Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/35010
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dc.contributor.authorOsman, Abdi D-
dc.contributor.authorHowell, Jocelyn-
dc.contributor.authorYates, Paul A-
dc.contributor.authorJones, Daryl A-
dc.contributor.authorBraitberg, George-
dc.date2024-
dc.date.accessioned2024-01-31T00:02:30Z-
dc.date.available2024-01-31T00:02:30Z-
dc.date.issued2024-01-22-
dc.identifier.citationAustralasian Emergency Care 2024-01-22en_US
dc.identifier.issn2588-994X-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/35010-
dc.description.abstractExistence of Advance Care Planning (ACP) documents including contact details of Medical Treatment Decision Makers (MTDM), are essential patient care records that support Emergency Department (ED) clinicians in implementing treatment concordant with patients' expressed wishes. Based upon previous findings, we conducted a statewide study to evaluate the performance of Victorian public hospital emergency departments on reporting of availability of records for ACP. The study is a quantitative retrospective observational comparative design based upon ED tier levels as defined by the Australasian College for Emergency Medicine (ACEM) for the calendar year 2021. Of 1.8 million total Victorian ED attendances, 15,222 patients had an ACP alert status recorded. Of these, 7296 were aged ≥ 65 years (study group). Of the thirty-one public EDs that submitted data, 65 % were accredited and assigned a level of service tier. The presence of ACP alerts positively correlated to location, tier level, age and gender (MANOVA wilk's; p < 0.001, value=.981, F = (12, 15,300), partial ƞ2 = .006, observed power = 1.0 = 95.919). The identified rate of ACP reporting is low. Strategies to improve the result include synchronising ACP (generated at different points) electronically, staff education, training and further validation of the data at the sending and receiving agencies.en_US
dc.language.isoeng-
dc.subjectAdvance Care Directiveen_US
dc.subjectEmergency Departmenten_US
dc.subjectMedical Treatment Decision Makingen_US
dc.subjectVictorian Agency for Health Informationen_US
dc.titleExamining emergency departments practices on advance care directives and medical treatment decision making using the victorian emergency minimum dataset.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleAustralasian Emergency Careen_US
dc.identifier.affiliationEmergencyen_US
dc.identifier.affiliationVictoria University, St Albans, Melbourne, Australia; University of Melbourne, Department of Critical Care, Australia.en_US
dc.identifier.affiliationUniversity of Melbourne, Department of Critical Care, Australia.en_US
dc.identifier.doi10.1016/j.auec.2024.01.001en_US
dc.type.contentTexten_US
dc.identifier.pubmedid38262819-
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextnone-
item.languageiso639-1en-
item.cerifentitytypePublications-
crisitem.author.deptAged Care-
crisitem.author.deptGeriatric Medicine-
crisitem.author.deptIntensive Care-
Appears in Collections:Journal articles
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