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Optimizing and Standardizing ACS Patient Pathways Canterbury and the New Zealand Healthcare System
ACHIEVING MEASURABLY BETTER HEALTHCARE PERFORMANCE Optimizing and Standardizing ACS Patient Pathways Canterbury and the New Zealand Healthcare System Patients with chest pain (or other symptoms of a heart attack) are one of the most common patient groups presenting to the Emergency Department (ED). Traditionally, 90% of these patients would be admitted to the ED, exposing many patients to unnecessary risk through invasive testing and representing a large burden to the health system. An integrated clinical team at the Canterbury District Health Board (CDHB) recognized that the problem could be solved via use of an Accelerated Diagnostics Pathway (ADP) that enabled the safe early rule out of Acute Myocardial Infarction (AMI). Research partners and collaborations in accordance with the ICARE-ACS initiative led to expansive analytics and outcomes data in this area including application of evidence-based, safe, accelerated diagnostic pathways for rapid discharge of low-risk patients presenting to the ED with suspected Acute Coronary Syndrome (ACS). Identification of ‘low-risk’ patients using TIMI risk profiles and cardiac biomarkers measured on admission enabled discharge protocols that maximized patient safety while admitting high-risk patients in need of further care. Iterative improvements were observed year over year following adoption of the EDACS risk score and using more sensitive cardiac biomarkers. While maximum discharge rates can be observed with ADP processes leveraging high sensitivity troponin, safe discharge is also possible using point of care. Implementation of these ADP pathways have positively impacted Key Performance Indictors (KPIs) throughout the Canterbury Health System including median length of stay, number of patients transported to central hospitals, cost of prolonged stays and cost of transports, patient satisfaction, and increased clinician confidence. -
Doing It for the Kids!
JUNE / JULY 2019 JUNE / JULY tidings 2018 DECEMBER/JANUARY Doing it for the kids! Meet Radio Lollipop's Glenice Sanders Rose-Pruning Advice COMPUTER TIPS Australia's Biggest Morning Tea Success INSIDE THIS ISSUE CEO’S COLUMN | GENERAL NEWS | WHAT’S COMING UP | NOTICES 26 Plantation Drive Bentley WA 6102 Phone: (08) 6250 0000 Fax: (08) 9470 2017 www.swancare.com.au facebook.com/swancare Johanna de Graaf 102 years young - See Page 22 twitter.com/swancare Tidings Magazine is a bi-monthly publication produced and printed on behalf of the residents at SwanCare. Material deadline for advertising is the 7th of the month preceding each bi-monthly edition. To book advertising or for SwanCare development update - See Page 6 information regarding rates please contact SwanCare on 6250 0032. Please supply editorial contributions as a Word document electronically CEO’S COLUMN to [email protected]. Hard copies of articles can be handed to 4 From Graham Francis reception in the main Administration offices at Bentley Park and Australind Rise Any supporting photographs may SWANCARE HAPPENINGS be supplied electronically or as 4 Reports straight from hard-copy prints. SwanCare to you Disclaimer In good faith SwanCare accepts articles, a small selection of AUSTRALIND SNIPPETS advertisements, and other content A mammoth Biggest Morning for Tidings. However, the opinions 8 Tea success and claims expressed in articles and advertising materials presented in Tidings are those of the authors and the advertisers respectively, VILLAGE HAPPENINGS and do not necessarily reflect the views of SwanCare, unless stated. 9 Happenings close to home No responsibility is accepted by SwanCare for the accuracy of information contained in the articles or advertisements. -
BMJ Open Is Committed to Open Peer Review. As Part of This Commitment We Make the Peer Review History of Every Article We Publish Publicly Available
