scholarly journals Trends in Primary Care Presentations at Emergency Departments in New South Wales (1999–2006)

2008 ◽  
Vol 14 (3) ◽  
pp. 35 ◽  
Author(s):  
Peter Siminski ◽  
Kathy Eagar ◽  
Luise Lago ◽  
Andrew Bezzina
Keyword(s):  
Primary Care ◽  
Emergency Departments ◽  
New South ◽  
New South Wales ◽  
Future Research ◽  
Subsequent Period ◽  
South Wales ◽  
Ed Overcrowding ◽  
Trends Over Time ◽  
New Guidelines

This paper examines trends in potential 'primary care' presentations at emergency departments (ED), comparing these with other ED presentations and to primary care attendances in the community. The study draws on EDIS data (Emergency Department Information System), which, at December 2005, covered 76% of attendances in New South Wales, and from Medicare Australia MBS data. Annual counts of potential primary care presentations to EDs are compared with those of other ED presentations and to primary care presentations in the community. Changes in the percentage of ED presentations that are potentially for primary care are examined, as are changes in the percentage of total primary care presentations seen in EDs. Trends in age standardised presentation rates are also calculated for each of the three series. Primary care presentations at EDs increased marginally in the period under consideration, as did primary care presentations in the community. There was a substantial increase in other ED presentations. The proportion of ED presentations potentially for primary care decreased over the period. The proportion of primary care presentations seen in EDs and the proportion seen in the community changed little. Decline in the proportion of potential primary care presentations to EDs may have been impacted by new guidelines for the application of triage categories in 2001. However, trends over time do not show acute alterations and they continue to hold for the subsequent period after introduction of new guidelines. Primary care presentations at EDs are not responsible for recent changes to ED overcrowding in New South Wales, at least not for hospitals covered in the EDIS database. Future research might consider more specific trends in rural EDs.

The protocols for koala research using radio-collars: a review based on its application in a tall coastal forest in New South Wales and the implications for future research.

2006 ◽  
Vol 28 (2) ◽  
pp. 187 ◽  
Author(s):  
S. L. Radford ◽  
J. McKee ◽  
R. L. Goldingay ◽  
R. P. Kavanagh
Keyword(s):  
Best Practice ◽  
New South ◽  
New South Wales ◽  
Future Research ◽  
Radio Tracking ◽  
Research Committee ◽  
Phascolarctos Cinereus ◽  
Current Form ◽  
South Wales ◽  
Pine Creek

In 1996, guidelines were produced for capture and radio-tracking protocols for koala (Phascolarctos cinereus) research within New South Wales (NSW). An integrated project commenced in 1998 to examine P. cinereus ecology and health status in Pine Creek State Forest. This project utilised intensive clinical and pathological assessment protocols on captured P. cinereus in combination with radio-tracking and ecological investigations. The methods used in this project were referred to the NSW Koala Research Committee (KRC) for review in mid 1999 due to the political profile of the study area. The KRC assessed the project protocols and reviewed the original guidelines incorporating some of the protocols used in the Pine Creek project. The outcome is a new set of protocols for P. cinereus research within NSW which are more explicit and restrictive than those applied to P. cinereus research elsewhere or to research on other species. In their current form the new guidelines require a substantial investment in time, equipment, personnel and finance; factors that may deter or restrict future, comprehensive ecological research on P. cinereus populations. They inadequately provide for some practices we believe important in minimising the invasiveness of P. cinereus capture. We propose amendments to the guidelines in the areas of personnel required, behavioural assessment, capture methods, processing safety and tracking frequency. We suggest that these amendments will render the guidelines more accessible to a broader range of projects, and easier to apply under field conditions while preserving the intent to maintain P. cinereus welfare and research best practice.

One hundred and counting: Centenarian use of emergency departments in New South Wales

2019 ◽  
Vol 31 (4) ◽  
pp. 626-631
Author(s):  
Gabrielle Mane ◽  
Hatem Alkhouri ◽  
Michael Dinh ◽  
Sally McCarthy
Keyword(s):  
Emergency Departments ◽  
New South ◽  
New South Wales ◽  
South Wales

scholarly journals Do hospitals influence geographic variation in admission for preventable hospitalisation? A data linkage study in New South Wales, Australia

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e027639 ◽  
Author(s):  
Michael O Falster ◽  
Alastair H Leyland ◽  
Louisa R Jorm
Keyword(s):  
Primary Care ◽  
Hip Fracture ◽  
Geographic Variation ◽  
New South ◽  
New South Wales ◽  
The State ◽  
Hospital Variation ◽  
South Wales ◽  
Preventable Hospitalisation ◽  
A Performance

ObjectivePreventable hospitalisations are used internationally as a performance indicator for primary care, but the influence of other health system factors remains poorly understood. This study investigated between-hospital variation in rates of preventable hospitalisation.SettingLinked health survey and hospital admissions data for a cohort study of 266 826 people aged over 45 years in the state of New South Wales, Australia.MethodBetween-hospital variation in preventable hospitalisation was quantified using cross-classified multiple-membership multilevel Poisson models, adjusted for personal sociodemographic, health and area-level contextual characteristics. Variation was also explored for two conditions unlikely to be influenced by discretionary admission practice: emergency admissions for acute myocardial infarction (AMI) and hip fracture.ResultsWe found significant between-hospital variation in adjusted rates of preventable hospitalisation, with hospitals varying on average 26% from the state mean. Patients served more by community and multipurpose facilities (smaller facilities primarily in rural areas) had higher rates of preventable hospitalisation. Community hospitals had the greatest between-hospital variation, and included the facilities with the highest rates of preventable hospitalisation. There was comparatively little between-hospital variation in rates of admission for AMI and hip fracture.ConclusionsGeographic variation in preventable hospitalisation is determined in part by hospitals, reflecting different roles played by community and multipurpose facilities, compared with major and principal referral hospitals, within the community. Care should be taken when interpreting the indicator simply as a performance measure for primary care.

Incidence and outcomes of aortic dissection for emergency departments in New South Wales, Australia 2017–2018: A data linkage study

2020 ◽  
Vol 32 (4) ◽  
pp. 599-603 ◽  
Author(s):  
Michael M Dinh ◽  
Kendall J Bein ◽  
John Delaney ◽  
Saartje Berendsen Russell ◽  
Tim Royle
Keyword(s):  
Aortic Dissection ◽  
Emergency Departments ◽  
Data Linkage ◽  
New South ◽  
New South Wales ◽  
Linkage Study ◽  
South Wales

scholarly journals Can SNOMED CT as Implemented in New South Wales, Australia Be Used for Road Trauma Injury Surveillance in Emergency Departments?

2013 ◽  
Vol 42 (2) ◽  
pp. 4-8 ◽  
Author(s):  
Rebecca J. Mitchell ◽  
Mike R. Bambach ◽  
David Muscatello ◽  
Kirsten McKenzie ◽  
Zsolt J. Balogh
Keyword(s):  
Emergency Departments ◽  
New South ◽  
New South Wales ◽  
Injury Surveillance ◽  
Snomed Ct ◽  
South Wales ◽  
Trauma Injury

Missed immunisation opportunities in emergency departments in northern New South Wales, Australia

2011 ◽  
Vol 48 (1) ◽  
pp. 66-70 ◽  
Author(s):  
Andrew SC Way ◽  
David N Durrheim ◽  
Hassan Vally ◽  
Peter D Massey
Keyword(s):  
Emergency Departments ◽  
New South ◽  
New South Wales ◽  
South Wales
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