Association between VTE and antibiotic orophylaxis guidelines compliance and patient reported outcomes after total hip and knee arthroplasty: an observational study See

Background: Surgical site infection (SSI) and venous thromboembolism (VTE) are associated with high burden and cost and are considered largely preventable following total knee or hip arthroplasty (TKA, THA). The risk of developing VTE and SSI is reduced when prophylaxis is compliant with evidence-based clinical guidelines. However, the association between VTE and antibiotic prophylaxis clinical guideline compliance and patient-reported outcome measures (PROMs) after THA/TKA is unknown. This s...

Empowering refugees- Fairfield Hospital career pathway program See

Objective: To create a tailored and structed career pathways for refugees: who are unemployed and have medical skills, experience or an interest in commencing a career in health. To gain entry level skills and practical experience to equip them to commence a career in the health sector. To provide opportunity for candidates to further proceed qualifications. Conclusion: The partners involved in this project are committee to its success, and it is now managed by SWSLHD CEWD for further enhance...

Delta Dogs therapy visits at Fairfield Hospital See

Introduce therapy dogs to Fairfield Hospital to support in enhancing emotional well-being and reducing stress among hospitalised individuals. Conclusion: Although too early for data collection, the effectiveness of Delta Dogs in healthcare settings is supported by anecdotal evidence and empirical research. The benefit includes the ability to complement traditional medical interventions. Animal therapy programs is a simple strategy to enhance the holistic wellbeing of individuals undergoing me...

Fairfield weight management service: scratch to service with no extra funding; a snapshot of patient outcomes See

Aims: To determine if patient's classified as obese could achieve their SMART goals through our adapted hub-and-spoke model utilising our recently established weight management service. Conclusion: despite minimal resources, dedicated FWMS have shown to have a positive impact on patient's health outcomes, specifically pertaining to weight loss. Determining and addressing the barriers faced by patients may be useful, promoting weight loss and sustainable changes in this population.

Flexor tendon repairs See

Current approaches to flexor tendon rehabilitation, with emerging concepts (Manchester protocol). In adults undergoing zone 2 flexor tendon repairs, does the Manchester short splint protocol lead to improved functional outcomes according to Strickland grading at 12 weeks post op compared to our standard active protocol.

Perceptions and attitudes towards medicinal cannabis: a systematic literature review See

Introduction: The aim of this review is to identify, summarise and synthesise available research addressing the perceptions and attitudes of healthcare professionals and patients towards medicinal cannabis. Conclusion: A range of barriers were identified. It is not yet clear how healthcare professionals and patients source information on medical cannabis.

Can a pressure injury prevention programme for assistants in nursing change their knowledge and attitude? See

What do our AIN's know? How important is pressure injury prevention to them? Does this need to change? A survey is used to answer these questions.

Diabetes related emergency department presentations to South Western Sydney during COVID pandemic: an overview See

Aim: Diabetes is an independent risk factor for critical outcomes in patients with COVID-10. Social distancing, restrictions and public safety anxiety had an impact on medical care access of patients. This was concern that diabetes-related presentations to emergency department may have increased in 2020. Conclusion: This study demonstrates that the number of presentations amongst patients with diabetes to emergency was similar between the 2 years, but we observed higher rate of hypergycaemia-...

Corrigendum to ‘411. Outcomes of SWSLHD Nurse Led Cardiac Rehabilitation Programs: Uptake and Completion Rates for 2019’ [Heart, Lung and Circulation, Volume 30 Supplement 3 (2021) Page S281] See

We regret that the presenting author was inadvertently listed as first author. Please see the updated author list, ordered by author contribution/convention:

411. Outcomes of SWSLHD nurse led cardiac rehabilitation programs: uptake and completion rates for 2019 See

Background Cardiovascular disease is the leading cause of death in the Australian population. Evidence recommends that all appropriate cardiac patients are referred to Cardiac Rehabilitation (CR) Services. The NHMRC and HFA state that CR can reduce readmission by 56% and death by 30% within the first year following a cardiac event. ACRA (2014) recommend that CR services collect and report on clinical data and key performance indicators for quality improvement and benchmarking. Methods A re...

