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From Compliance to Mindfulness. Safety in hazardous organisations does not simply depend on compliance with safety rules. It depends on a more elusive quality, organisational mindfulness. The aim of this project wil be to identify ways in which rule based culture can be transformed into a culture of mindfulness.The focus will be on a power station which is seeking to trasform a rule-based culture into a culture of mindfulness. If this can be done it will not only enhance safety at this po ....From Compliance to Mindfulness. Safety in hazardous organisations does not simply depend on compliance with safety rules. It depends on a more elusive quality, organisational mindfulness. The aim of this project wil be to identify ways in which rule based culture can be transformed into a culture of mindfulness.The focus will be on a power station which is seeking to trasform a rule-based culture into a culture of mindfulness. If this can be done it will not only enhance safety at this power station but it will identify the way other organisations can make the same transition.
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High Reliability Organisations. Organisations which operate risky technologies with few if any major incidents - High Reliability Organisations - exhibit a distinctive charactertistic - mindfulness. This study looks at a particular organisation - Airservices Australia - which aspires to this ideal, and examines how it measures up. It will also demonstrate how other organisations which aspire to be HROs can move towards this ideal. The study also examines how Airservice Australia and another simi ....High Reliability Organisations. Organisations which operate risky technologies with few if any major incidents - High Reliability Organisations - exhibit a distinctive charactertistic - mindfulness. This study looks at a particular organisation - Airservices Australia - which aspires to this ideal, and examines how it measures up. It will also demonstrate how other organisations which aspire to be HROs can move towards this ideal. The study also examines how Airservice Australia and another similarly mindful organisation identify warnings of danger and act on them before it is too late. This will again provide a model for other organisations.Read moreRead less
Understanding Health Professionals' Infection Control Practices In The Acute Care Setting
Funder
National Health and Medical Research Council
Funding Amount
$151,196.00
Summary
Health-care acquired infections have a considerable personal, social and economic impact in Australia, and better understanding of the causes of these infections is necessary. Failure by health professionals to follow infection control recommendations has important consequences in terms of the personal risk of acquiring an infection as well as the risk of infection transmission to patients. In Australia surgical site infections alone are estimated to cost as much as 268 million dollars a year. H ....Health-care acquired infections have a considerable personal, social and economic impact in Australia, and better understanding of the causes of these infections is necessary. Failure by health professionals to follow infection control recommendations has important consequences in terms of the personal risk of acquiring an infection as well as the risk of infection transmission to patients. In Australia surgical site infections alone are estimated to cost as much as 268 million dollars a year. Health-care acquired infections are associated with poorer health outcomes, a greater probability of prolonged hospital stays, greater re-hospitalisation rates, and significant reductions in health related quality of life. In this qualitative study we will use grounded theory and a comparative analysis strategy. We will initially identify participants sampled from health professionals employed in the acute care setting at a major teaching hospital in Perth, Western Australia. We will seek representation of a range of health professionals recruited from multiple occupational groups, including doctors, nurses and paramedical staff who have direct patient contact in the study sample. Sampling will also aim to recruit participants from a number of different acute care areas within the hospital, and staff with a range of individual characteristics, experiences and beliefs. We will interview a range of health care workers in order to explore their experiences of engagement in infection control practices and the factors influencing these experiences. We aim to develop a substantive theory that explains health professionals' engagement in high-risk infection control practices in the acute care setting. This will have implications for current understandings of the factors influencing adherence to recommended infection control practices, current theoretical perspectives which guide infection control practice, and strategies used to promote compliance with recommended practices.Read moreRead less
To complain or not to complain-That is the question! Does under-representation of rural complaints compromise quality of rural healthcare? Pro-rata, rural residents make fewer formal complaints about health care services than do metropolitan residents. This research investigates the reasons why, and the implications for quality improvement of rural health services. The research will also identify the most appropriate ways of engaging rural consumer participation in monitoring the quality of t ....To complain or not to complain-That is the question! Does under-representation of rural complaints compromise quality of rural healthcare? Pro-rata, rural residents make fewer formal complaints about health care services than do metropolitan residents. This research investigates the reasons why, and the implications for quality improvement of rural health services. The research will also identify the most appropriate ways of engaging rural consumer participation in monitoring the quality of their health services. Based on improved indicators, the Health Services Commission and health providers will have access to a better evidence base for maximising the quality of health care and services available in rural areas.Read moreRead less
