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Experience-based codesign approach to improve care in Australian emergency departments for complex consumer cohorts the MyED project protocol, Stages 1.1-1.31.05 MB
Published VersionCC BY-NC V4.0, Open Access
Journal article
Experience-based codesign approach to improve care in Australian emergency departments for complex consumer cohorts: the MyED project protocol, Stages 1.1–1.3
BMJ Open, Vol.13(7), pp.1-8
2023
PMID: 37407042
Abstract
Introduction: Emergency department (ED) care must adapt to meet current and future demands. In Australia, ED quality measures (eg, prolonged length of stay, re-presentations or patient experience) are worse for older adults with multiple comorbidities, people who have a disability, those who present with a mental health condition, Indigenous Australians, and those with a culturally and linguistically diverse (CALD) background. Strengthened ED performance relies on understanding the social and systemic barriers and preferences for care of these different cohorts, and identifying viable solutions that may result in sustained improvement by service providers. A collaborative 5-year project (MyED) aims to codesign, with ED users and providers, new or adapted models of care that improve ED performance, improve patient outcomes and improve patient experience for these five cohorts.
Methods and analysis: Experience-based codesign using mixed methods, set in three hospitals in one health district in Australia. This protocol introduces the staged and incremental approach to the whole project, and details the first research elements: ethnographic observations at the ED care interface, interviews with providers and interviews with two patient cohorts-older adults and adults with a CALD background. We aim to sample a diverse range of participants, carefully tailoring recruitment and support.
Ethics and dissemination: Ethics approval has been obtained from the Western Sydney Local Health District Human Research Ethics Committee (2022/PID02749-2022/ETH02447). Prior informed written consent will be obtained from all research participants. Findings from each stage of the project will be submitted for peer-reviewed publication. Project outputs will be disseminated for implementation more widely across New South Wales, Australia.
Details
- Title
- Experience-based codesign approach to improve care in Australian emergency departments for complex consumer cohorts: the MyED project protocol, Stages 1.1–1.3
- Authors
- Colleen Cheek (Author) - Macquarie UniversityNema Hayba (Author) - Macquarie UniversityLieke Richardson (Author) - Macquarie UniversityElizabeth E Austin (Author) - Macquarie UniversityEmilie Francis Auton (Author) - Macquarie UniversityMariam Safi (Author) - Macquarie UniversityNatália Ransolin (Author) - Macquarie UniversityMatthew Vukasovic (Author) - Westmead HospitalAaron De Los Santos (Author) - Blacktown & Mount Druitt HospitalMargaret Murphy (Author) - Westmead HospitalReema Harrison (Author) - Macquarie UniversityKate Churruca (Author) - Macquarie UniversityJanet C Long (Author) - Macquarie UniversityPeter D Hibbert (Author) - University of South AustraliaAnn Carrigan (Author) - Macquarie UniversityBronwyn Newman (Author) - Macquarie UniversityKaren Hutchinson (Author) - Macquarie UniversityRebecca Mitchell (Author) - Macquarie UniversityHenry Cutler (Author) - Macquarie UniversityLeanne Holt (Author) - , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,Jeffrey Braithwaite (Author) - Macquarie UniversityDonna Gillies (Author) - NDIS Quality and Safeguards CommissionPaul M Salmon (Author) - University of the Sunshine Coast, Queensland, Centre for Human Factors and Systems ScienceRamesh Lahiru Walpola (Author) - UNSW SydneyYvonne Zurynski (Author) - Macquarie UniversityLouise A Ellis (Author) - , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,Kylie Smith (Author) - NSW Agency for Clinical Innovation -St Leonards, Australia (ACI)Anthony Brown (Author) - Western Sydney UniversityReza Ali (Author) - Blacktown & Mount Druitt HospitalKylie Gwynne (Author) - Macquarie UniversityRobyn Clay-Williams (Corresponding Author) - Macquarie University
- Publication details
- BMJ Open, Vol.13(7), pp.1-8
- Publisher
- BMJ Group
- Date published
- 2023
- DOI
- 10.1136/bmjopen-2023-072908
- ISSN
- 2044-6055
- PMID
- 37407042
- Copyright note
- This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
- Grant note
- Australian Government Medical Research Future Fund (MRFF)
- Organisation Unit
- Centre for Human Factors and Systems Science; University of the Sunshine Coast, Queensland
- Language
- English
- Record Identifier
- 99741798602621
- Output Type
- Journal article
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