Evidence map›Paper›PMID 37407042›Full record

ArticleBMJ open2023

Experience-based codesign approach to improve care in Australian emergency departments for complex consumer cohorts: the MyED project protocol, Stages 1.1-1.3.

Colleen Cheek, Nema Hayba, Lieke Richardson, Elizabeth E Austin, Emilie Francis Auton, Mariam Safi, Natália Ransolin, Matthew Vukasovic, Aaron De Los Santos, Margaret Murphy and 21 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors.

Colleen CheekAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0001-9426-1102
Nema HaybaAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Lieke RichardsonAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0002-2856-1542
Elizabeth E AustinAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0002-8438-2362
Emilie Francis AutonAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Mariam SafiAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Natália RansolinAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0002-7128-8000
Matthew VukasovicDepartment of Emergency Medicine, Westmead Hospital, Westmead, New South Wales, Australia.
Aaron De Los SantosDepartment of Emergency Medicine, Blacktown and Mount Druitt Hospital, Blacktown, New South Wales, Australia.
Margaret MurphyDepartment of Emergency Medicine, Westmead Hospital, Westmead, New South Wales, Australia.ORCID 0000-0002-8937-8418
Reema HarrisonAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0002-8609-9827
Kate ChurrucaAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0002-9923-3116
Janet C LongAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0002-0553-682X
Peter D HibbertAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0001-7865-343X
Ann CarriganAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0002-2525-9241
Bronwyn NewmanAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Karen HutchinsonAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Rebecca MitchellAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0003-1939-1761
Henry CutlerAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Leanne HoltFaculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.
Jeffrey BraithwaiteAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0003-0296-4957
Donna GilliesNDIS Quality and Safeguards Commission, Penrith, New South Wales, Australia.
Paul M SalmonCentre for Human Factors and Sociotechnical Systems, University of the Sunshine Coast, Sunshine Coast, Queensland, Australia.
Ramesh Lahiru WalpolaSchool of Population Health, University of New South Wales, Sydney, New South Wales, Australia.
Yvonne ZurynskiAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0001-7744-8717
Louise A EllisAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.ORCID 0000-0001-6902-4578
Kylie SmithEmergency Care Institute, NSW Agency for Clinical Innovation, St Leonards, New South Wales, Australia.
Anthony BrownWestern Sydney University, Penrith, New South Wales, Australia.
Reza AliDepartment of Emergency Medicine, Blacktown and Mount Druitt Hospital, Blacktown, New South Wales, Australia.
Kylie GwynneFaculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.
Robyn Clay-WilliamsAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia robyn.clay-williams@mq.edu.au.ORCID 0000-0002-6107-7445

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEmergency 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.

Indexed as

Emergency Medical ServicesEmergency Service, HospitalAgedAustraliaHospitalsHumansNew South Waleshealth equitypatient-centered carepatient participationquality in health care

Identifiers

PMID37407042
PMCPMC10335419

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.