Publications by authors named "Scally E"
Background: The timely provision of test results to facilitate early access to treatment is an essential component of sexually transmissible infection (STI) control and contributes to a significant proportion of the workload at sexual health services. We aimed to estimate the time to deliver client results and treatment as well as the health system costs of the nurse-led urgent results management model at the Sydney Sexual Health Centre (SSHC) compared to an alternative 'ordering clinician' model.
Methods: We conducted a retrospective analysis of urgent results managed by the results nurse over 2weeks in 2019 and an observational study over 2weeks in 2021, where 10 clinicians managed five of their own urgent results.
Article Synopsis
- The study investigates the impact of serologic reactivity of unidentified specificity (SRUS) during pregnancy on the risk of hemolytic disease of the fetus and newborn (HDFN).
- Over an 11-year period, data from 284 pregnancies with SRUS were analyzed, revealing that most cases of SRUS were not associated with HDFN, even in the presence of ABO incompatibility or other identifiable antibody reactions.
- The findings suggest that while SRUS alone does not indicate HDFN risk, it can occasionally precede clinically significant antibodies linked to HDFN.
Background Traditional result notification methods, such as telephone calls, return visits and individualised emails or Short Message Service (SMS) texts, can be time consuming and may not align with client preference. We conducted a cross-sectional survey of our clients that showed that many clients prefer negative results by SMS or email, with the option to call or attend in person for positive results. Methods: We developed an innovative result-robot module in the electronic medical record that reads the electronic result and, using predefined algorithms, determines which SMS or email result template to send to the client.
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