Point-of-care testing across rural and remote emergency departments in Australia

staff perceptions of operational impact

Maria R. Dahm*, Euan McCaughey, Ling Li, Johanna Westbrook, Virginia Mumford, Juliana Iles-Mann, Andrew Sargeant, Andrew Georgiou

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference proceeding contribution

3 Citations (Scopus)
17 Downloads (Pure)

Abstract

New South Wales (NSW) Health Pathology is implementing one of the world's largest managed PoCT services across rural and remote Emergency Departments (EDs) in New South Wales, Australia to improve patient access to care. The aim of this qualitative study was to gain a context-rich understanding of the operational impact of the NSW rollout of PoCT across rural and remote ED settings as experienced by frontline clinical staff. Clinical professionals (n=14) participated in interviews and focus groups in August 2015 at four rural and remote NSW EDs. Participants perceived that PoCT provided greater access to pathology thus facilitating more efficient and effective patient care via faster test turnaround and time to treatment and more effective decisions about the need to transfer patients to appropriate sites when required. These factors have a potentially important role in saving lives. Staff also identified innovative and disruptive challenges to clinical work patterns associated with PoCT implementation, particularly in relation to work flows, resource allocation and the governance arrangements.

Original languageEnglish
Title of host publicationIntegrating and Connecting Care - Selected Papers from the 25th Australian National Health Informatics Conference, HIC 2017
EditorsAngela Ryan, Louise K. Schaper, Sue Whetton
PublisherIOS Press
Pages28-34
Number of pages7
Volume239
ISBN (Electronic)9781614997825
ISBN (Print)9781614997825
DOIs
Publication statusPublished - 2017
Event25th Australian National Health Informatics Conference, HIC 2017 - Brisbane, Australia
Duration: 6 Aug 20179 Aug 2017

Publication series

NameStudies in Health Technology and Informatics
Volume239
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Conference

Conference25th Australian National Health Informatics Conference, HIC 2017
CountryAustralia
CityBrisbane
Period6/08/179/08/17

Bibliographical note

Copyright the Author(s) 2017. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • emergency Department
  • evaluation
  • health informatics
  • pathology
  • point of care testing
  • remote
  • rural

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  • Cite this

    Dahm, M. R., McCaughey, E., Li, L., Westbrook, J., Mumford, V., Iles-Mann, J., ... Georgiou, A. (2017). Point-of-care testing across rural and remote emergency departments in Australia: staff perceptions of operational impact. In A. Ryan, L. K. Schaper, & S. Whetton (Eds.), Integrating and Connecting Care - Selected Papers from the 25th Australian National Health Informatics Conference, HIC 2017 (Vol. 239, pp. 28-34). (Studies in Health Technology and Informatics; Vol. 239). IOS Press. https://doi.org/10.3233/978-1-61499-783-2-28