Developing Australia's first statewide trauma registry : What are the lessons?
- Authors: Cameron, Peter , Finch, Caroline , Gabbe, Belinda , Collins, Lisa , Smith, Karen , McNeil, John
- Date: 2004
- Type: Text , Journal article
- Relation: ANZ Journal of Surgery Vol. 74, no. 6 (2004), p. 424-428
- Full Text: false
- Reviewed:
- Description: Trauma registries, like disease registries, provide an important analysis tool to assess the management of patient care. Trauma registries are well established and relatively common in the USA and have been used to change legislation, promote trauma prevention and to evaluate trauma system effectiveness. In Australia, the first truly statewide trauma registry was established in Victoria in 2001 with an estimated capture of 1700 major trauma cases annually. The Victorian State Trauma Registry, managed by the Victorian State Trauma Outcomes Registry and Monitoring (VSTORM) group, was established in response to a ministerial review of trauma and emergency services undertaken in 1997 to advise the Victorian Government on a best practice model of trauma service provision that was responsive to the particular needs of critically ill trauma patients. This taskforce recommended the establishment of a new system of care for major trauma patients in Victoria and a statewide trauma registry to monitor this new system. The development of the Victorian state trauma registry has shown that there are certain issues that must be resolved for successful implementation of any system-wide registry. This paper describes the issues faced by VSTORM in developing, implementing and maintaining a statewide trauma registry.
- Description: 2003005108
The Trauma Registry as a statewide quality improvement tool
- Authors: Cameron, Peter , Gabbe, Belinda , McNeil, John , Finch, Caroline , Smith, Karen , Cooper, James , Judson, Rodney , Kossmann, Thomas
- Date: 2005
- Type: Text , Journal article
- Relation: The Journal of Trauma Vol. 59, no. 6 (2005), p. 1469-1476
- Full Text: false
- Reviewed:
- Description: Background: Trauma registries have been developed to describe the pattern of trauma and trauma workload, provide data for research, and to demonstrate changes in patient outcomes. Quality improvement using trauma registries at a systemwide level has been difficult to achieve. In Victoria, Australia, a statewide trauma system and trauma registry has been established to monitor and feedback the process of management and outcomes of major trauma patients across all healthcare providers. Methods: The development and implementation of the Victorian State Trauma Registry (VSTR), including its role as a quality monitoring tool and results from the first 2 years of operation, are provided. Results: More than 80% of major trauma patients are being managed at major trauma services and standardized death rates are comparable with international standards. Quality indicators identify some areas for improvement. Conclusion: VSTR data indicate that the statewide trauma system is working well and provides a method for ongoing monitoring and trauma care feedback. (C) 2005 Lippincott Williams & Wilkins, Inc.
Effect of a mass media campaign on ambulance use for chest pain
- Authors: Nehme, Zlad , Cameron, Peter , Akram, Muhammad , Patsamanis, Harry , Bray, Janet , Meredith, Ian , Smith, Karen
- Date: 2017
- Type: Text , Journal article
- Relation: Medical Journal of Australia Vol. 206, no. 1 (2017), p. 30-35
- Full Text: false
- Reviewed:
- Description: Objectives: To evaluate the impact of comprehensive public awareness campaigns by the National Heart Foundation of Australia on emergency medical service (EMS) use by people with chest pain. Design, setting and participants: A retrospective analysis of 253 428 emergency ambulance attendances for non-traumatic chest pain in Melbourne, January 2008 e December 2013. Time series analyses, adjusted for underlying trend and seasonal effects, assessed the impact of mass media campaigns on EMS use. Main outcome measure: Monthly ambulance attendances. Results: The median number of monthly ambulance attendances for chest pain was 3609 (IQR, 3011e3891), but was higher in campaign months than in non-campaign months (3880 v 3234, P < 0.001). After adjustments, campaign activity was associated with a 10.7% increase (95% CI, 6.5e14.9%; P < 0.001) in monthly ambulance use for chest pain, and a 15.4% increase (95% CI, 10.1e20.9%; P < 0.001) when the two-month lag periods were included. Clinical presentations for suspected acute coronary syndromes, as determined by paramedics, increased by 11.3% (95% CI, 6.9e15.9%; P < 0.001) during campaigns. Although the number of patients transported to hospital by ambulance increased by 10.0% (95% CI, 6.1e14.2%; P < 0.001) during campaign months, the number of patients not transported to hospital also increased, by 13.9% (95% CI, 8.3e19.8%; P < 0.001). Conclusion: A public awareness campaign about responding to prodromal acute myocardial infarction symptoms was associated with an increase in EMS use by people with chest pain and suspected acute coronary syndromes. Campaign activity may also lead to increased EMS use in low risk populations. © 2017 AMPCo Pty Ltd. Produced with Elsevier B.V. All rights reserved.
