Johanna I Westbrook

Summary

Affiliation: University of Sydney
Country: Australia

Publications

  1. ncbi request reprint Measuring nurses' time in medication related tasks prior to the implementation of an electronic medication management system
    Amanda Ampt
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, 1825, Australia
    Stud Health Technol Inform 130:157-67. 2007
  2. pmc Mobile and fixed computer use by doctors and nurses on hospital wards: multi-method study on the relationships between clinician role, clinical task, and device choice
    Pia Andersen
    Medical Informatics Group, Department of Health Science and Technology, Aalborg University, Denmark
    J Med Internet Res 11:e32. 2009
  3. pmc An action research protocol to strengthen system-wide inter-professional learning and practice [LP0775514]
    Jeffrey Braithwaite
    Centre for Clinical Governance Research, Faculty of Medicine, University of New South Wales, 10 Arthur St, Kensington, NSW 2052, Australia
    BMC Health Serv Res 7:144. 2007
  4. pmc Use of information and communication technologies to support effective work practice innovation in the health sector: a multi-site study
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, 75 East St, Lidcombe, NSW 1825, Australia
    BMC Health Serv Res 9:201. 2009
  5. ncbi request reprint Impact of an ultrabroadband emergency department telemedicine system on the care of acutely ill patients and clinicians' work
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, University of Sydney, Sydney, NSW
    Med J Aust 188:704-8. 2008
  6. ncbi request reprint Methods for measuring the impact of health information technologies on clinicians' patterns of work and communication
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, University of Sydney, Australia
    Stud Health Technol Inform 129:1083-7. 2007
  7. ncbi request reprint Computerised order entry systems: sustained impact on laboratory efficiency and mortality rates?
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, 1825, Australia
    Stud Health Technol Inform 136:345-50. 2008
  8. doi request reprint Test turnaround times and mortality rates 12 and 24 months after the introduction of a computerised provider order entry system
    Johanna I Westbrook
    Faculty of Health Sciences, University of Sydney, Lidcombe 1825, Australia
    Methods Inf Med 48:211-5. 2009
  9. doi request reprint Comprehensive medical assessments for monitoring and improving the health of residents in aged care facilities: existing comprehensive medical assessments coverage and trial of a new service model
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, University of Sydney, Sydney, New South Wales, Australia
    Australas J Ageing 30:5-10. 2011
  10. ncbi request reprint Development and testing of an observational method for detecting medication administration errors using information technology
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, Sydney, Australia
    Stud Health Technol Inform 146:429-33. 2009

Detail Information

Publications94

  1. ncbi request reprint Measuring nurses' time in medication related tasks prior to the implementation of an electronic medication management system
    Amanda Ampt
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, 1825, Australia
    Stud Health Technol Inform 130:157-67. 2007
    ..Only 1.6 minutes was spent clarifying or discussing medication with doctors. Our results call into question some of the predicted efficiency benefits to nurses' work following EMMS introduction...
  2. pmc Mobile and fixed computer use by doctors and nurses on hospital wards: multi-method study on the relationships between clinician role, clinical task, and device choice
    Pia Andersen
    Medical Informatics Group, Department of Health Science and Technology, Aalborg University, Denmark
    J Med Internet Res 11:e32. 2009
    ..Selecting the right mix of stationary and mobile computing devices is a significant challenge for system planners and implementers. There is very limited research evidence upon which to base such decisions...
  3. pmc An action research protocol to strengthen system-wide inter-professional learning and practice [LP0775514]
    Jeffrey Braithwaite
    Centre for Clinical Governance Research, Faculty of Medicine, University of New South Wales, 10 Arthur St, Kensington, NSW 2052, Australia
    BMC Health Serv Res 7:144. 2007
    ..The project is funded by the Australian Research Council under its industry Linkage Program...
  4. pmc Use of information and communication technologies to support effective work practice innovation in the health sector: a multi-site study
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, 75 East St, Lidcombe, NSW 1825, Australia
    BMC Health Serv Res 9:201. 2009
    ....
