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

doi:10.3233/978-1-61499-783-2-28

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 proceeding › Conference proceeding contribution › peer-review

12 Citations (Scopus)

342 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 language	English
Title of host publication	Integrating and Connecting Care - Selected Papers from the 25th Australian National Health Informatics Conference, HIC 2017
Editors	Angela Ryan, Louise K. Schaper, Sue Whetton
Publisher	IOS Press
Pages	28-34
Number of pages	7
Volume	239
ISBN (Electronic)	9781614997825
ISBN (Print)	9781614997825
DOIs	https://doi.org/10.3233/978-1-61499-783-2-28
Publication status	Published - 2017
Event	25th Australian National Health Informatics Conference, HIC 2017 - Brisbane, Australia Duration: 6 Aug 2017 → 9 Aug 2017

Publication series

Name	Studies in Health Technology and Informatics
Volume	239
ISSN (Print)	0926-9630
ISSN (Electronic)	1879-8365

Conference

Conference	25th Australian National Health Informatics Conference, HIC 2017
Country/Territory	Australia
City	Brisbane
Period	6/08/17 → 9/08/17

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

Access to Document

10.3233/978-1-61499-783-2-28Licence: CC BY-NC

Publisher Version (open access)Final published version, 160 KBLicence: CC BY-NC

Cite this

Dahm, M. R., McCaughey, E., Li, L., Westbrook, J., Mumford, V., Iles-Mann, J., Sargeant, A., & 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

Dahm, Maria R. ; McCaughey, Euan ; Li, Ling et al. / Point-of-care testing across rural and remote emergency departments in Australia : staff perceptions of operational impact. Integrating and Connecting Care - Selected Papers from the 25th Australian National Health Informatics Conference, HIC 2017. editor / Angela Ryan ; Louise K. Schaper ; Sue Whetton. Vol. 239 IOS Press, 2017. pp. 28-34 (Studies in Health Technology and Informatics).

@inproceedings{dd2417fc93fd4801b76fc432d21ce65b,

title = "Point-of-care testing across rural and remote emergency departments in Australia: staff perceptions of operational impact",

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.",

keywords = "emergency Department, evaluation, health informatics, pathology, point of care testing, remote, rural",

author = "Dahm, {Maria R.} and Euan McCaughey and Ling Li and Johanna Westbrook and Virginia Mumford and Juliana Iles-Mann and Andrew Sargeant and Andrew Georgiou",

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.; 25th Australian National Health Informatics Conference, HIC 2017 ; Conference date: 06-08-2017 Through 09-08-2017",

year = "2017",

doi = "10.3233/978-1-61499-783-2-28",

language = "English",

isbn = "9781614997825",

volume = "239",

series = "Studies in Health Technology and Informatics",

publisher = "IOS Press",

pages = "28--34",

editor = "Angela Ryan and Schaper, {Louise K.} and Sue Whetton",

booktitle = "Integrating and Connecting Care - Selected Papers from the 25th Australian National Health Informatics Conference, HIC 2017",

address = "Netherlands",

}

Dahm, MR, McCaughey, E, Li, L , Westbrook, J , Mumford, V, Iles-Mann, J, Sargeant, A & Georgiou, A 2017, Point-of-care testing across rural and remote emergency departments in Australia: staff perceptions of operational impact. in A Ryan, LK Schaper & S Whetton (eds), Integrating and Connecting Care - Selected Papers from the 25th Australian National Health Informatics Conference, HIC 2017. vol. 239, Studies in Health Technology and Informatics, vol. 239, IOS Press, pp. 28-34, 25th Australian National Health Informatics Conference, HIC 2017, Brisbane, Australia, 6/08/17. https://doi.org/10.3233/978-1-61499-783-2-28

Point-of-care testing across rural and remote emergency departments in Australia: staff perceptions of operational impact. / Dahm, Maria R.; McCaughey, Euan; Li, Ling et al.
Integrating and Connecting Care - Selected Papers from the 25th Australian National Health Informatics Conference, HIC 2017. ed. / Angela Ryan; Louise K. Schaper; Sue Whetton. Vol. 239 IOS Press, 2017. p. 28-34 (Studies in Health Technology and Informatics; Vol. 239).

Research output: Chapter in Book/Report/Conference proceeding › Conference proceeding contribution › peer-review

TY - GEN

T1 - Point-of-care testing across rural and remote emergency departments in Australia

T2 - 25th Australian National Health Informatics Conference, HIC 2017

AU - Dahm, Maria R.

AU - McCaughey, Euan

AU - Li, Ling

AU - Westbrook, Johanna

AU - Mumford, Virginia

AU - Iles-Mann, Juliana

AU - Sargeant, Andrew

AU - Georgiou, Andrew

N1 - 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.

PY - 2017

Y1 - 2017

N2 - 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.

AB - 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.

KW - emergency Department

KW - evaluation

KW - health informatics

KW - pathology

KW - point of care testing

KW - remote

KW - rural

UR - http://www.scopus.com/inward/record.url?scp=85026882987&partnerID=8YFLogxK

U2 - 10.3233/978-1-61499-783-2-28

DO - 10.3233/978-1-61499-783-2-28

M3 - Conference proceeding contribution

AN - SCOPUS:85026882987

SN - 9781614997825

VL - 239

T3 - Studies in Health Technology and Informatics

SP - 28

EP - 34

BT - Integrating and Connecting Care - Selected Papers from the 25th Australian National Health Informatics Conference, HIC 2017

A2 - Ryan, Angela

A2 - Schaper, Louise K.

A2 - Whetton, Sue

PB - IOS Press

Y2 - 6 August 2017 through 9 August 2017

ER -

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

Point-of-care testing across rural and remote emergency departments in Australia: staff perceptions of operational impact

Abstract

Publication series

Conference

Bibliographical note

Keywords

Access to Document

Other files and links

Fingerprint

Cite this