I A Scott

Summary

Country: Australia

Publications

  1. ncbi What are appropriate rates of invasive procedures following acute myocardial infarction? A systematic review
    I A Scott
    Department of Internal Medicine, Princess Alexandra Hospital, Brisbane, QLD
    Med J Aust 174:130-6. 2001
  2. ncbi What are the most effective strategies for improving quality and safety of health care?
    I Scott
    Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Intern Med J 39:389-400. 2009
  3. ncbi Improving quality and safety of hospital care: a reappraisal and an agenda for clinically relevant reform
    I A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Intern Med J 38:44-55. 2008
  4. ncbi Cautionary tales in the clinical interpretation of studies of diagnostic tests
    I A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, University of Queensland, Brisbane, Queensland, Australia
    Intern Med J 38:120-9. 2008
  5. ncbi The evolving science of translating research evidence into clinical practice
    Ian A Scott
    Princess Alexandra Hospital, Brisbane, Queensland, Australia
    ACP J Club 146:A8-11. 2007
  6. ncbi Improving effectiveness of clinical medicine: the need for better translation of science into practice
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, QLD, Australia
    Med J Aust 197:374-8. 2012
  7. ncbi Effects of a drug minimization guide on prescribing intentions in elderly persons with polypharmacy
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, QLD, Australia
    Drugs Aging 29:659-67. 2012
  8. ncbi Assessing individual clinical performance: a primer for physicians
    I A Scott
    Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Intern Med J 41:144-55. 2011
  9. ncbi Data linkage: a powerful research tool with potential problems
    Megan A Bohensky
    Centre of Research Excellence in Patient Safety, Dept of Epidemiology and Preventive Medicine, School Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
    BMC Health Serv Res 10:346. 2010
  10. ncbi Minimizing inappropriate medications in older populations: a 10-step conceptual framework
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, Australia
    Am J Med 125:529-37.e4. 2012

Detail Information

Publications63

  1. ncbi What are appropriate rates of invasive procedures following acute myocardial infarction? A systematic review
    I A Scott
    Department of Internal Medicine, Princess Alexandra Hospital, Brisbane, QLD
    Med J Aust 174:130-6. 2001
    ..To assess the evidence that higher rates of coronary angiography (CA) and revascularisation (RV) in the subacute phase of acute myocardial infarction (AMI) improve patient outcomes...
  2. ncbi What are the most effective strategies for improving quality and safety of health care?
    I Scott
    Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Intern Med J 39:389-400. 2009
    ....
  3. ncbi Improving quality and safety of hospital care: a reappraisal and an agenda for clinically relevant reform
    I A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Intern Med J 38:44-55. 2008
    ....
  4. ncbi Cautionary tales in the clinical interpretation of studies of diagnostic tests
    I A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, University of Queensland, Brisbane, Queensland, Australia
    Intern Med J 38:120-9. 2008
    ....
  5. ncbi The evolving science of translating research evidence into clinical practice
    Ian A Scott
    Princess Alexandra Hospital, Brisbane, Queensland, Australia
    ACP J Club 146:A8-11. 2007
  6. ncbi Improving effectiveness of clinical medicine: the need for better translation of science into practice
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, QLD, Australia
    Med J Aust 197:374-8. 2012
    ..Although there are effective strategies for improving translation of research into practice, implementing them requires agreement between and buy-in from professional and managerial stakeholders...
  7. ncbi Effects of a drug minimization guide on prescribing intentions in elderly persons with polypharmacy
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, QLD, Australia
    Drugs Aging 29:659-67. 2012
    ..While frameworks exist to assist clinicians in prescribing appropriately in older patients at risk of adverse drug reactions, their impact on prescribing is uncertain...
  8. ncbi Assessing individual clinical performance: a primer for physicians
    I A Scott
    Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Intern Med J 41:144-55. 2011
    ..This article provides an overview of the current state of the art which hopefully will serve to inform future debate both within and outside professional circles...
