The Medical journal of Australia
-
The Clinical Support Systems Program (CSSP) provided a mechanism for change from the existing entrenched structure and culture of patient care to one based on patient-centred, evidence-based care. The spectrum of change and improvement achieved by the CSSP was extensive, with support from government and active and enthusiastic involvement of clinical champions, practising clinicians, consumers and managers. ⋯ Many barriers to improvement in our complex healthcare system can be removed by recognising the need for accurate data recording and data systems, teamwork, and high-level organisational buy-in, with collaboration between teams and organisations trying to improve the quality of patient care. System-wide improvement has been stimulated and facilitated by the CSSP experience, with mutual flow-on benefits for the activities of the Australian Council for Safety and Quality in Health Care and the National Institute of Clinical Studies.
-
Towards a Safer Culture (TASC) aims to provide a safer culture in hospital departments by introducing clinical pathways for the management of patients with acute coronary syndromes or stroke. Specific clinical pathways have been implemented for patients with different levels of risk to guide the most appropriate evidence-based medical care for each patient. Pathways facilitate continuity of care across different clinical departments by identifying gaps in care, and clarifying tasks and responsibilities. ⋯ A comprehensive range of educational/training strategies is used to facilitate multidisciplinary teamwork and promote clinical leadership. Phase 1 of TASC was successfully piloted at four hospitals in New South Wales, Victoria and Queensland. TASC is currently being rolled out to 29 hospitals in NSW and three hospitals in Western Australia.
-
Comment Letter Case Reports
Octreotide treatment for sulfonylurea-induced hypoglycaemia.
-
Comment Letter Case Reports
Diagnosis and management of hyperthyroidism and hypothyroidism.