Ambulance offload performance, patient characteristics and disposition for patients offloaded to different areas of the emergency department.

Objective: Ambulance transfer of care (TOC) is a key performance indicator for New South Wales EDs, with 90% of ambulances to be offloaded within 30 min of arrival. Nepean Hospital ED has a number of strategies to improve TOC, including ambulatory areas where patients can be offloaded immediately. Offload data are supplied by ambulance and there is no study into its accuracy.

Determination of emergency nurse practitioner and plastic surgery trainee disposition decision agreement for plastic surgery emergency department presentations: A prospective study.

Objective: To examine if there was a high degree of agreement for disposition decisions of emergency nurse practitioners (ENP) compared to plastic surgery trainees (PST) for plastic surgery presentations.

Methods: A prospective study of disposition decision agreement from February 2020 to January 2021 for patients who required plastic surgery consultation and managed exclusively by an ENP. Absolute percentages were used to determine the exact disposition decision accuracy of ENP and the PST, while Cohen's kappa compared disposition decision agreement.

Qualitative study using grounded theory examining collegiality among emergency physicians.

Objectives: Collegiality is considered to be any extra-role behaviour that is discretionary, not recognised by a formal reward system and that promotes the effective functioning of the organisation. Although there is much literature on the concept of collegiality, there are few studies examining collegiality in the medical profession and none looking at collegiality among emergency physicians (EPs). The aim of the present study is to explore the perceptions of different ED healthcare professionals on the meaning of collegiality among EPs, the benefits of collegiality and behaviours they identify as indicative of collegiality.

Randomized controlled trial comparing an open surgical technique and a Seldinger technique for cricothyrotomy performed on a simulated airway.

Objectives: Emergency cricothyrotomy is a lifesaving procedure performed when intubation fails and oxygenation cannot occur. There are multiple techniques and kits to perform this procedure. However, current evidence does not provide a definitive answer as to which method is superior.

Effects of staff grade, overcrowding and presentations on emergency department performance: A regression model.

Objective: To examine the effect of staffing levels by experience of medical officers and overcrowding on ED key performance indicators (KPIs).

Methods: Presentations to Nepean ED from 6 May to 3 November 2019 were examined. Staff were designated either Fellows of the Australasian College for Emergency Medicine (FACEMs), non-FACEM senior decision-makers (SDMs), non-senior decision-makers greater than 2 years postgraduate (non-SDMs) and junior medical officers up to 2 years postgraduate (JMOs).

A stream for complex, ambulant patients reduces crowding in an emergency department.

Objective: The study aims to evaluate the effect of adding a stream for complex, ambulatory patients in an ED.

Methods: The setting was an ED in a principal referral hospital in New South Wales, Australia. In 2011, a new stream was added to the pre-existing acute care (high complexity patients) and fast track (low complexity patients) streams.

The effect of a gold coin fine on C-reactive protein test ordering in a tertiary referral emergency department.

Objective: To examine the effect of an education campaign based around a gold coin fine on ordering of C-reactive protein (CRP) tests.

Design And Setting: A retrospective analysis of CRP test ordering before and after the intervention in the emergency department (ED) of a tertiary referral hospital in metropolitan Sydney that sees about 60,000 patients per annum. The date of the intervention - 2 August 2013 - corresponded with Jeans for Genes Day.

Effect of an electronic medical record information system on emergency department performance.

Objective: To determine whether implementation of the Cerner FirstNet electronic medical record system was associated with any change in emergency department (ED) performance.

Design, Setting And Patients: A retrospective observational study conducted during a 6-03 period in 2009 after the introduction of FirstNet and a corresponding 6-03 control period in 2008 when the Emergency Department Information System (EDIS) was operational. Data from all patients presenting to the ED during each period were extracted from each system and analysed for changes in key performance indicators (KPIs).

Grief and the medical referral.

Helping ward registrars transition from denial to acceptance.