  5. ncbi request reprint Impact of an ultrabroadband emergency department telemedicine system on the care of acutely ill patients and clinicians' work
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, University of Sydney, Sydney, NSW
    Med J Aust 188:704-8. 2008
    ....
  6. ncbi request reprint Methods for measuring the impact of health information technologies on clinicians' patterns of work and communication
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, University of Sydney, Australia
    Stud Health Technol Inform 129:1083-7. 2007
    ..One quarter of interruptions occurred while nurses were preparing or administering medications. This approach produces data which provides greater insights into patterns of clinician's work than has previously been possible...
  7. ncbi request reprint Computerised order entry systems: sustained impact on laboratory efficiency and mortality rates?
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, 1825, Australia
    Stud Health Technol Inform 136:345-50. 2008
    ..Associations between increased mortality rates and system introduction should be investigated carefully to ascertain any likely association...
  8. doi request reprint Test turnaround times and mortality rates 12 and 24 months after the introduction of a computerised provider order entry system
    Johanna I Westbrook
    Faculty of Health Sciences, University of Sydney, Lidcombe 1825, Australia
    Methods Inf Med 48:211-5. 2009
    ..hospital: i) are improvements in turnaround times achieved in the first 12 months after system introduction sustained 24 months post-implementation; and ii) do mortality rates change following the introduction of an order entry system?..
  9. doi request reprint Comprehensive medical assessments for monitoring and improving the health of residents in aged care facilities: existing comprehensive medical assessments coverage and trial of a new service model
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, University of Sydney, Sydney, New South Wales, Australia
    Australas J Ageing 30:5-10. 2011
    ..To measure comprehensive medical assessment (CMA) completions among aged care residents in Australia; and to report the outcomes of a CMA service trial...
  10. ncbi request reprint Development and testing of an observational method for detecting medication administration errors using information technology
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, Sydney, Australia
    Stud Health Technol Inform 146:429-33. 2009
    ....
  11. ncbi request reprint All in a day's work: an observational study to quantify how and with whom doctors on hospital wards spend their time
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, University of Sydney, Sydney, NSW, Australia
    Med J Aust 188:506-9. 2008
    ..To quantify time doctors in hospital wards spend on specific work tasks, and with health professionals and patients...
  12. ncbi request reprint Does computerised provider order entry reduce test turnaround times? A before-and-after study at four hospitals
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, Lidcombe 1825, NSW, Australia
    Stud Health Technol Inform 150:527-31. 2009
    ..These results add weight to the hypothesis that the introduction of CPOE may positively impact upon patient outcomes...
  13. doi request reprint Association of interruptions with an increased risk and severity of medication administration errors
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, University of Sydney, PO Box 170, Lidcombe 1825, NSW, Australia
    Arch Intern Med 170:683-90. 2010
    ..Interruptions have been implicated as a cause of clinical errors, yet, to our knowledge, no empirical studies of this relationship exist. We tested the hypothesis that interruptions during medication administration increase errors...
  14. pmc Multimethod evaluation of information and communication technologies in health in the context of wicked problems and sociotechnical theory
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, University of Sydney, Sydney, Australia
    J Am Med Inform Assoc 14:746-55. 2007
    ..We report the design and implementation of a multimethod evaluation model to assess the impact of computerized order entry systems on both the technical and social systems within a health care organization...
  15. doi request reprint Design, application and testing of the Work Observation Method by Activity Timing (WOMBAT) to measure clinicians' patterns of work and communication
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, Cumberland Campus, PO Box 170, Lidcombe 1825, Australia
    Int J Med Inform 78:S25-33. 2009
    ..The use of electronic data collection tools for such studies is emerging yet is rarely assessed for reliability or validity...