BMJ Open: first published as 10.1136/bmjopen-2018-025253 on 5 May 2019. Downloaded from BMJ Open is committed to open peer review. As part of this commitment we make the peer review history of every article we publish publicly available. When an article is published we post the peer reviewers’ comments and the authors’ responses online. We also post the versions of the paper that were used during peer review. These are the versions that the peer review comments apply to. The versions of the paper that follow are the versions that were submitted during the peer review process. They are not the versions of record or the final published versions. They should not be cited or distributed as the published version of this manuscript. BMJ Open is an open access journal and the full, final, typeset and author-corrected version of record of the manuscript is available on our site with no access controls, subscription charges or pay-per-view fees (http://bmjopen.bmj.com). If you have any questions on BMJ Open’s open peer review process please email [email protected] http://bmjopen.bmj.com/ on October 2, 2021 by guest. Protected copyright. BMJ Open BMJ Open: first published as 10.1136/bmjopen-2018-025253 on 5 May 2019. Downloaded from Comparing the variants of takotsubo syndrome: an observational study of the electrocardiogram and structural changes. ForJournal: peerBMJ Open review only Manuscript ID bmjopen-2018-025253 Article Type: Research Date Submitted by the Author: 05-Jul-2018 Complete List of Authors: Watson, George; Christchurch Hospital, Cardiology Chan, Christina; Christchurch Hospital, Cardiology Belluscio, Laura; Christchurch Hospital, Biostatistics Doudney, Kit; Canterbury District Health Board, Molecular Pathology Lacey, Cameron; Christchurch Hospital, Psychological Medicine Kennedy, Martin; University of Otago, Department of Pathology Bridgman, Paul; Christchurch Hospital, Cardiology Echocardiography < CARDIOLOGY, Heart failure < CARDIOLOGY, Keywords: Cardiomyopathy < CARDIOLOGY, Takotsubo http://bmjopen.bmj.com/ on October 2, 2021 by guest. -
Initial Experience with Dabigatran Etexilate at Auckland City Hospital
THE NEW ZEALAND MEDICAL JOURNAL Journal of the New Zealand Medical Association CONTENTS This Issue in the Journal 4 A summary of the original articles featured in this issue Editorial 7 A call for collaboration on inflammatory bowel disease in New Zealand Russell Walmsley Original Articles 11 The cost of paediatric and perianal Crohn’s disease in Canterbury, New Zealand Michaela Lion, Richard B Gearry, Andrew S Day, Tim Eglinton 21 Screening for Mycobacterium tuberculosis infection among healthcare workers in New Zealand: prospective comparison between the tuberculin skin test and the QuantiFERON-TB Gold In-Tube® assay Joshua T Freeman, Roger J Marshall, Sandie Newton, Paul Austin, Susan Taylor, Tony C Chew, Siobhan Gavaghan, Sally A Roberts 30 Audit of stroke thrombolysis in Wellington, New Zealand: disparity between in-hours and out-of-hours treatment time Katie Thorne, Lai-Kin Wong, Gerard McGonigal 37 Training medical students in Pacific health through an immersion programme in New Zealand Faafetai Sopoaga, Jennie L Connor, John D Dockerty, John Adams, Lynley Anderson 46 Insomnia treatment in New Zealand Karyn M O’Keeffe, Philippa H Gander, W Guy Scott, Helen M Scott 60 Evaluation of New Zealand’s bicycle helmet law Colin F Clarke 70 Sun protection policies and practices in New Zealand primary schools Anthony I Reeder, Janet A Jopson, Andrew Gray Viewpoint 83 Should measurement of vitamin D and treatment of vitamin D insufficiency be routine in New Zealand? Mark J Bolland, Andrew Grey, James S Davidson, Tim Cundy, Ian R Reid NZMJ 10 February 2012, Vol 125 No 1349; ISSN 1175 8716 Page 1 of 126 http://journal.nzma.org.nz/journal/125-1349/5068/ ©NZMA Clinical Correspondence 92 A case of yellow fever vaccine-associated disease Heather Isenman, Andrew Burns 96 An unusual cause of carotid sinus hypersensitivity/syndrome Donny Wong, Joey Yeoh 99 Medical image. -
Health Science
