The Experts below are selected from a list of 4086 Experts worldwide ranked by ideXlab platform
Tjibbe Donker - One of the best experts on this subject based on the ideXlab platform.
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using Hospital Network based surveillance for antimicrobial resistance as a more robust alternative to self reporting
PLOS ONE, 2019Co-Authors: Tjibbe Donker, Timo Smieszek, Katherine L Henderson, Timothy M Walker, Russell Hope, Alan P JohnsonAbstract:Hospital performance is often measured using self-reported statistics, such as the incidence of Hospital-transmitted micro-organisms or those exhibiting antimicrobial resistance (AMR), encouraging Hospitals with high levels to improve their performance. However, Hospitals that increase screening efforts will appear to have a higher incidence and perform poorly, undermining comparison between Hospitals and disincentivising testing, thus hampering infection control. We propose a surveillance system in which Hospitals test patients previously discharged from other Hospitals and report observed cases. Using English National Health Service (NHS) Hospital Episode Statistics data, we analysed patient movements across England and assessed the number of Hospitals required to participate in such a reporting scheme to deliver robust estimates of incidence. With over 1.2 million admissions to English Hospitals previously discharged from other Hospitals annually, even when only a fraction of Hospitals (41/155) participate (each screening at least 1000 of these admissions), the proposed surveillance system can estimate incidence across all Hospitals. By reporting on other Hospitals, the reporting of incidence is separated from the task of improving own performance. Therefore the incentives for increasing performance can be aligned to increase (rather than decrease) screening efforts, thus delivering both more comparable figures on the AMR problems across Hospitals and improving infection control efforts.
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using Hospital Network based surveillance for antimicrobial resistance as a more robust alternative to self reporting
bioRxiv, 2019Co-Authors: Tjibbe Donker, Timo Smieszek, Katherine L Henderson, Timothy M Walker, Russell Hope, Alan P Johnson, Neil Woodford, Derrick W Crook, T E A Peto, S WalkerAbstract:Hospital performance is often measured using self-reported statistics, such as the incidence of Hospital-transmitted micro-organisms or those exhibiting antimicrobial resistance (AMR), encouraging Hospitals with high levels to improve their performance. However, Hospitals that increase screening efforts will appear to have a higher incidence and perform poorly, undermining comparison between Hospitals and disincentivising testing, thus hampering infection control. We propose a surveillance system in which Hospitals test patients previously discharged from other Hospitals and report observed cases. Using NHS Hospital Episode Statistics data, we analysed patient movements across England and assessed the number of Hospitals required to participate in such a reporting scheme to deliver robust estimates of incidence. With over 1.2 million admissions to English Hospitals previously discharged from other Hospitals annually, even when only a fraction of Hospitals (41/155) participate (each screening at least 1000 of these admissions), the proposed surveillance system can estimate incidence across all Hospitals. By reporting on other Hospitals, the reporting of incidence is separated from the task of improving own performance. Therefore the incentives for increasing performance can be aligned to increase (rather than decrease) screening efforts, thus delivering both more comparable figures on the AMR problems across Hospitals and improving infection control efforts.
Alan P Johnson - One of the best experts on this subject based on the ideXlab platform.
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using Hospital Network based surveillance for antimicrobial resistance as a more robust alternative to self reporting
PLOS ONE, 2019Co-Authors: Tjibbe Donker, Timo Smieszek, Katherine L Henderson, Timothy M Walker, Russell Hope, Alan P JohnsonAbstract:Hospital performance is often measured using self-reported statistics, such as the incidence of Hospital-transmitted micro-organisms or those exhibiting antimicrobial resistance (AMR), encouraging Hospitals with high levels to improve their performance. However, Hospitals that increase screening efforts will appear to have a higher incidence and perform poorly, undermining comparison between Hospitals and disincentivising testing, thus hampering infection control. We propose a surveillance system in which Hospitals test patients previously discharged from other Hospitals and report observed cases. Using English National Health Service (NHS) Hospital Episode Statistics data, we analysed patient movements across England and assessed the number of Hospitals required to participate in such a reporting scheme to deliver robust estimates of incidence. With over 1.2 million admissions to English Hospitals previously discharged from other Hospitals annually, even when only a fraction of Hospitals (41/155) participate (each screening at least 1000 of these admissions), the proposed surveillance system can estimate incidence across all Hospitals. By reporting on other Hospitals, the reporting of incidence is separated from the task of improving own performance. Therefore the incentives for increasing performance can be aligned to increase (rather than decrease) screening efforts, thus delivering both more comparable figures on the AMR problems across Hospitals and improving infection control efforts.
