National DHB ICU Representatives
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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. -
Winners at Aratoi a Second Showing for 2019 Molly Morpeth Canaday Award – Painting and Drawing Winning Works
Winners at Aratoi A second showing for 2019 Molly Morpeth Canaday Award – Painting and Drawing winning works Masterton is set to host 13 new award-winning artworks at Aratoi Wairarapa Museum of Art and History, fresh from the 2019 Molly Morpeth Canaday Award – Painting and Drawing exhibition in Whakatāne. This is the first time an extended showing has come to the Wairarapa. Co-ordinator Heather Hourigan says the new partnership with Aratoi is an ideal way to reach out to a different community. “Audiences from the Wairarapa would not normally get to see this national award exhibition,” she says. “We also liked the idea that this extended showing would highlight the opportunities open to Wairarapa artists.” This non-acquisitive award invites entries from New Zealand artists each year, and celebrates a unique variety of conceptual, visual, and geographical terrain. The 2019 Painting and Drawing Award attracted 500 entries, exhibited close to 80 finalists, and distributed a prize pool of more than $20,000 to 13 deserving artists. Twelve of the winners were selected by international Guest Judge Chris McAuliffe (Australia); with one winner selected by public vote during the Whakatāne exhibition. “Aratoi invites everyone to attend the opening event on Thursday 11 April at 5pm, featuring a presentation by MMCA Co-ordinator Heather Hourigan,” says Aratoi Director Susanna Shadbolt. For participating artists, the MMCA offers professional development opportunities by showcasing their practice to peers, collectors, critics, museum curators, the media and the community at large. This special showing includes work by Mark Anstis (Ōpōtiki), John Brown (Hastings), Esther Deans (Auckland), Mary Duggan (Whakatāne), Kirsten Ferguson (Dunedin), Toby George King (Auckland), Teresa HR Lane (Auckland), Raewyn Martyn (Wellington), Nicola McCafferty (Wellington), Adrienne Millwood (Lower Hutt), Sena Park (Paihia), Danae Ripley (Auckland), and Lea-Anne Sheather (Whakatāne). -
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. -
Scan, Scan, Scan – Everywhere You Go
CEO UPDATE 25 January 2021 | 25 Kohi-ta–tea 2021 Scan, scan, scan – everywhere you go When did you last go to the supermarket? What day was it? And what time did you enter and leave the store? When did you visit the playground with the kids? Can you recall whether you scanned in the last time you visited a café, the chemist or library? The announcement yesterday of a community case of COVID-19 in a returnee after they’d left managed isolation is a sobering and timely reminder that we can’t let our guard down – we need to keep up all the good habits that served us well last year. COVID-19 is an extremely tricky virus to manage, as we’ve seen overseas and here in New Zealand. Thankfully this person was diligently using the app everywhere she went. It’s so important to use the COVID Tracer app to scan QR codes and to have the Bluetooth functionality turned on. Turning on Bluetooth functionality will allow you to receive an alert if you have been near another app user who tests positive for COVID-19. If you haven’t already done so, download the COVID Tracer app today, turn on Bluetooth and scan or keep a written record of where you go and when, and who you are with. It’s also important to stay home if you are unwell, maintain stringent hygiene practices, including washing and drying your hands and cover coughs and sneezes with a tissue or use your If you’ve been travelling in Northland recently, you can check here for elbow. -
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. -
Delivering Rail Decarbonisation to New Zealand
Delivering rail decarbonisation to New Zealand TRANSFORMATIONAL CHANGE AND BOLD DECISIONS REQUIRED TO DELIVER A DECARBONISED RAIL NETWORK IN NEW ZEALAND. 1 Introduction ........................................................................................................3 Contents 2 Challenges ............................................................................................................4 3 Opportunity .........................................................................................................7 4 Conclusion ............................................................................................................9 PAGE | 2 WSP | 01 | 02 | 03 | 04 | 01 Introduction Angus Gabara, Principal Rail and Transit Advisory Here, KiwiRail has embarked on a study to understand WSP NZ Rail and Transit discipline, describes the the costs of completing the electrification partos of the transformational change and bold decisions required network including: to deliver a decarbonised rail network in Aotearoa, • the North Island Main Trunk Line between Auckland New Zealand. and Wellington, At the end of 2020, with mounting pressure to affect • the East Coast Main Trunk to Tauranga, change that delivers its carbon reduction goal, the Labour Government declared a climate emergency • the Wairarapa line to Masterton for New Zealand. The transport industry’s response to Electrification will be a huge step towards this emergency is pivotal and the rail industry is no decarbonisation, and provide efficient and safe exception. intercity -
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. -
Small Town Air Pollution E Wilton