Health Science Key facts: • Canterbury District Health Board owns and operates five major hospitals and almost 30smaller rural hospitals • Health sector contributes 8% to region’s GDP • Te Papa Hauora is a brand-new Health Precinct located next to Christchurch Hospital –attracting research talent and funding in areas like biomedical and clinical research, health science education, health innovation, and health-related information technology • Manawa co-locates health education and research activities for the Canterbury District Health Board, the University of Canterbury and the Ara Institute of Canterbury • Christchurch hospital has the busiest Emergency Department in Australasia, treating more than 83,000 patients a year • The University of Canterbury’s school of Health Sciences is rated within the top 125 in the world. With access to world-class health services and outstanding medical facilities, it’s no surprise Canterbury is home to one of the largest and most successful health science communities in New Zealand. Primarily managed by the Canterbury District Health Board (CDHB), the region owns and operates five major hospital facilities in Christchurch and Ashburton, and almost 30 smaller rural hospitals and community bases around North and South Canterbury. This community services more than 550,000 people and contributes around 8% to the region’s GDP. In recent years, Christchurch has grown to become one of the country’s leading hubs for health tech, health education, and medical research and innovation – driven largely by the brand-new Te Papa Hauora Health Precinct. Located in the heart of the city, the precinct brings together researchers, students and clinicians to encourage a culture of innovation and entrepreneurship and promote health science-related research and development. -
Radio Lollipop Is Unique
Radio Lollipop is unique. It’s exciting. It’s stimulating. It’s entertaining... and it’s for children in hospital! ☺ What is Radio Lollipop? Radio Lollipop is an international children’s charity, which provides Care, Comfort, Play and Entertainment to sick children in hospital and their families. It is run entirely by volunteers who operate an in-house radio station and undertake fun play activities on the wards with the children! We pride ourselves on being professional with volunteers who are conscientious, reliable and prepared to make a weekly commitment. Radio Lollipop is FUN but professional. ☺ Where did it start? Radio Lollipop originated in 1978 at Queen Mary’s Hospital for Children in Carshalton, Surrey in the United Kingdom. Designed to bring the joy of entertainment to sick children, the idea captured the imagination of the world, so that now there are Radio Lollipops located in United Kingdom: Birmingham, Bristol, Edinburgh, Glasgow, Newcastle-upon-Tyne, Manchester; New Zealand: Auckland and Middlemore; Australia: Perth, Fremantle, Joondalup, ourselves in Brisbane, Logan and Gold Coast, and in the USA: Miami and Houston. ☺ When does it operate? The station and ward activities operate: Mater Children's Hospital Logan Hospital Monday - Friday 5.30 pm - 7.30 pm Monday - Wednesday 5.30 pm - 7.30 pm Saturday 2.30 pm - 5.00 pm Gold Coast Hospital Wednesday & Thursday Saturday ☺ What do volunteers do? Each volunteer works on the wards with the children reading stories, playing games, helping with craft activities and competitions. But most importantly we provide companionship and a friend to talk to. Play serves as a means of alleviating boredom, stress, anger and fear felt by a child during their hospital stay. -
Everyone Can Help Radio Lollipop and the Sick Children in Hospitals Around the World
Media release: Everyone can help Radio Lollipop and the sick children in hospitals around the world What people say about us: “Radio Lollipop is not a frilly add-on. It is really helpful clinically - a calm child recovers better …every member of staff and parent and child think it is fantastic…” Madeline Ismach, 2007 Head of Psychosocial Services, Great Ormond Street Hospital for Children, London Our Mission: Radio Lollipop is an international children's charity providing care, comfort, play and entertainment to sick children in hospital. Our Vision: To reach every child in hospital – anywhere, any time Our History: The Radio Lollipop service was founded in the UK in 1979 as a one-off project. After more than 38 years as an entirely volunteer organisation Radio Lollipop has grown to include over 10,000 volunteers operating in 32 hospitals in 5 countries. We operate satellite stations in number of suburban/regional hospitals. Since 1979 Radio Lollipop volunteers have directly helped over 5 million sick children in hospitals and reached over 13 million people worldwide. Our Objectives: To provide care, comfort play and entertainment for children in hospitals everywhere. Our Opportunities: 1. Modern hospital design is focusing on providing single-bed wards. This further isolates children and underscores the growing and continued need for Radio Lollipop and our play volunteers to help sick children connect to the world outside their ward. 2. To achieve our vision of reaching every child, everywhere we need to be flexible. We can deliver Radio Lollipop in a number of ways: a. Radio Lollipop Full service; an in-hospital radio station plus volunteers for ward visiting and one-to-one play with the children. -