  9. ncbi Data linkage: a powerful research tool with potential problems
    Megan A Bohensky
    Centre of Research Excellence in Patient Safety, Dept of Epidemiology and Preventive Medicine, School Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
    BMC Health Serv Res 10:346. 2010
    ..In this study, we synthesize the evidence identifying participant or population characteristics that can influence the validity and completeness of data linkage and may be associated with systematic bias in reported outcomes...
  10. ncbi Minimizing inappropriate medications in older populations: a 10-step conceptual framework
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, Australia
    Am J Med 125:529-37.e4. 2012
    ..Further studies are warranted in validating this framework as a means for assisting clinicians to make more appropriate prescribing decisions in at-risk older patients...
  11. ncbi Improving the effectiveness of clinical medicine: the need for better science
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, QLD, Australia
    Med J Aust 196:304-8. 2012
    ..Several strategies for improving the state of the science are possible but their implementation requires collective action of all those undertaking and reporting clinical research...
  12. ncbi Pay for performance programs in Australia: a need for guiding principles
    Ian A Scott
    Internal Medicine and Clinical Epidemiology Department, Princess Alexandra Hospital, Ipswich Road, Brisbane, QLD 4102, Australia
    Aust Health Rev 32:740-9. 2008
    ..Recommendations flowing from these principles relevant to Australian settings are provided...
  13. ncbi Non-inferiority trials: determining whether alternative treatments are good enough
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, QLD, Australia
    Med J Aust 190:326-30. 2009
    ....
  14. ncbi Health care workforce crisis in Australia: too few or too disabled?
    Ian A Scott
    Princess Alexandra Hospital, Brisbane, QLD, Australia
    Med J Aust 190:689-92. 2009
    ....
  15. ncbi Why we need a national registry in interventional cardiology
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, QLD
    Med J Aust 189:223-7. 2008
    ..This would ensure safe and appropriate evidence-based use of limited resources in an era of expanding use of PCI in clinical circumstances not tested in randomised trials...
  16. ncbi Comparing risk-prediction methods using administrative or clinical data in assessing excess in-hospital mortality in patients with acute myocardial infarction
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, QLD, Australia
    Med J Aust 188:332-6. 2008
    ....
  17. ncbi Chronic disease management: a primer for physicians
    I A Scott
    Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Intern Med J 38:427-37. 2008
    ....
  18. ncbi Discordance between level of risk and intensity of evidence-based treatment in patients with acute coronary syndromes
    Ian A Scott
    Princess Alexandra Hospital, Brisbane, QLD, Australia
    Med J Aust 187:153-9. 2007
    ....
  19. ncbi Pay for performance in health care: strategic issues for Australian experiments
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Med J Aust 187:31-5. 2007
    ....
  20. ncbi Quality of drug prescribing in older patients: is there a problem and can we improve it?
    I Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia
    Intern Med J 40:7-18. 2010
    ..Such a strategy is worthy of further evaluation in a multicentre randomized trial...
  21. ncbi Clinical practice guidelines: the need for greater transparency in formulating recommendations
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, QLD
    Med J Aust 195:29-33. 2011
    ..Enacting such policies aims to lend greater transparency and credibility to CPG, limit protracted and unhelpful interpretive debates, and promote wider use of CPG...
  22. ncbi Using hospital standardised mortality ratios to assess quality of care--proceed with extreme caution
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, QLD, Australia
    Med J Aust 194:645-8. 2011
    ..It may be better suited to monitoring changes in outcomes over time within individual institutions...
  23. ncbi Cautionary tales in the clinical interpretation of trials assessing therapy-induced changes in health status
    I A Scott
    Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Int J Clin Pract 65:536-46. 2011
    ..This article provides guidance to clinicians in interpreting results of such trials in regard to clinical decision-making...
  24. ncbi Impact of hospital-wide process redesign on clinical outcomes: a comparative study of internally versus externally led intervention
    Ian A Scott
    Department of Internal Medicine, Princess Alexandra Hospital, Brisbane, Australia
    BMJ Qual Saf 20:539-48. 2011
    ....