High Flow Nasal Cannula use in Non-Operating Room Anaesthesia: A Prospective and Retrospective Observational Study See

Background: The clinical applications of High Flow Nasal Cannula (HFNC) are well established in the operating theatres. Objective: The objective was to study the impact of using HFNC in a Non-Operating Room Anesthetic (NORA) setting. Methods: This was a retrospective and prospective observational study looking at two periods (6 months and 5 months respectively in 2017 and 2018) in time-pre and post introduction of HFNC into clinical practice in sedation for gastroscopies, colonoscopies,...

Case example 5: Aunty Roma's able and stable program. See

Aunty Roma’s is a grassroots Aboriginal culturally specific fall prevention program, initiated by the Aboriginal Liaison Officer (ALO) at Fairfield Hospital, Katrina Filewood - a proud Wiradjuri and Yorta Yorta woman. Katrina shared her personal lived experience during an ALO education session about her grandmother, known as Aunty Roma, who fell over at home, and didn’t tell anyone about it. Dr Tai – Tak Wan, Medical Director Ambulatory Care, Fairfield Hospital, approached Katrina wanting...

Case example 3; Managing falls and frailty in the divide between hospital and home See

Able and Stable is a fall prevention program developed to reduce the risk of frailty and falls in older people in South Western Sydney Local Health District. It was initiated 15 years ago by Minh Pham, a dedicated physiotherapist at Fairfield Hospital. Minh recognised the pressing need to bridge the gap in supporting frailer at-risk people post discharge. Referral to the program come from various sources, including the hospital emergency department, inpatient acute wards, occupational th...

Cohorting patients with multi-resistant organism (MRO) in Fairfield Hospital infection prevention and control(IPC) strategy in line with patient safety. See

Background: Increasing incidence of healthcare acquired MRO. 2 to 3 different MRO organism or double MRO cohorted in a 4 bedded room. No IPC risk assessment resources available to staff. Increasing number of clinicians not compliant with transmission based precaution due to uncertainty or lack of information regarding MRO status of the patient. Outcomes: Improved clinicians 's confidence among clinicians in assessing the risk of MRO patients being cohorted. Progressing implementation of the I...

Breathing a sigh of relief; a case study of centred person case management See

Aim: The case study displays possibilities of transforming some individuals from a situation of believing to be hopelessly disabled to a self-managing and hopeful abled person, enough to push towards a health future. Goals achieved in an outpatient setting of an acute hospital via integrated team work.

Embracing diversity ; community festivities at Fairfield Hospital See

Objectives; Promote meaningful, welcoming diverse engagement between Fairfield Hospital and the local community. Establish SWSLHD as a proactive, equitable and culturally appropriate organisation to all members of our community in a consistent and coordinated manner. Identify opportunities for engagement with external organisations. Results: The project has had great success. The first community group to request a stall was the Mandaean community. Partnerships are in progress with the Khmer c...

Now you're speaking my language: improving renal care attendance with personalised text reminders. See

Chronic kidney disease is common in Fairfield's diverse community, but many patients miss vital dietitian appointments due to language barriers. This project introduced multilingual text message appointment reminders to help improve access and engagement at Fairfield Hospital's renal dietetics outpatient clinic. This project shows that personalised, multilingual communication can significantly improve clinic attendance and equity of access. By removing language as a barrier, patients were bet...

Using technology to address the high failure to attend rate within Fairfield Hospital Diabetes Centre. See

Objectives; Improve the attendance rate within Fairfield Hospital Diabetes Centre, investigate barriers to attendance and improve consumer satisfaction. Improve the current text reminder system to incorporate Arabic and Vietnamese languages to improve attendance of NESB consumers. Conclusions: The introduction of a text message reminder system significantly improved attendance of English-speaking consumers to dietitian appointments within Fairfield Hospital Diabetes Centre. Further work is re...

BOOST 2.0: feasibility of using nursing student workforce to increase activity; a qualitative study See

Objectives; BOOST 2.0 tested the feasibility of supplemental exercise to usual physiotherapy, implemented by nursing student workforce on weekdays and an allied health assistant on the weekend. The objective of the qualitative study was to capture stakeholder views on the implementation of BOOST 2.0 informed by the Consolidated Framework for Implementation Research. Conclusion: Everyone values more physical activity and quicker hospital discharge. Nursing students were limited by their confid...