ORCID Profile
0000-0001-9474-1237
Current Organisation
Queensland University of Technology (QUT)
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Publisher: Australasian College of Health Service Management
Date: 13-12-2021
DOI: 10.24083/APJHM.V16I4.1011
Abstract: Background: The traditional model of care of the Orthopaedic Fracture Clinic (OFC) is labour intensive, expensive, has poor satisfaction rates, and often has minimal impact on management and outcomes of patients with minor injuries. Our aim was to implement a Virtual Fracture Clinic (VFC) for the management of minor injuries that is safe, reduces OFC clinic workload and reduces the OFC failure to attend (FTA) rate. Methods: This study was a retrospective longitudinal audit of OFC workload before (January 2012 -February 2017) and after (March 2017 – December 2019) implementation of the VFC. It was performed in an urban district general hospital in South East Queensland, Australia. The primary outcome measures included attendances per timepoint (month). Results: Overall, we observed a significant reduction in total number of patients from 1,055 (IQR 104.5) to 831 (IQR: 103) per month) coming through the OFC following the introduction of the VFC (F = 21.9 df=1 p .0001). The failure to attend rate was reduced by 44% from 271 (IQR: 127.3) to 151 (IQR: 72.8) (F=4.0 df=1 p = 0.047). Conclusion: The VFC implementation was successful in improving efficiency and reducing the current OFC workload, as well as reducing FTA rate. Reduction in clinic workload allows more time to be spent with complex patients, prevents clinic backlogs and overbooking, and crowding of waiting rooms. In the midst of a global pandemic that is spread by close contact, virtual clinics seem the way of the future to treat patients whilst minimising risk of COVID-19 spread.
Publisher: SAGE Publications
Date: 11-04-2017
Abstract: Supracondylar humeral fractures are the most common elbow injury occurring in the paediatric population, accounting for 55–80% of all elbow fractures and 3–18% of all paediatric fractures. They occur most commonly due to a fall from play equipment or furniture. This study aims to determine if any relationship exists between supracondylar humeral fractures and any temporal or injury characteristics. It was hypothesised that an increased incidence of supracondylar fractures would be observed in summer months and on weekends. All patients years of age with an isolated distal humerus supracondylar fracture between 2004 and 2014 were included in this study ( n = 569). Patient demographics and fracture characteristic data were collected. Hypothesis testing was performed to assess for any statistically significant relationship between fracture incidence and temporal or injury characteristics. Patients were then ided based on their management (conservative vs. operative) and hypothesis testing was performed to determine whether any difference existed between the management groups with regards to temporal and injury characteristics. No statistically significant association was noted between fracture incidence and gender, laterality, or day/month/season of injury. Time of injury and presentation to the Emergency Department demonstrated significant results, with highest incidence in the afternoon hours (12:00–17:59). Unlike previous international studies, no significant difference was noted between day/month/season of injury and incidence of supracondylar fracture. This is thought to be likely due to the difference in climate between Australia and other countries.
Publisher: Bentham Science Publishers Ltd.
Date: 30-09-2019
DOI: 10.2174/1874325001913010198
Abstract: Acute carpal tunnel syndrome secondary to acute calcific tendinitis is a rarely reported entity and poses a diagnostic dilemma for clinicians due to its non-specific presenting symptoms. Urgent decompression of the carpal tunnel is required to preserve the median nerve. We describe a case of acute carpal tunnel syndrome in the dominant hand of a 66-year-old female patient secondary to calcific tendinitis. Decompression was performed with good clinical result. We present this case report in order to further the knowledge bank regarding acute calcific tendinitis to help future clinicians to identify and manage it.
Publisher: eSciPub LLC
Date: 2020
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Bonnie McRae.