  25. ncbi Preventing the rebound: improving care transition in hospital discharge processes
    Ian A Scott
    Princess Alexandra Hospital, Level 5A, Ipswich Road, Brisbane, QLD 4102, Australia
    Aust Health Rev 34:445-51. 2010
    ..Deficiencies in discharge processes contribute to such readmissions, which have prompted experimentation with multiple types of peridischarge interventions...
  26. ncbi Public hospital bed crisis: too few or too misused?
    Ian A Scott
    Princess Alexandra Hospital, Ipswich Road, Brisbane, QLD 4102, Australia
    Aust Health Rev 34:317-24. 2010
    ....
  27. ncbi Cautionary tales in the interpretation of clinical studies involving older persons
    Ian A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Level 5A, Ipswich Road, Brisbane, Queensland 4102, Australia
    Arch Intern Med 170:587-95. 2010
    ....
  28. ncbi Cautionary tales in the interpretation of studies of tools for predicting risk and prognosis
    I A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Intern Med J 40:803-12. 2010
    ..In this fourth article in a series on critical appraisal, we discuss questions that need to be asked of any new risk prediction tool...
  29. ncbi Effectiveness of acute medical units in hospitals: a systematic review
    Ian Scott
    Princess Alexandra Hospital, Brisbane 4102, Australia
    Int J Qual Health Care 21:397-407. 2009
    ..To assess the effectiveness of acute medical units (AMUs) in hospitals...
  30. ncbi The NHHRC final report: view from the hospital sector
    Ian A Scott
    Princess Alexandra Hospital, Brisbane, QLD, Australia
    Med J Aust 191:450-3. 2009
    ....
  31. ncbi Evidence-based guide to perioperative medicine
    I A Scott
    Perioperative Medicine Working Group of the Internal Medicine Society of Australia and New Zealand RACP, Sydney, New South Wales, Australia
    Intern Med J 37:389-401. 2007
    ..This systematic review attempts to provide an evidence-based update in several key areas in the management of the perioperative patient...
  32. ncbi Multisite, quality-improvement collaboration to optimise cardiac care in Queensland public hospitals
    Ian A Scott
    Internal Medicine, Princess Alexandra Hospital, Ipswich Road, Brisbane, QLD 4102, Australia
    Med J Aust 180:392-7. 2004
    ..To evaluate changes in quality of in-hospital care of patients with either acute coronary syndromes (ACS) or congestive heart failure (CHF) admitted to hospitals participating in a multisite quality improvement collaboration...
  33. ncbi Local thrombolysis or rapid transfer for primary angioplasty for patients presenting with ST segment elevation myocardial infarction to hospitals without angioplasty facilities
    I Scott
    Internal Medicine Department and Clinical Services Evaluation Unit, Princess Alexandra Hospital, University of Queensland, Brisbane, Australia
    Intern Med J 34:373-7. 2004
  34. ncbi Achieving better in-hospital and after-hospital care of patients with acute cardiac disease
    Ian A Scott
    Clinical Services Evaluation Unit, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, Brisbane, QLD
    Med J Aust 180:S83-8. 2004
    ..001) and from 32.8% to 22.4% (P = 0.005) for patients with CHF. Quality improvement programs that feature multifaceted interventions across the continuum of care can change clinical culture, optimise care and improve clinical outcomes...
  35. ncbi Health services research: what is it and what does it offer?
    I Scott
    Clinical Services Evaluation Unit, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Intern Med J 32:91-9. 2002
    ..In this article we provide an overview of the aims, methods and outputs of this burgeoning new discipline...
  36. ncbi Are diagnosis specific outcome indicators based on administrative data useful in assessing quality of hospital care?
    I Scott
    Department of Internal Medicine, Princess Alexandra Hospital, Brisbane, Queensland, Australia 4102
    Qual Saf Health Care 13:32-9. 2004
    ....
  37. ncbi Audit of consultant physicians' reply letters for referrals to clinics in a tertiary teaching hospital
    I A Scott
    Internal Medicine Department and Clinical Services Evaluation Unit, Princess Alexandra Hospital, Ipswich Road, Woolloongabba, Queensland 4102, Australia
    Intern Med J 34:31-7. 2004
    ....