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using Hospital Network based surveillance for antimicrobial resistance as a more robust alternative to self reporting
bioRxiv, 2019Co-Authors: Tjibbe Donker, Timo Smieszek, Katherine L Henderson, Timothy M Walker, Russell Hope, Alan P Johnson, Neil Woodford, Derrick W Crook, T E A Peto, S WalkerAbstract:Hospital performance is often measured using self-reported statistics, such as the incidence of Hospital-transmitted micro-organisms or those exhibiting antimicrobial resistance (AMR), encouraging Hospitals with high levels to improve their performance. However, Hospitals that increase screening efforts will appear to have a higher incidence and perform poorly, undermining comparison between Hospitals and disincentivising testing, thus hampering infection control. We propose a surveillance system in which Hospitals test patients previously discharged from other Hospitals and report observed cases. Using NHS Hospital Episode Statistics data, we analysed patient movements across England and assessed the number of Hospitals required to participate in such a reporting scheme to deliver robust estimates of incidence. With over 1.2 million admissions to English Hospitals previously discharged from other Hospitals annually, even when only a fraction of Hospitals (41/155) participate (each screening at least 1000 of these admissions), the proposed surveillance system can estimate incidence across all Hospitals. By reporting on other Hospitals, the reporting of incidence is separated from the task of improving own performance. Therefore the incentives for increasing performance can be aligned to increase (rather than decrease) screening efforts, thus delivering both more comparable figures on the AMR problems across Hospitals and improving infection control efforts.
Tamara D Hooper - One of the best experts on this subject based on the ideXlab platform.
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caretrack kids part 3 adverse events in children s healthcare in australia study protocol for a retrospective medical record review
BMJ Open, 2015Co-Authors: Peter Hibbert, Andrew R Hallahan, Stephen E Muething, Peter Lachman, Tamara D Hooper, Louise Wiles, Adam JaffeAbstract:Introduction A high-quality health system should deliver care that is free from harm. Few large-scale studies of adverse events have been undertaken in children9s healthcare internationally, and none in Australia. The aim of this study is to measure the frequency and types of adverse events encountered in Australian paediatric care in a range of healthcare settings. Methods and analysis A form of retrospective medical record review, the Institute of Healthcare Improvement9s Global Trigger Tool, will be modified to collect data. Records of children aged Ethics and dissemination Human Research Ethics Committee approvals have been received from the Sydney Children9s Hospital Network, Children9s Health Queensland Hospital and Health Service, and the Women9s and Children9s Hospital Network in South Australia. An application is under review with the Royal Australian College of General Practitioners. The authors will submit the results of the study to relevant journals and undertake national and international oral presentations to researchers, clinicians and policymakers.
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caretrack kids part 2 assessing the appropriateness of the healthcare delivered to australian children study protocol for a retrospective medical record review
BMJ Open, 2015Co-Authors: Peter Hibbert, Tamara D Hooper, Louise Wiles, Adam Jaffe, Nicole Mealing, Les WhiteAbstract:Introduction Australian and international clinical practice guidelines are available for common paediatric conditions. Yet there is evidence that there are substantial variations between the guidelines, recommendations (appropriate care) and the care delivered. This paper describes a study protocol to determine the appropriateness of the healthcare delivered to Australian children for 16 common paediatric conditions in acute and primary healthcare settings. Methods and analysis A random sample of 6000–8000 medical records representing a cross-section of the Australian paediatric population will be reviewed for appropriateness of care against a set of indicators within three Australian states (New South Wales, Queensland and South Australia) using multistage, stratified sampling. Medical records of children aged Ethics and dissemination Human Research Ethics Committee approvals have been received from the Sydney Children9s Hospital Network, Children9s Health Queensland Hospital and Health Service and Women9s and Children9s Hospital Network (South Australia). An application is under review for the Royal Australian College of General Practitioners. The authors will submit the results of the study to relevant journals and offer oral presentations to researchers, clinicians and policymakers at national and international conferences.
Timo Smieszek - One of the best experts on this subject based on the ideXlab platform.