Can Lure And Kill Strategies Prevent Dengue Transmission In North Queensland, Australia
Funder
National Health and Medical Research Council
Funding Amount
$318,621.00
Summary
Dengue fever is a growing threat to human health in the tropics. In north Queensland, 11 dengue outbreaks have resulted in 985 confirmed cases since 2000. Furthermore, 2004 saw the emergence of severe disease, with 4 cases of dengue haemorrhagic fever resulting in at least one death in the Torres Strait. The current dengue managment plan employs methods to control larvae and adults of the mosquito vector, Aedes aegypti. Adult control consists of spraying dark, protected areas inside houses and b ....Dengue fever is a growing threat to human health in the tropics. In north Queensland, 11 dengue outbreaks have resulted in 985 confirmed cases since 2000. Furthermore, 2004 saw the emergence of severe disease, with 4 cases of dengue haemorrhagic fever resulting in at least one death in the Torres Strait. The current dengue managment plan employs methods to control larvae and adults of the mosquito vector, Aedes aegypti. Adult control consists of spraying dark, protected areas inside houses and buildings with a residual pyrethroid insectcide. However, this method is laborious and exposes residents and the environment to pesticide. Our research team, funded by NHMRC project grant no. 279401, has developed lure and kill methods to kill Ae. aegypti mosquitoes using traps. These traps are baited with chemicals that attract female dengue mosquitoes trying to bite (host-seeking traps; HSTs) or trying to lay eggs (lethal ovitraps; LOs). The use of traps to kill specific target insects is termed lure and kill strategy. This strategy reduces the amount of pesticide used by 1000X, and are twice as fast to employ than house spraying. We are seeking funding to conduct a series of field trials to provide proof of concept that the lure and kill strategy will rapidly reduce populations of Ae. aegypti and thus stop dengue transmission. These trials will be conducted in the Cairns area. We will also trial a biodegradable lethal ovitrap that could be put into yards without having to return to retrieve the trap. The trap would simply biodegrade after 4 weeks, and thus pose no threat to become a mosquito breeding site once the pesticide had become ineffective. A biodegradable trap would be especially useful in the Torres Strait where return visits are costly and time consuming. Finally, we propose to trial a new paper strip device that emits vapors of the pyrethriod insecticide metofluthrin, shown to repel mosquitoes for weeks, to set in dengue case houses.Read moreRead less
Protecting young people from harm and injury: investigating the utility of a risk and protective framework. Serious injuries due to transport, violence and alcohol associated risk-taking are the main cause of teenage death. An innovative school course will be taught and evaluated that increases protecting others from risk, helping injured friends and promoting a connected environment where teachers and peers reach out to provide support.
Five Year Outcomes Of Care For Prostate Cancer In New South Wales
Funder
National Health and Medical Research Council
Funding Amount
$388,773.00
Summary
Prostate cancer is the most common cancer in Australian males after non-melanocytic skin cancer. Each year more than 10,000 men are diagnosed with prostate cancer, and over 2,500 die from it. While the issue of early detection of prostate cancer through the use of Prostate Specific Antigen test continues to raise debate, the longer term quality of life outcomes after treatment for this disease remain of great interest to patients, clinicians and health planners. The Prostate Cancer Outcomes Stud ....Prostate cancer is the most common cancer in Australian males after non-melanocytic skin cancer. Each year more than 10,000 men are diagnosed with prostate cancer, and over 2,500 die from it. While the issue of early detection of prostate cancer through the use of Prostate Specific Antigen test continues to raise debate, the longer term quality of life outcomes after treatment for this disease remain of great interest to patients, clinicians and health planners. The Prostate Cancer Outcomes Study is an already established research project that was established in 2000 with the aim of documenting the quality of life outcomes of 2000 men with prostate cancer to five years after diagnosis. The Department of Veterans Affairs funded the study between 2000 and 2005, to establish the cohort, collect patterns of care information from clinicians and quality of life information from participants to 3 years post diagnosis. We are now seeking funds to complete the quality of life follow up for each surviving participant at five years after diagnosis. We also will assess rate of recurrence of prostate cancer to five years and seek support to be able to undertake linkage with death certificate information to determine the vital status of each study subject and begin analysis of five-year survival rates. Five-year quality of life information will be the main endpoint for this part of the study. Initial analysis of the three-year data showed a continued improvement in outcomes related to urinary and sexual function. We wish to determine whether these improvements continue to five years and the extent of the difference, at that time, between men with prostate cancer and men without prostate cancer (controls), whom we are also studying. This information will be uniquely useful in helping men make decisions about treatment options when diagnosed with prostate cancer.Read moreRead less