  38. ncbi Utilisation of outpatient cardiac rehabilitation in Queensland
    Ian A Scott
    Department of Internal Medicine, Level 5, Medical Specialties, Princess Alexandra Hospital, Mail Drop Bag 69, Woolloongabba, QLD 4102, Australia
    Med J Aust 179:341-5. 2003
    ..To determine patient participation rates in outpatient cardiac rehabilitation (OCR) programs; ascertain the barriers to participation; and evaluate the quality of OCR programs...
  39. ncbi Guideline-discordant care in acute myocardial infarction: predictors and outcomes
    Ian A Scott
    Princess Alexandra Hospital, Ipswich Road, Woolloongabba, QLD 4102, Australia
    Med J Aust 177:26-31. 2002
    ....
  40. ncbi Clinical practice guidelines: perspectives of clinicians in Queensland public hospitals
    I A Scott
    Clinical Services Evaluation Unit, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Intern Med J 33:273-9. 2003
    ..Clinical practice guidelines (CPG) have been shown to improve processes of care and clinical outcomes. The present study sought to determine how clinicians in Queensland public hospitals view and use such guidelines...
  41. ncbi An Australian comparison of specialist care of acute myocardial infarction
    Ian A Scott
    Internal Medicine, Princess Alexandra Hospital, Brisbane, Australia
    Int J Qual Health Care 15:155-61. 2003
    ..To determine whether patients hospitalized with acute myocardial infarction (AMI) in an Australian setting receive better pharmacological care if managed by cardiologists than by non-cardiologists...
  42. ncbi Quality of care of patients hospitalized with congestive heart failure
    I A Scott
    Department of Internal Medicine, Princess Alexandra Hospital, and Department of Medicine, University of Queensland, Brisbane, Queensland, Australia
    Intern Med J 33:140-51. 2003
    ..It is -therefore important to determine the extent to which patients with CHF receive appropriate care in Australian hospitals and identify ways for improving suboptimal care, if it exists...
  43. ncbi Optimising care of acute coronary syndromes in three Australian hospitals
    Ian A Scott
    Department of Internal Medicine, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Int J Qual Health Care 16:275-84. 2004
    ..To improve quality of in-hospital care of patients with acute coronary syndromes using a multifaceted quality improvement program...
  44. ncbi Quality of care of patients hospitalized with acute coronary syndromes
    I A Scott
    Department of Internal Medicine, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Intern Med J 32:502-11. 2002
    ..Patients hospitalized with acute coronary syndromes (ACS) constitute a high-risk population whose care, if shown to be suboptimal on the basis of available research evidence, may benefit from quality improvement interventions...
  45. ncbi On the need for probity when physicians interact with industry
    I A Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Intern Med J 36:265-9. 2006
    ....
  46. ncbi Cautionary tales in the interpretation of systematic reviews of therapy trials
    I Scott
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, University of Queensland, Brisbane, Queensland, Australia
    Intern Med J 36:587-99. 2006
    ..Their strengths and limitations, and how their results can be subject to bias and misinterpretation, are discussed...
  47. ncbi Cautionary tales in the clinical interpretation of therapeutic trial reports
    I A Scott
    Princess Alexandra Hospital, Brisbane, Australia
    Intern Med J 35:611-21. 2005
    ..Using selected examples from recently published literature, we illustrate 15 cautionary themes for translating research evidence from therapeutic trials into clinical practice...
  48. ncbi Is modern medicine at risk of losing the plot?
    Ian A Scott
    Department of Internal Medicine, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Med J Aust 185:213-6. 2006
    ..Practising clinicians will be obliged to provide leadership in determining value for money in the choice of health care for specific patient populations and how that care is delivered...
  49. ncbi The effects of quality improvement interventions on inhospital mortality after acute myocardial infarction
    I A Scott
    Department of Internal Medicine, Princess Alexandra Hospital, Brisbane, QLD
    Med J Aust 175:465-70. 2001
    ..To evaluate the effects of quality improvement interventions on inhospital mortality after admission for acute myocardial infarction (AMI)...
