Current Projects

Current and completed projects

• ‘How many triage category 3-4 patients admitted to an acute ward via ISLHD ED in 2016-17, could have been potentially avoided through use of additional Allied Health services in the ED and at home?'

Aim: 1) To determine the extent to which triage category 3-4 patients admitted to an acute ward via ISLHD in 2016-17, could have avoided admission through use of additional Allied Health services in the ED and at home?

        2)  Of those patients admitted, what was their length of stay, readmission rate (over the next 6 months), and what was the frequency of Allied Health intervention. 

 

• ‘Health Care Use among Patients with Mental Disorders in the Illawarra Shoalhaven Local Health District’

Aim: The aim of this study is to identify sociodemographic and clinical factors associated with increased health care use among patients with mental disorders.

 

• ‘Hospital outcomes in current smokers with presentations of adult community-acquired pneumonia

Aim: To investigate if current smoking status is associated with adverse hospitalisation outcomes (e.g. length of stay, admission severity, need for and duration of ICU admission, and mortality) in people admitted with community acquired pneumonia (CAP).

 

‘Model of Nutritional Care in Older Adults: Improving the identification and management of malnutrition using the Mini Nutrition Assessment-Short Form (MNA-SF) in General Practices and Residential Aged Care

 Aim: to encourage early identification of malnutrition in older residents of the Illawarra and Shoalhaven in order to refer them to appropriate services (dietitian, Meals on Wheels, etc.) and thereby improve clinical outcomes, such as a reduction in falls, fractures and acute illnesses, as well as reduce hospital admissions and length of stay.

 

‘Comorbidity of serious mental illness and type 2 Diabetes – Do neighbourhoods matter?’

Aim: Quantify the burden of Type 2 diabetes (T2D) within a cohort of persons with serious mental illness (SMI) in the ISLHD area, examine the association between co-occurring SMI/ T2D and neighbourhood socioeconomic disadvantage; and determine whether any association is mediated by other neighbourhood contextual factors.

 

'Renal Resistive index in assessment of risk and progression of chronic kidney disease'

Aim: Drawing from a large cohort of patients undergoing renal ultrasound, we propose to compare subjects with an elevated RI (>0.7) to age and gender matched controls with normal RI (<0.7) with respect to presence of chronic kidney disease, comorbidities and outcomes including rate of CKD progression. 

 

'The cost of BMI on procedural time - A quality improvement study assessing the impact of BMI on procedural times and relative cost in select non-urgent surgical procedures over a 12 month period'

Aim: To identify whether peritonitis (one of the more severe infection episodes) is a risk factor for developing CVD and events in patients on peritoneal dialysis. In doing so we hope to highlight a potential group of patients who maybe at a higher risk of CVD and therefore require increased surveillance for CVD risk reduction.

 

'Atherosclerosis Secondary Prevention Study'

Aim: To characterise this group & in particular to identify if these second events can be attributed to failure to implement proven strategies for preventing cardiovascular disease or if they occur despite implementation of secondary prevention measures.   

 

'Peritonitis as an independent risk factor for cardiovascular events in the peritoneal dialysis population'

Aim: To identify whether peritonitis (one of the more severe infection episodes) is a risk factor for developing CVD and events in patients on peritoneal dialysis. In doing so we hope to highlight a potential group of patients who maybe at a higher risk of CVD and therefore require increased surveillance for CVD risk reduction.

 

‘Trend analysis of Frequent Attenders at Illawarra Shoalhaven Emergency Departments’

Aim: Describe trends in ED attendances among frequent attenders at ISLHD EDs over the last 15 years, and determine whether the patient profile of frequent ED attenders has changed over the last 15 years, e.g. which discrete patient cohorts are increasing. 

 

'Assessing end-of-life patterns and quality of care'

Aim: To assess the unmet needs for palliative care, and the patterns and quality of end-of-life care, among Illawarra Shoalhaven residents.

 

 • 'Supplementary Evaluation of the Acute Rehabilitation Team (ART) Intervention'

Aim: To provide a detailed evaluation of the impact of the ART intervention in the acute setting to supplement the existing evaluation of sub-acute data.

 

'Trends and patterns in unplanned readmissions to Illawarra Shoalhaven hospitals'

Aim: This initial stage of research aims to investigate 15 years of ISLHD data (2001-2015) available on the IHIP platform to describe trends in readmission to ISLHD acute care settings, with a focus on potentially avoidable hospitalisations and examine how these trends in unplanned readmissions vary by service factors, specific conditions and patient groups.

 

'Evaluation of a Suicide Prevention Aftercare Service'

Aim: This project will evaluate the outcomes of the new community-based suicide prevention service.

A joint initiative of ISLHD, COORDINARE, UOW, Beyond Blue and Grand Pacific Health.

 

'A retrospective comparison of service utilisation experience of mental health consumers'

Aim: The aim of the project is to examine for possible effect of a TR intervention on people’s engagement with local health services for mental illness. Specifically, investigation will focus on: admitted patient data for hospital stays and episodes; emergency department presentations; mental health ambulatory care data for community visits and activities; and, mental health outcomes.

 

'An evaluation of a strategy designed to increase awareness about High Risk Medicines and its impact on knowledge and awareness among healthcare providers and on reported outcomes'

Aim: The aim of the study is to evaluate a multi-faceted strategy designed to raise awareness of high risk medicines among healthcare practitioners in a principal referral hospital in a major city and the surrounding district hospital.   

 

Public Health Undergraduate Students x 2:

‘Exploring adverse medication events resulting in presentations and/or admissions to ISLHD facilities over the last 10 years’

 

Medical student – phase 3 research:

‘Quick Sepsis related organ failure assessment compared to systemic inflammatory response syndrome for the recognition of Sepsis in the Emergency Department’

 

Masters candidate:

‘The prevalence of hospitalisations resulting from side effects associated with oral anticoagulants’

 

PhD candidate:

‘Examining service utilisation and the impact of Dementia identification on patient outcomes: a longitudinal analysis of hospitalization guided by a collaborative process to promote knowledge translation’

 

PhD candidate:

‘The role of private health insurance in supporting the care needs of people with chronic illness’

 

Masters of Public Health student:

‘ED presentations and admissions to The Wollongong Hospital during the past 5 years (2011-2016) due to medication misadventures in community dwelling people living with and without dementia’

 

'Predicting sub-acute demand using acute data'

Aim: The aim of the project is to estimate local demand for sub-acute beds by applying a model based on acute admissions to ISLHD data.  This information can be used by service planners to forecast local demand for subacute services.  

Completed: September 2017 

 

Last reviewed: 13 August, 2018