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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
Cheek, Colleen Hayba, Nema Richardson, Lieke Austin, Elizabeth E. Francis-Auton, Emilie Safi, Mariam Ransolin, Natália Vukasovic, Matthew De Los Santos, Aaron Murphy, Margaret
Cheek, Colleen
Hayba, Nema
Richardson, Lieke
Austin, Elizabeth E.
Francis-Auton, Emilie
Safi, Mariam
Ransolin, Natália
Vukasovic, Matthew
De Los Santos, Aaron
Murphy, Margaret
Author
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
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
Clay-Williams, Robyn
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
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.
Keywords
emergency department care, quality measures, patient outcomes, Australia
Date
2023
Type
Journal article
Journal
Book
Volume
13
Issue
7
Page Range
1-8
Article Number
ACU Department
School of Behavioural and Health Sciences
Faculty of Health Sciences
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY-NC 4.0
File Access
Open
Notes
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).
© 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).