An introduction to the future
- Authors: Yeoman, Ian , Robertson, Martin , McMahon-Beattie, Una , Backer, Elisa , Smith, Karen
- Date: 2015
- Type: Text , Book chapter
- Relation: The future of events and festivals Introduction p. 3-9
- Full Text: false
- Reviewed:
- Description: What is the present state of events and festivals research? The growth of the events industry and the provision of events, in all its many forms, is documented often, and by many. However, there has been far less said about the growth of its content, of its research base and the progress of this research in the future. Lockstone- Binney, Robertson and Junek (2013: 176) comment that core areas of event management knowledge will ‘need to be rebalanced with new knowledge areas to ensure that the events industry is ready to adapt to global competition, the rapidly changing business environment and possible global crisis’. For some time, Professor Don Getz has charted the evolution of events as an area of study and research, its capacity to progress in new directions, and the opportunity to create new discourses (Getz, 2007, 2008, 2012). He suggests events can be considered as an area of study, and that it can develop with – as well as go beyond – the management disciplines, and, accordingly, build interdisciplinary theory. Currently, while there are many researchers representing an array of disciplines involved in the discussion of festivals and events, they rarely work together. "From introduction"
The future of events and festivals
- Authors: Yeoman, Ian , Robertson, Martin , McMahon-Beattie, Una , Backer, Elisa , Smith, Karen
- Date: 2015
- Type: Text , Book
- Relation: Routledge Advances in Event Research Series
- Full Text: false
- Reviewed:
Impacts of coal mine fire-related PM2.5 on the utilisation of ambulance and hospital services for mental health conditions
- Authors: Carroll, Matthew , Gao, Caroline , Campbell, Timothy , Smith, Catherine , Dimitriadis, Christina , Berger, Emily , Maybery, Darryl , Ikin, Jillian , Abramson, Michael , Sim, Malcolm , McFarlane, Alexander , Smith, Karen , Guo, Yuming
- Date: 2022
- Type: Text , Journal article
- Relation: Atmospheric Pollution Research Vol. 13, no. 5 (2022), p.
- Full Text: false
- Reviewed:
- Description: Climate change and an increase in the number of major fire events occurring around the world have drawn attention to the importance of understanding the association between air pollution events and mental health. In 2014, the Morwell open-cut brown coal mine adjacent to the Hazelwood power station in the Latrobe Valley region of Victoria, Australia, caught fire as a result of nearby wildfires, and exposed the local community to a prolonged period of deteriorated air quality. The aim of this study was to examine how exposure to coal mine fire-related fine particulate matter (PM2.5) during the event affected the utilisation of local health services (ambulance attendances; emergency department (ED) presentations; hospital admissions) for mental health conditions. A time-series analysis indicated that mine fire-related PM2.5 exposure was associated with short-term increases in ambulance attendances and ED presentations but not hospital admissions. To allow for delays between exposure and changes in service utilisation, different lag periods were assessed. The most prominent effects were observed over a 5-day lag period where, for each 10 μg/m3 increase in daily mean mine fire-related PM2.5, the risk of an ambulance attendance for anxiety increased by 38% (95%CI: 13%–69%) and the risk of an ED presentation for depression increased by 36% (95%CI: 3%–79%). Accordingly, ambulance and hospital services should expect to encounter an increase in the number of people seeking assistance for mental health conditions during extreme air pollution events and mechanisms need to be in place to ensure that surges in demand for mental health care during these circumstances can be accommodated. © 2022 Turkish National Committee for Air Pollution Research and Control