The SAVE Trial: Securing All IntraVenous Devices Effectively In Hospitals. A Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$980,393.00
Summary
Going to hospital usually means having an IV drip in your hand or arm vein. Almost half of all IV drips fall out or fail because they are not well secured to the skin. This means patients miss out on treatment and have additional painful needlesticks to insert new devices. Serious infections can also occur. This study will find the best dressings to use on IV drips. Patients will have their drips glued in with medical superglue, or have one of two new dressings, compared with current usual care.
The Centre for Research Excellence in Nursing Interventions for Hospitalised Patients will provide evidence to improve the nursing care of a broad range of hospitalised patients who are at risk of complications related to compromised skin integrity and poor pain/anxiety management. Systematic reviews and clinical trials will provide the basis for developing clinical practice guidelines to assist nurses in providing high quality care to the 3.5 million Australians admitted to hospital each year.
Adequate nutrition is necessary for recovery from illness. 30-40% of hospitalised patients may be malnourished. The critically ill are at higher risk because of increased energy requirements yet often receive less than 50% of required nutritional intake. Adequate nutrition therapy is associated with improved patient outcomes, such as reduced mortality and reduced infectious complications. Robust strategies to implement of evidence-based recommendations for nutrition therapy are required.
Intravascular Device Administration Sets: Replacement After Standard Versus Prolonged Use (The RSVP Trial)
Funder
National Health and Medical Research Council
Funding Amount
$1,611,239.00
Summary
Most hospital patients need an IV drip, a small plastic tube in a vein, often the hand/arm. 14 million/yr are used in Australia. IV drips are connected to plastic tubing through which fluid & medicine is given. IV tubing is needed for a week or more, but is only used for 3-4 days as it was thought this might prevent infection. It is now thought that IV tubing can be used for a week. This would save $1 billion/year & reduce nurses workload. The research will test the safety of this approach.
Evaluation Of SCID-I In The Diagnosis Of Mental Disorders In Indigenous Australians
Funder
National Health and Medical Research Council
Funding Amount
$988,007.00
Summary
Current estimates of mental disease among Indigenous Australians are inadequate. This research will examine the use of a structured interview tool that is promoted globally for diagnosing mental disorders, and then use the tool to quantify the burden of mental illness among Indigenous Australians. The findings will provide accurate estimates of occurrence of mental disorders, thereby help inform policy making and planning of services for Indigenous Australians.
Life Cycle Measures of Cost Effectiveness for 4 D CAD in Design and Construct Projects across Industry Sectors. The effective and efficient delivery of complex construction projects will be transformed by the increased application of virtual design and construction technologies, including 4D CAD. By combining a 3D computer model of a design with the time dimension of the construction schedule, 4D CAD enables risks and opportunities to be better managed during the design phase and hence avoid co ....Life Cycle Measures of Cost Effectiveness for 4 D CAD in Design and Construct Projects across Industry Sectors. The effective and efficient delivery of complex construction projects will be transformed by the increased application of virtual design and construction technologies, including 4D CAD. By combining a 3D computer model of a design with the time dimension of the construction schedule, 4D CAD enables risks and opportunities to be better managed during the design phase and hence avoid costly issues during construction. However this requires addition design costs which currently represent a barrier to the uptake of this transforming technology. This project will overcome this by developing a flexible framework that allows the benefits gained across the life cycle of a project through using 4D CAD to be set against the additional costs and thus make this emerging technology more attractive to industry. Significantly this research will be based on comparative cases studies across different industry sectors including civil, building, and process engineering.Read moreRead less
A framework for adapting child interview protocols in complex cases. This project aims to develop–in collaboration with Aboriginal and other industry co-researchers–a ‘how to’ framework for effectively adapting standard child abuse interview protocols to accommodate the complexities that create barriers to disclosure. Complex cases necessitate interview adaption, but it requires systematic guidance and an interdisciplinary, practitioner-driven approach to be effective. This innovative framework ....A framework for adapting child interview protocols in complex cases. This project aims to develop–in collaboration with Aboriginal and other industry co-researchers–a ‘how to’ framework for effectively adapting standard child abuse interview protocols to accommodate the complexities that create barriers to disclosure. Complex cases necessitate interview adaption, but it requires systematic guidance and an interdisciplinary, practitioner-driven approach to be effective. This innovative framework is expected to have long-term benefits for services that support children’s well-being, through improvements in the quality of evidence underpinning decisions. By enhancing interviewer capability, there will also be fewer cases prematurely exiting the justice system before forensic interview or investigation.Read moreRead less
Incorporating Design Management Culture within the Total Project Management Process: a Socio-technical Approach. New project delivery methods (e.g. design & construct; alliance contracting) in major commercial and infrastructure projects have the potential to dramatically increase the value added to clients and the wider community.
However to realise this potential, we need to better understand those socio-technical factors that foster an effective design management culture within tradition ....Incorporating Design Management Culture within the Total Project Management Process: a Socio-technical Approach. New project delivery methods (e.g. design & construct; alliance contracting) in major commercial and infrastructure projects have the potential to dramatically increase the value added to clients and the wider community.
However to realise this potential, we need to better understand those socio-technical factors that foster an effective design management culture within traditional construction companies, especially their knowledge sharing culture.
This project will develop and test an innovative research methodology that blends approaches from the social sciences and engineering. The findings regarding design management will have wide applicability to industry and cover civil, building, mining and process engineering projects, each of which has its own culture.Read moreRead less
Innovation in police gender equity management: Looking back, moving forward. This project aims to investigate gender equity recruitment and career support policies in all nine Australian and New Zealand policing agencies. A wide range of equity initiatives that have been implemented across police agencies will be examined, along with affirmative action measures including recent 50/50 male/female recruitment targets. The project expects to generate an advanced best practice model that can be used ....Innovation in police gender equity management: Looking back, moving forward. This project aims to investigate gender equity recruitment and career support policies in all nine Australian and New Zealand policing agencies. A wide range of equity initiatives that have been implemented across police agencies will be examined, along with affirmative action measures including recent 50/50 male/female recruitment targets. The project expects to generate an advanced best practice model that can be used by domestic and international police agencies. This will allow police organisations to better manage equity issues and support a more inclusive and representative workforce. The benefits of this project are significant, they range from stronger police-community relations through to better service delivery by police.Read moreRead less
Improving Patient Outcomes In Surgery: Implementing The WHO Surgical Safety Checklist
Funder
National Health and Medical Research Council
Funding Amount
$174,107.00
Summary
Surgery is central to health care with an estimated 234 million operations being performed each year around the world. Over the past decade, the use of checklists in surgery has been seen as a way of reducing or prevention adverse events. However, there is inconsistent uptake and sustained use of checklists as a communication tool in surgery. The aim of this implementation project is to evaluate the feasibility of an intervention designed to increase the adoption and use of the WHO Checklist in ....Surgery is central to health care with an estimated 234 million operations being performed each year around the world. Over the past decade, the use of checklists in surgery has been seen as a way of reducing or prevention adverse events. However, there is inconsistent uptake and sustained use of checklists as a communication tool in surgery. The aim of this implementation project is to evaluate the feasibility of an intervention designed to increase the adoption and use of the WHO Checklist in clinical practice.Read moreRead less