Managing air quality in small urban areas of NZ Emily Wilton – November 2006 Overview • Air quality in urban areas of NZ • Domestic heating methods in small urban areas • Practical air quality management – Policy options – Resource issues – establishing background and carrying out airshed modeling Urban areas Invercargill Gore Te Kuiti Westport Reefton Arrowtown Balclutha Milton Maximum 198 102 61 56 55 183 54 57 Year measured 2005 2004 2004 2002 2003 2003 1997 1999 Christchurch Rangiora Nelson Blenheim Hamilton Auckland Masterton Upper Hutt Maximum 223 136 165 80 67 81 104 61 Year measured 2001 2006 2001 2004 2001 1999 1999 2001 Oamaru Cromwell Timaru Kaiapoi Tokoroa Taupo Richmond Rotorua Maximum 61 97 195 163 97 65 111 90 Year measured 1998 2004 2006 2003 2004 2004 2003 2003 Ashburton Waimate Geraldine Whangarei Alexandra Mosgiel Napier Hastings Maximum 180 95 63 73 162 100 70 ~130 Year measured 2006 2006 2003 2000 2003 2003 2004 2005 Invercargill Gore Te Kuiti Westport Reefton Dunedin Alexandra Electricity 63% 50% 39% 35% 24% 77% 59% Total Gas 18% 16% 29% 27% 13% 20% 13% Flued gas 5% 5% 8% 5% 1% 7% 4% Unflued gas 13% 11% 21% 21% 13% 13% 9% Oil 3% 7% 1% 1% 1% 2% 5% Open fire 8% 5% 9% 9% 11% 11% 2% Total Woodburner 17% 20% 49% 22% 19% 14% 47% Multi-fuel burners 34% 48% 10% 48% 68% 6% 18% Pellet burners 2% 3% 0% 0% 0% 0% 1% Total wood 58% 72% 67% 79% 96% 30% 67% Total coal 39% 47% 5% 52% 67% 12% 9% Masterton Rangiora Timaru Auckland Nelson Richmond Hamilton Electricity 20% 51% 59% 48% 44% 48% 26% Total Gas 32% 20% 25% 35% 33% 22% 64% -
Glenwood Masonic Hospital Eat Unlimited Meals Spotless Services
Glenwood Masonic Hospital Eat Unlimited Meals Spotless Services – Masterton Hospital Glenwood offers a very popular ‘Meals on Wheels’ Eat Unlimited offer freshly cooked vacuumed service. All meals are prepared and cooked on site. packed meals for refrigeration until the use by date, and if you don’t eat them within that time, freeze Meals on wheels offer a home cooked hot lunch Special diets and dietary needs can also be met. them, so no waste, but best eaten fresh! Maximum and dessert which is delivered to your door. Meals are prepared daily by their own chef with an order of 14 meals or else this will incur an additional extensive and varied menu delivered hot to your delivery charge. Individual meals can also be Cost door. No referral required. ordered – but this will prove to be an expensive $6.60 per meal which includes main course and option as the delivery charge fee still applies. dessert. Cost Cost Payment Main meal with a complementary dessert $10.50 Menu ranges in price (check out the daily deals) An account for meals received is sent out at the end Soup and Sandwiches with the main meal for an Soup $4.90 of each month. extra $5.00. Mains cost between $10.95 - $13.95 Desserts $4.95; Cakes $.700 Delivery (No surcharge on public holidays). Monday – Friday daily (Masterton only). There is Payment currently no service to Carterton, Greytown, Payment No long term contract, can order up to 5 weeks in Featherston or Martinborough, due to the drivers An account is sent out fortnightly. -
Communitrak™ Survey
COMMUNITRAK™ SURVEY PUBLIC PERCEPTIONS AND INTERPRETATIONS OF COUNCIL SERVICES AND REPRESENTATION PREPARED AS PART OF THE PUBLIC FEEDBACK PROGRAMME FOR: WHAKATĀNE DISTRICT COUNCIL MAY / JUNE 2019 National Research Bureau Ltd PO Box 10118, Mt Eden, Auckland, New Zealand P (09) 6300 655, www.nrb.co.nz CONTENTS Page No. A. SITUATION AND OBJECTIVES .............................................................................................. 1 B. COMMUNITRAK™ SPECIFICATIONS ................................................................................. 2 C. EXECUTIVE SUMMARY ........................................................................................................... 6 D. MAIN FINDINGS ..................................................................................................................... 26 1. Council Services/Facilities ............................................................................................ 27 a. Satisfaction With Council Services And Facilities ........................................... 28 i. Parks And Reserves .................................................................................. 28 ii. Sportsfields ................................................................................................ 31 iii. Street Lighting ........................................................................................... 34 iv. Public Toilets ............................................................................................. 37 v. Footpaths .................................................................................................. -
HRE05002-038.Pdf(PDF, 152
Appendix S: Parties Notified List of tables Table S1: Government departments and Crown agencies notified ........................... 837 Table S2: Interested parties notified .......................................................................... 840 Table S3: Interested Māori parties ............................................................................ 847 Table S1: Government departments and Crown agencies notified Job Title Organisation City Manager Biosecurity Greater Wellington - The Regional Council Masterton 5915 Environment Health Officer Wairoa District Council Wairoa 4192 Ministry of Research, Science & Wellington 6015 Technology (MoRST) Manager, Animal Containment AgResearch Limited Hamilton 2001 Facility Group Manager, Legal AgResearch Limited Hamilton Policy Analyst Human Rights Commission Auckland 1036 Management, Monitoring & Ministry of Pacific Island Affairs Wellington 6015 Governance Fish & Game Council of New Zealand Wellington 6032 Engineer Land Transport Safety Authority Wellington 6015 Senior Fisheries Officer Fish & Game Eastern Region Rotorua 3220 Adviser Ministry of Research, Science & Wellington 6015 Technology (MoRST) Programme Manager Environment Waikato Hamilton 2032 Biosecurity Manager Environment Southland Invercargill 9520 Dean of Science and University of Waikato Hamilton 3240 Technology Director National Institute of Water & Atmospheric Wellington 6041 Research Limited (NIWA) Chief Executive Officer Horticulture and Food Research Institute Auckland 1020 (HortResearch Auckland) Team Leader Regulatory -
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