Improving Trauma Care for Critically Bleeding Patients: a History, Evidence Summary and Proposed Quality Improvement Approach
Improving trauma care for critically bleeding patients: A history, evidence summary and proposed quality improvement approach September 2020 Contents List of abbreviations .............................................................................................................. 3 Background ........................................................................................................................... 4 Introduction ........................................................................................................................... 4 The current state of critical haemorrhage in New Zealand .................................................... 6 Reducing preventable deaths................................................................................................ 7 The current response to trauma-related critical haemorrhage in New Zealand ...................... 9 A national audit of massive transfusion protocol usage by the New Zealand Blood Service 11 Coagulopathy in major trauma and its treatment ................................................................. 12 Ensuring appropriate use of tranexamic acid ...................................................................... 14 Promoting increased use of goal-directed therapy .............................................................. 15 Limiting the use of crystalloid to elevate blood pressure in trauma patients......................... 16 Why a new trauma-focused critical bleeding bundle of care for New Zealand? ................... 17 Process improvement -
Radio Lollipop South Africa Volunteer Application Form
APPLICATION FORM Application to become a full volunteer at a Branch of Radio Lollipop South Africa Thank you for your interest in joining Radio Lollipop in South Africa. Please complete this application form and return it to your nearest Radio Lollipop station. You will find the address on page 3. Please answer all questions in capital letters and use a black pen OR complete electronically. Thank you. Full Name (Mr/Mrs/Miss/Ms) _____________________________________________________________ Permanent Address ____________________________________________________________________ ____________________________________________________________________________________ Tel no. Home _________________________ Tel no. Mobile _____________________________ Tel no. Work __________________________ Email ____________________________________ Date of Birth _________________________ Gender (please tick) Male ☐ Female ☐ Occupation (with dates) _________________________________________________________________ How did you hear about Radio Lollipop? ____________________________________________________ ____________________________________________________________________________________ Every Radio Lollipop Volunteer commits a minimum of 1 session each week to working with the children and in addition would be expected to attend Volunteer meetings. What day(s) and time(s) would be most suitable for you? _______________________________________ ____________________________________________________________________________________ Have you had any serious illness in the -
Some Personal Overviews by Hugh Jamieson Bruce White Ray Trott