  50. ncbi General internal medicine
    Ian A Scott
    Department of Internal Medicine, Princess Alexandra Hospital, Ipswich Road, Brisbane, QLD 4102
    Med J Aust 176:16. 2002
  51. ncbi Variations in indicated care of patients with acute coronary syndromes in Queensland hospitals
    Ian A Scott
    Princess Alexandra Hospital, Brisbane, Australia
    Med J Aust 182:325-30. 2005
    ..To identify variation in the rates of use of key evidence-based therapies and in clinical outcomes among patients hospitalised with acute coronary syndromes (ACS)...
  52. ncbi Public reporting of hospital outcomes based on administrative data: risks and opportunities
    Ian A Scott
    Department of Internal Medicine, Princess Alexandra Hospital, Brisbane, QLD
    Med J Aust 184:571-5. 2006
    ....
  53. ncbi Early invasive versus conservative strategies for unstable angina & non-ST-elevation myocardial infarction in the stent era
    M R Hoenig
    Centre for Research in Vascular Biology, Australian Institute for Bioengineering and Nanotechnology, University of Queensland, Brisbane, QLD, Australia 4072
    Cochrane Database Syst Rev 3:CD004815. 2006
    ....
  54. ncbi Towards more effective use of decision support in clinical practice: what the guidelines for guidelines don't tell you
    I A Scott
    Department of Internal Medicine, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Intern Med J 34:492-500. 2004
    ..In the present article we provide a methodology grounded in both theory and real-world experience that may assist others in developing and implementing systems of guideline-based decision support...
  55. ncbi Differential effect of socioeconomic status on rates of invasive coronary procedures across the public and private sectors in Queensland, Australia
    M Coory
    Health Information Centre, Queensland Health, Australia
    J Epidemiol Community Health 56:233-4. 2002
  56. ncbi Using a clinical pathway and education to reduce inappropriate prescribing of enoxaparin in patients with acute coronary syndromes: a controlled study
    N D Buckmaster
    Gold Coast Hospital, Southport, Australia
    Intern Med J 36:12-8. 2006
    ..To evaluate efficacy of a pathway-based quality improvement intervention on appropriate prescribing of the low molecular weight heparin, enoxaparin, in patients with varying risk categories of acute coronary syndrome (ACS)...
  57. ncbi Early invasive versus conservative strategies for unstable angina and non-ST elevation myocardial infarction in the stent era
    Michel R Hoenig
    Royal Brisbane and Women s Hospital, Herston, Brisbane, Australia, 4029
    Cochrane Database Syst Rev 3:CD004815. 2010
    ..Available data suggest that an invasive strategy may be particularly useful in those at high risk for recurrent events...
  58. ncbi Evaluation of iron deficiency anaemia in tertiary hospital settings: room for improvement?
    G Khadem
    Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, Queensland, Australia
    Intern Med J 42:658-64. 2012
    ..Iron deficiency anaemia (IDA) is a marker of occult blood loss from gastrointestinal (GI) lesions and requires thorough GI evaluation...
  59. ncbi Chronic illness in older people
    Leonard C Gray
    Academic Unit in Geriatric Medicine, University of Queensland, Brisbane
    Med J Aust 179:241. 2003
  60. ncbi Health services under siege: the case for clinical process redesign
    Caroline A Brand
    Med J Aust 189:239; author reply 239-40. 2008
  61. ncbi Standards for health care: a necessary but unknown quantity
    Caroline A Brand
    Clinical Epidemiology and Health Service Evaluation Unit, Melbourne Health, Melbourne, Vic, Australia
    Med J Aust 189:257-60. 2008
    ..Here, we consider the issues that are likely to arise if national standards are to be developed and implemented in Australia, and provide a model for developing the standards...
  62. ncbi Acute coronary syndromes: exploring the best way forward in optimising care
    Ian A Scott
    Med J Aust 188:686-7. 2008
  63. ncbi Estimating disease likelihood: a case of rubbery figures
    Ian A Scott
    Med J Aust 180:438-9. 2004