  16. pmc Contextual implementation model: a framework for assisting clinical information system implementations
    Joanne L Callen
    Faculty of Health Sciences, The University of Sydney, PO Box 170, Lidcombe, NSW
    J Am Med Inform Assoc 15:255-62. 2008
    ..Although other implementation models have been developed, few are grounded in data and others fail to take adequate account of the clinical environment and users' requirements...
  17. pmc Ambulance officers' use of online clinical evidence
    Johanna I Westbrook
    Centre for Health Informatics, University of New South Wales, Kensington 2052, NSW, Australia
    BMC Med Inform Decis Mak 6:31. 2006
    ..We surveyed ambulance officers to examine their knowledge and use of the Clinical Information Access Program (CIAP), an online evidence system providing 24-hour access to information to support evidence-based practice...
  18. pmc Protocol for the Quick Clinical study: a randomised controlled trial to assess the impact of an online evidence retrieval system on decision-making in general practice
    Enrico Coiera
    Centre for Health Informatics, University of New South Wales, Sydney, 2052, Australia
    BMC Med Inform Decis Mak 6:33. 2006
    ..Online information retrieval systems have the potential to improve patient care but there are few comparative studies of the impact of online evidence on clinicians' decision-making behaviour in routine clinical work...
  19. pmc A realist evaluation of the role of communities of practice in changing healthcare practice
    Geetha Ranmuthugala
    Centre for Clinical Governance Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, NSW 2052, Australia
    Implement Sci 6:49. 2011
    ..this study will explore the following questions: What outcomes do CoPs achieve in healthcare? Do these outcomes translate into improved practice in healthcare? What are the contexts and mechanisms by which CoPs improve healthcare?..
  20. doi request reprint Computerized Provider Order Entry--what are health professionals concerned about? A qualitative study in an Australian hospital
    Andrew Georgiou
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, CumberlandCampus, East Street, Lidcombe, NSW 1825, Australia
    Int J Med Inform 78:60-70. 2009
    ..To identify the main concerns of a broad range of hospital staff about the implementation of a new Computerized Provider Order Entry (CPOE) system for medication management...
  21. doi request reprint Can technology change the work of nurses? Evaluation of a drug monitoring system for ambulatory chronic disease patients
    Joanne Callen
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, The University of New South Wales, Sydney, NSW, Australia
    Int J Med Inform 82:159-67. 2013
    ..To evaluate the impact of an electronic drug monitoring system (eDMS) for ambulatory rheumatology patients on time nurses spent on, and the process of, drug monitoring...
  22. pmc How and why are communities of practice established in the healthcare sector? A systematic review of the literature
    Geetha Ranmuthugala
    Australian Institute of Health Innovation, University of New South Wales, Sydney, NSW 2052, Australia
    BMC Health Serv Res 11:273. 2011
    ..To this end, a systematic review of the literature on CoPs was conducted, to examine how and why CoPs have been established and whether they have been shown to improve healthcare practice...
  23. ncbi request reprint Use of an electronic drug monitoring system for ambulatory patients with chronic disease: how does it impact on nurses' time spent documenting clinical care?
    Antonia Hordern
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    Stud Health Technol Inform 178:71-6. 2012
    ..6% to 5.0%, p = 0.002). The eDMS made the process of drug monitoring quicker and simpler for nurses and thus permitted them to increase their time spent in direct patient care...
  24. doi request reprint The importance of medical and nursing sub-cultures in the implementation of clinical information systems
    Joanne Callen
    The University of Sydney, Lidcombe, NSW 1825, Australia
    Methods Inf Med 48:196-202. 2009
    ....
  25. pmc The impact of mobile handheld technology on hospital physicians' work practices and patient care: a systematic review
    Mirela Prgomet
    Health Informatics Research and Evaluation Unit, Level 3, Building M, Faculty of Health Sciences, University of Sydney, PO Box 170, Lidcombe, Sydney, NSW 1825, Australia
    J Am Med Inform Assoc 16:792-801. 2009
    ..The paucity of evidence calls for much needed future research that asks explicit questions about the impact the mobility of devices has on work practices and outcomes...