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using Hospital Network based surveillance for antimicrobial resistance as a more robust alternative to self reporting
PLOS ONE, 2019Co-Authors: Tjibbe Donker, Timo Smieszek, Katherine L Henderson, Timothy M Walker, Russell Hope, Alan P JohnsonAbstract:Hospital performance is often measured using self-reported statistics, such as the incidence of Hospital-transmitted micro-organisms or those exhibiting antimicrobial resistance (AMR), encouraging Hospitals with high levels to improve their performance. However, Hospitals that increase screening efforts will appear to have a higher incidence and perform poorly, undermining comparison between Hospitals and disincentivising testing, thus hampering infection control. We propose a surveillance system in which Hospitals test patients previously discharged from other Hospitals and report observed cases. Using English National Health Service (NHS) Hospital Episode Statistics data, we analysed patient movements across England and assessed the number of Hospitals required to participate in such a reporting scheme to deliver robust estimates of incidence. With over 1.2 million admissions to English Hospitals previously discharged from other Hospitals annually, even when only a fraction of Hospitals (41/155) participate (each screening at least 1000 of these admissions), the proposed surveillance system can estimate incidence across all Hospitals. By reporting on other Hospitals, the reporting of incidence is separated from the task of improving own performance. Therefore the incentives for increasing performance can be aligned to increase (rather than decrease) screening efforts, thus delivering both more comparable figures on the AMR problems across Hospitals and improving infection control efforts.
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using Hospital Network based surveillance for antimicrobial resistance as a more robust alternative to self reporting
bioRxiv, 2019Co-Authors: Tjibbe Donker, Timo Smieszek, Katherine L Henderson, Timothy M Walker, Russell Hope, Alan P Johnson, Neil Woodford, Derrick W Crook, T E A Peto, S WalkerAbstract:Hospital performance is often measured using self-reported statistics, such as the incidence of Hospital-transmitted micro-organisms or those exhibiting antimicrobial resistance (AMR), encouraging Hospitals with high levels to improve their performance. However, Hospitals that increase screening efforts will appear to have a higher incidence and perform poorly, undermining comparison between Hospitals and disincentivising testing, thus hampering infection control. We propose a surveillance system in which Hospitals test patients previously discharged from other Hospitals and report observed cases. Using NHS Hospital Episode Statistics data, we analysed patient movements across England and assessed the number of Hospitals required to participate in such a reporting scheme to deliver robust estimates of incidence. With over 1.2 million admissions to English Hospitals previously discharged from other Hospitals annually, even when only a fraction of Hospitals (41/155) participate (each screening at least 1000 of these admissions), the proposed surveillance system can estimate incidence across all Hospitals. By reporting on other Hospitals, the reporting of incidence is separated from the task of improving own performance. Therefore the incentives for increasing performance can be aligned to increase (rather than decrease) screening efforts, thus delivering both more comparable figures on the AMR problems across Hospitals and improving infection control efforts.
Adam Jaffe - One of the best experts on this subject based on the ideXlab platform.
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caretrack kids part 3 adverse events in children s healthcare in australia study protocol for a retrospective medical record review
BMJ Open, 2015Co-Authors: Peter Hibbert, Andrew R Hallahan, Stephen E Muething, Peter Lachman, Tamara D Hooper, Louise Wiles, Adam JaffeAbstract:Introduction A high-quality health system should deliver care that is free from harm. Few large-scale studies of adverse events have been undertaken in children9s healthcare internationally, and none in Australia. The aim of this study is to measure the frequency and types of adverse events encountered in Australian paediatric care in a range of healthcare settings. Methods and analysis A form of retrospective medical record review, the Institute of Healthcare Improvement9s Global Trigger Tool, will be modified to collect data. Records of children aged Ethics and dissemination Human Research Ethics Committee approvals have been received from the Sydney Children9s Hospital Network, Children9s Health Queensland Hospital and Health Service, and the Women9s and Children9s Hospital Network in South Australia. An application is under review with the Royal Australian College of General Practitioners. The authors will submit the results of the study to relevant journals and undertake national and international oral presentations to researchers, clinicians and policymakers.
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caretrack kids part 2 assessing the appropriateness of the healthcare delivered to australian children study protocol for a retrospective medical record review
BMJ Open, 2015Co-Authors: Peter Hibbert, Tamara D Hooper, Louise Wiles, Adam Jaffe, Nicole Mealing, Les WhiteAbstract:Introduction Australian and international clinical practice guidelines are available for common paediatric conditions. Yet there is evidence that there are substantial variations between the guidelines, recommendations (appropriate care) and the care delivered. This paper describes a study protocol to determine the appropriateness of the healthcare delivered to Australian children for 16 common paediatric conditions in acute and primary healthcare settings. Methods and analysis A random sample of 6000–8000 medical records representing a cross-section of the Australian paediatric population will be reviewed for appropriateness of care against a set of indicators within three Australian states (New South Wales, Queensland and South Australia) using multistage, stratified sampling. Medical records of children aged Ethics and dissemination Human Research Ethics Committee approvals have been received from the Sydney Children9s Hospital Network, Children9s Health Queensland Hospital and Health Service and Women9s and Children9s Hospital Network (South Australia). An application is under review for the Royal Australian College of General Practitioners. The authors will submit the results of the study to relevant journals and offer oral presentations to researchers, clinicians and policymakers at national and international conferences.