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

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Název: Experience-based codesign approach to improve care in Australian emergency departments for complex consumer cohorts: the MyED project protocol, Stages 1.1–1.3
Autoři: Reema Harrison, Jeffrey Braithwaite, Yvonne Zurynski, Peter D Hibbert, Kate Churruca, Louise A Ellis, Robyn Clay-Williams, Janet C Long, Margaret Murphy, Paul M Salmon, Anthony Brown, Rebecca Mitchell, Henry Cutler, Karen Hutchinson, Donna Gillies, Kylie Gwynne, Matthew Vukasovic, Kylie Smith, Elizabeth E Austin, Bronwyn Newman, Emilie Francis Auton, Ann Carrigan, Colleen Cheek, Nema Hayba, Lieke Richardson, Mariam Safi, Natália Ransolin, Aaron De Los Santos, Leanne Holt, Ramesh Lahiru Walpola, Reza Ali
Zdroj: BMJ Open, Vol 13, Iss 7 (2023)
Informace o vydavateli: BMJ Publishing Group, 2023.
Rok vydání: 2023
Sbírka: LCC:Medicine
Témata: Medicine
Popis: 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.
Druh dokumentu: article
Popis souboru: electronic resource
Jazyk: English
ISSN: 2044-6055
Relation: https://bmjopen.bmj.com/content/13/7/e072908.full; https://doaj.org/toc/2044-6055
DOI: 10.1136/bmjopen-2023-072908
Přístupová URL adresa: https://doaj.org/article/4f628e2d248b4e3f9d9a1a8c598e91a5
Přístupové číslo: edsdoj.4f628e2d248b4e3f9d9a1a8c598e91a5
Databáze: Directory of Open Access Journals
Popis
Abstrakt: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.
ISSN:20446055
DOI:10.1136/bmjopen-2023-072908