ORCID Profile
0000-0001-7984-3155
Current Organisation
James Cook University
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Publisher: Wiley
Date: 29-09-2021
DOI: 10.1111/AJR.12800
Abstract: People in rural and remote New South Wales experience avoidable admissions, limited access to skilled clinicians and commonly travel km to access specialist services within the district and km for tertiary services outside. Iterative use of New South Wales Health redesign methodology in the period 2015‐2020. Western New South Wales Local Health District is geographically the largest Health District within New South Wales and includes disadvantaged communities. Virtual Coordination Access Referral Escalation is an audio‐visually enabled transport, patient flow and clinical advice unit established in 2006 to support patients and clinicians at 35 small, rural and remote hospitals. Right care, right place and right time by the right team the first time. Care delivery close to home and ‘on country’. Safe and cost‐effective transport. Performance measures to support quality, safety and clinical outcomes. Improving the human experience. Cycles of strategic planning, innovation, productive partnerships, change management and human systems development. Virtual Coordination Access Referral Escalation critical care telehealth more effectively supports rural and remote health care across large distances. Improvements include expanded/redefined management and nursing roles, integration of dedicated critical care emergency medicine specialists within the service, delegated authority to accept transfers, upgraded technology, 24‐hour service provision and a central ‘Virtual Support’ proactive outreach model.
Publisher: Microbiology Society
Date: 07-2023
Abstract: Streptococcus pneumoniae is a highly virulent, vaccine-preventable pathogen which can cause disease on a spectrum from benign to fatal. Apart from pneumonia, it commonly causes septicaemia and meningitis. This case report describes an unusual range of complications in a 53-year-old Caucasian female presenting to a regional hospital, without any risk known factors for severe disease (such as extremes of age, immunodeficiency or co-morbidities). Progressing from an episode of otitis media, her condition rapidly progressed to mastoid sinusitis, septic arthritis, infective endocarditis, epidural abscesses and multiple subcutaneous abscesses. Following quick identification of S. pneumoniae from a positive blood culture, the patient was treated with high-dose benzylpenicillin and ceftriaxone and aggressive source control by surgery, enabling a good clinical recovery.
Publisher: Microbiology Society
Date: 26-04-2023
Abstract: Streptococcus pneumoniae is a highly virulent, vaccine preventable pathogen which can cause disease on a spectrum from benign to fatal. Apart from pneumonia, it commonly causes septicaemia and meningitis. This case report describes an unusual range of complications in a middle, aged Caucasian female presenting to a regional hospital, without any risk known factors for severe disease. Progressing from episode of otitis media, her condition rapidly progressed to mastoid sinusitis, septic arthritis, infective endocarditis epidural abscesses and multiple subcutaneous abscesses. Following quick identification of S pneumoniae from a positive blood culture, she was treated with high dose benzylpenicillin and ceftriaxone and aggressive source control by surgery, enabling a good clinical recovery.
Publisher: Microbiology Society
Date: 28-06-2023
Abstract: Streptococcus pneumoniae is a highly virulent, vaccine preventable pathogen which can cause disease on a spectrum from benign to fatal. Apart from pneumonia, it commonly causes septicaemia and meningitis. This case report describes an unusual range of complications in a middle, aged Caucasian female presenting to a regional hospital, without any risk known factors for severe disease. Progressing from episode of otitis media, her condition rapidly progressed to mastoid sinusitis, septic arthritis, infective endocarditis epidural abscesses and multiple subcutaneous abscesses. Following quick identification of S pneumoniae from a positive blood culture, she was treated with high dose benzylpenicillin and ceftriaxone and aggressive source control by surgery, enabling a good clinical recovery.
Publisher: Wiley
Date: 08-03-2022
DOI: 10.1111/MEDU.14772
No related grants have been discovered for Kimberley Dean.