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

Journal article


Cheek, Colleen, Hayba, Nema, Richardson, Lieke, Austin, Elizabeth E., Francis-Auton, Emilie, Safi, Mariam, Ransolin, Natália, Vukasovic, Matthew, De Los Santos, Aaron, Murphy, Margaret, Harrison, Reema, Churruca, Kate, Long, Janet C., Hibbert, Peter, Carrigan, Ann, Newman, Bronwyn, Hutchinson, Karen, Mitchell, Rebecca, Cutler, Henry, ... Clay-Williams, Robyn. (2023). 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. 13(7), pp. 1-8. https://doi.org/10.1136/bmjopen-2023-072908
AuthorsCheek, Colleen, Hayba, Nema, Richardson, Lieke, Austin, Elizabeth E., Francis-Auton, Emilie, Safi, Mariam, Ransolin, Natália, Vukasovic, Matthew, De Los Santos, Aaron, Murphy, Margaret, Harrison, Reema, Churruca, Kate, Long, Janet C., Hibbert, Peter, Carrigan, Ann, Newman, Bronwyn, Hutchinson, Karen, Mitchell, Rebecca, Cutler, Henry, Holt, Leanne, Braithwaite, Jeffrey, Gillies, Donna, Salmon, Paul M., Walpola, Ramesh Lahiru, Zurynski, Yvonne, Ellis, Louise A., Smith, Kylie, Brown, Anthony, Ali, Reza, Gwynne, Kylie and Clay-Williams, Robyn
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.

Keywordsemergency department care; quality measures; patient outcomes ; Australia
Year01 Jan 2023
JournalBMJ Open
Journal citation13 (7), pp. 1-8
PublisherBMJ GROUP
ISSN2044-6055
Digital Object Identifier (DOI)https://doi.org/10.1136/bmjopen-2023-072908
Web address (URL)https://bmjopen.bmj.com/content/13/7/e072908
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-8
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online05 Jul 2023
Publication process dates
Accepted21 Jun 2023
Deposited15 Nov 2024
Additional information

http://creativecommons.org/licenses/by-nc/4.0/
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/.

© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Funding: This work was funded by the Australian Government Medical Research Future Fund (MRFF), 2022 MRFF Models of Care to Improve the Efficiency and Effectiveness of Acute Care (APP2018361).

Place of publicationUnited Kingdom
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