: Broadmeadows Health Service 35 John
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