Experience-based codesign approach to improve care in Australian emergency departments for complex consumer cohorts: the MyED project protocol, Stages 1.1–1.3
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...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/7/e072908.full |
| _version_ | 1797745464766889984 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Reema Harrison |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T15:23:38Z |
| format | Article |
| id | doaj.art-4f628e2d248b4e3f9d9a1a8c598e91a5 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-12T15:23:38Z |
| publishDate | 2023-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-4f628e2d248b4e3f9d9a1a8c598e91a52023-08-10T15:50:07ZengBMJ Publishing GroupBMJ Open2044-60552023-07-0113710.1136/bmjopen-2023-072908Experience-based codesign approach to improve care in Australian emergency departments for complex consumer cohorts: the MyED project protocol, Stages 1.1–1.3Reema Harrison0Jeffrey Braithwaite1Yvonne Zurynski2Peter D Hibbert3Kate Churruca4Louise A Ellis5Robyn Clay-Williams6Janet C Long7Margaret Murphy8Paul M Salmon9Anthony Brown10Rebecca Mitchell11Henry Cutler12Karen Hutchinson13Donna Gillies14Kylie Gwynne15Matthew Vukasovic16Kylie Smith17Elizabeth E Austin18Bronwyn Newman19Emilie Francis Auton20Ann Carrigan21Colleen Cheek22Nema Hayba23Lieke Richardson24Mariam Safi25Natália Ransolin26Aaron De Los Santos27Leanne Holt28Ramesh Lahiru Walpola29Reza Ali301 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australiafounding director1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, AustraliaAustralian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, AustraliaAustralian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, AustraliaAustralian Institute of Health Innovation, Macquarie University, North Ryde, New South Wales, Australia2 Department of Emergency Medicine, Westmead Hospital, Westmead, New South Wales, Australia9 Centre for Human Factors and Sociotechnical Systems, University of the Sunshine Coast, Sunshine Coast, Queensland, Australia12 Western Sydney University, Penrith, New South Wales, Australia1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, AustraliaAustralian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia8 NDIS Quality and Safeguards Commission, Penrith, New South Wales, Australia7 Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia2 Department of Emergency Medicine, Westmead Hospital, Westmead, New South Wales, Australia11 Emergency Care Institute, NSW Agency for Clinical Innovation, St Leonards, New South Wales, Australia1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia3 Department of Emergency Medicine, Blacktown and Mount Druitt Hospital, Blacktown, New South Wales, Australia7 Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia10 School of Population Health, University of New South Wales, Sydney, New South Wales, Australia3 Department of Emergency Medicine, Blacktown and Mount Druitt Hospital, Blacktown, New South Wales, AustraliaIntroduction 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.https://bmjopen.bmj.com/content/13/7/e072908.full |
| spellingShingle | 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 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 |
| title | Experience-based codesign approach to improve care in Australian emergency departments for complex consumer cohorts: the MyED project protocol, Stages 1.1–1.3 |
| title_full | Experience-based codesign approach to improve care in Australian emergency departments for complex consumer cohorts: the MyED project protocol, Stages 1.1–1.3 |
| title_fullStr | Experience-based codesign approach to improve care in Australian emergency departments for complex consumer cohorts: the MyED project protocol, Stages 1.1–1.3 |
| title_full_unstemmed | Experience-based codesign approach to improve care in Australian emergency departments for complex consumer cohorts: the MyED project protocol, Stages 1.1–1.3 |
| title_short | Experience-based codesign approach to improve care in Australian emergency departments for complex consumer cohorts: the MyED project protocol, Stages 1.1–1.3 |
| title_sort | experience based codesign approach to improve care in australian emergency departments for complex consumer cohorts the myed project protocol stages 1 1 1 3 |
| url | https://bmjopen.bmj.com/content/13/7/e072908.full |
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