b The development of MEDICAL PHYSICS and BIOMEDICAL ENGINEERING in NEW ZEALAND HOSPITALS 1945-1995 _____________ Some personal overviews by Hugh Jamieson Bruce White Ray Trott Jack Tait Gordon Monks __________ Editor H D Jamieson ___________ Second edition First published 1995 Second edition 1996 Reprinted 2006 ISBN 0-476-01437-9 ii CONTENTS Second edition Index of photographs; Staff lists .. .. .. .. iv Preface, and Preface to Second Edition .. .. .. 1 Introduction .. .. .. .. .. .. .. 2 Early hospital physics in NZ: "Some memory fragments" 3 Around the centres (first appointments in the 6 centres) 7 Supervoltage radiotherapy (summary) .. .. .. 8 Nuclear medicine (summary) .. .. .. .. .. 12 Nuclear medicine imaging (summary) .. .. .. 14 Biomedical engineering (summary) .. .. .. .. 15 Computing in hospitals (summary) .. .. .. .. 18 The ongoing developments (summary); Conclusion .. 20 Photograph, 1954 inaugural NZMPA meeting, Christchurch 21 Hospital/Medical Physics in Dunedin - Hugh Jamieson 23 Wellington Hospital - Medical Physics and Biomedical Engineering .. 62 Hospital Physics Beginnings at Auckland Hospital .. 68 The History of Nuclear Medicine in Auckland -Bruce White 71 Auckland Hospital...Medical Physics & Clinical Engineering - Bruce White 83 Hospital/Medical Physics at Palmerston North Hospital - Ray Trott 97 Medical Physics & Bioengineering at Christchurch Hospital - Jack Tait 108 Hospital Physics / Scientific Services at Waikato Hospital - Gordon Monks 135 Retrospect and contemplation .. .. .. .. 151 = = = = = = = = = = = -
PDF Version Here
© Kelvin L Lynn, Adrian L Buttimore, Peter J Hatfield, Martin R Wallace Published 2018 by Kelvin L Lynn, Adrian L Buttimore, Peter J Hatfield, Martin R Wallace National Library of New Zealand Cataloguing-Publication Data Title: The Treatment of Kidney Failure in New Zealand Authors: Kelvin L Lynn, Adrian L Buttimore, Peter J Hatfield, Martin R Wallace Publisher: Kelvin L Lynn, Adrian L Buttimore, Peter J Hatfield, Martin R Wallace Address: 1 Weston Road, Christchurch 8052, New Zealand ISBN PDF - 978-0-473-45293-3 A catalogue record for this book is available from the National Library of New Zealand Front cover design by Simon Van der Sluijs The Tom Scott cartoon on page 90 is reproduced with the kind permission of the artist and Stuff. The New Zealand Women's Weekly are thanked for permission to use the photo on page 26. All rights reserved 2 Acknowledgements The editors would like to thank Kidney Health New Zealand for hosting this publication on their website and providing support for design and editing. In the Beginning, the history of the Medical Unit at Auckland Hospital, provided valuable information about the early days of nephrology at Auckland Hospital. Ian Dittmer, Laurie Williams and Prue Fieldes provided access to archival material from the Department of Renal Medicine at Auckland Hospital. The Australia and New Zealand Dialysis and Transplant Registry provided invaluable statistics regarding patients treated for kidney failure in New Zealand. Marg Walker of Canterbury Medical Library, University of Otago, Christchurch and Alister Argyle provided advice on online publishing. We are indebted to the following for writing chapters: Max Morris, William Wong and John Collins. -
49310 Hospital Radio
FRONT COVER DOCUMENT 126: FRONT COVER DOCUMENT 126 21/5/09 01:25 Page 1 IFC Heartbeat 126: IFC Heartbeat 126 21/5/09 01:27 Page 1 01 INTRO 126:01 INTRO 126 21/5/09 01:35 Page 1 Spring 2009 Issue 126 The Official Journal of the Hi Everyone, Hospital Broadcasting Association Heroes – we salute them all in this issue; whether it is the winners of the Hospital Radio Awards (you can find the full in this issue ... results on page 4), the heroes that Brett discusses in his column or indeed, Matt’s hero – let’s raise a glass to them all. In A Spin with our ‘Spin Doctor’ ................................................................2 But we must not forget the back room heroes either as All About Awards .......................................................................................... 3 without their hard work and dedication, Awards and National Hospital Radio Awards – The Winners .................................. 4 Conference just would not happen. So thank you Sean, Iain, All About Awards .......................................................................................... 5 John, Marie and every member of the team – we really do Committee Report ........................................................................................ 8 appreciate all you have done. And also sincere thanks to Andy Charity Law Update ...................................................................................... 9 Langford for the photographs. Awards for All ...............................................................................................