  26. ncbi request reprint Examination of changes in pathology tests ordered by Diagnosis-Related Group (DRGs) following CPOE introduction
    Elia Vecellio
    Centre for Health Systems and Safety Research, UNSW, Sydney, Australia
    Stud Health Technol Inform 188:114-20. 2013
    ..There was little change in testing rates between EDs or between time periods pre- and post-EMR. This is a valuable method for monitoring the impact of EMR and clinical decision support on test order rates. ..
  27. pmc The impact of PACS on clinician work practices in the intensive care unit: a systematic review of the literature
    Isla M Hains
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, The University of New South Wales, Sydney, Australia
    J Am Med Inform Assoc 19:506-13. 2012
    ..To assess evidence of the impact of Picture Archiving and Communication Systems (PACS) on clinicians' work practices in the intensive care unit (ICU)...
  28. pmc Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study
    Johanna I Westbrook
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    PLoS Med 9:e1001164. 2012
    ..This study evaluated the effectiveness of two commercial e-prescribing systems in reducing prescribing error rates and their propensities for introducing new types of error...
  29. doi request reprint Social network analysis of medication advice-seeking interactions among staff in an Australian hospital
    Nerida Creswick
    Faculty of Health Sciences, The University of Sydney, Lidcombe, NSW, Australia
    Int J Med Inform 79:e116-25. 2010
    ..To examine the medication advice-seeking network of staff in a hospital ward...
  30. pmc Understanding communication networks in the emergency department
    Nerida Creswick
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, Australia
    BMC Health Serv Res 9:247. 2009
    ..This study examined the problem-solving, medication advice-seeking and socialising networks of staff working in an Australian hospital ED...
  31. ncbi request reprint Does PACS facilitate work practice innovation in the intensive care unit?
    Isla M Hains
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, Sydney, Australia
    Stud Health Technol Inform 169:397-401. 2011
    ..Research to understand how the complexities and context of the ICU contribute to work practice innovation and why practice changes differ is required...
  32. ncbi request reprint Clinicians' assessments of the usefulness of online evidence to answer clinical questions
    Farah Magrabi
    Centre for Health Informatics, University of New South Wales, Sydney, NSW 2052, Australia
    Stud Health Technol Inform 107:297-300. 2004
    ..The findings indicate that clinicians' assessments of online evidence use are linked to search patterns and online feedback is useful for measuring the effectiveness of systems...
  33. pmc Health professional networks as a vector for improving healthcare quality and safety: a systematic review
    Frances C Cunningham
    Centre for Clinical Governance Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    BMJ Qual Saf 21:239-49. 2012
    ..While there is a considerable corpus of theoretical and empirical literature on networks within and outside of the health sector, multiple research questions are yet to be answered...
  34. ncbi request reprint Evaluating the impact of information communication technologies on complex organizational systems: a multi-disciplinary, multi-method framework
    Johanna I Westbrook
    Centre for Health Informatics, University of New South Wales, Sydney, Australia
    Stud Health Technol Inform 107:1323-7. 2004
    ..There are two main challenges. One is to conceptualize the design features of such an evaluation framework. The second is to specify what data will be gathered and how. This paper aims to address each of these problems...
  35. ncbi request reprint The impact of an online evidence system on confidence in decision making in a controlled setting
    Johanna I Westbrook
    Centre for Health Informatics, University of New South Wales, Kensington, New South Wales, Australia
    Med Decis Making 25:178-85. 2005
    ..To examine the impact of online evidence retrieval on clinicians' decision-making confidence and to determine if this differs for experienced doctors and nurses...
  36. doi request reprint Towards an understanding of the information dynamics of the handover process in aged care settings--a prerequisite for the safe and effective use of ICT
    Svend Lyhne
    Department of Health Science and Technology, Aalborg University, Denmark
    Int J Med Inform 81:452-60. 2012
    ..Research on the handover process in the residential aged care sector is very limited...
  37. pmc The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals
    Johanna I Westbrook
    Faculty of Medicine, Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, New South Wales, Australia
    J Am Med Inform Assoc 20:1159-67. 2013
    ..To determine if the rate of system-related prescribing errors is greater than the rate of errors prevented...
  38. ncbi request reprint The effect of electronic pathology ordering in emergency departments on one aspect of test turn around time: a failure time analysis
    Ling Li
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    Stud Health Technol Inform 188:79-85. 2013
    ..Investigation of the impact of electronic ordering on efficiency of pathology services must take into account specific aspects of turnaround time measurement. ..
  39. pmc Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts
    Melissa T Baysari
    Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, Sydney, Australia
    J Am Med Inform Assoc 19:1003-10. 2012
    ..To determine the frequency with which computerized alerts occur and the proportion triggered as a result of prescribers not utilizing e-prescribing system functions...
  40. ncbi request reprint What do radiology incident reports reveal about in-hospital communication processes and the use of health information technology?
    Michael J Stewart
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    Stud Health Technol Inform 178:213-8. 2012
    ..Incident reporting systems provide a portal for staff to catalogue adverse events which occur within a hospital or department. Analysing incident reports can reveal trends and provide guidance for quality improvement efforts...
  41. doi request reprint The impact of interruptions on clinical task completion
    Johanna I Westbrook
    The University of Sydney, PO Box 170, Lidcombe, Sydney 1825, Australia
    Qual Saf Health Care 19:284-9. 2010
    ..Interruptions and multitasking are implicated as a major cause of clinical inefficiency and error...
  42. pmc A simulation framework for mapping risks in clinical processes: the case of in-patient transfers
    Adam G Dunn
    Centre for Health Informatics, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    J Am Med Inform Assoc 18:259-66. 2011
    ..To model how individual violations in routine clinical processes cumulatively contribute to the risk of adverse events in hospital using an agent-based simulation framework...
  43. doi request reprint Challenges associated with electronic ordering in the emergency department: a study of doctors' experiences
    Sanj Fernando
    Department of Emergency Medicine Liverpool Hospital, Sydney, New South Wales, Australia
    Emerg Med Australas 21:373-8. 2009
    ..The objective of the present study was to identify and report on the key challenges confronted by emergency doctors following the introduction of Computerised Provider Order Entry system in a major metropolitan hospital in Sydney...
  44. ncbi request reprint The medication advice-seeking network of staff in an Australian hospital renal ward
    Nerida Creswick
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, University of Sydney, Australia
    Stud Health Technol Inform 130:217-31. 2007
    ..Most communication occurred within professional groups. Several key individuals were pivotal in providing advice both within and across professional groups...
  45. pmc The effect of physicians' long-term use of CPOE on their test management work practices
    Joanne L Callen
    Faculty of Health Sciences, University of Sydney, PO Box 170, Lidcombe NSW 1825 Australia
    J Am Med Inform Assoc 13:643-52. 2006
    ..To explore physicians' work practices in relation to their long-term use of a computerized physician order entry system (CPOE)...
  46. ncbi request reprint The hierarchy of work pursuits of public health managers
    Jeffrey Braithwaite
    Centre for Clinical Governance Research, Faculty of Medicine, University of New South Wales, Sydney, Australia
    Health Serv Manage Res 20:71-83. 2007
    ..The findings suggest that public health management work is more managerialist than previously thought...
  47. ncbi request reprint The temporal landscape of residential aged care facilities--implications for context-sensitive health technology
    Andrew Georgiou
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    Stud Health Technol Inform 194:69-74. 2013
    ....
  48. pmc Clinical team functioning and IT innovation: a study of the diffusion of a point-of-care online evidence system
    A Sophie Gosling
    Centre for Health Informatics, Faculty of Medicine, University of New South Wales, Sydney, Australia
    J Am Med Inform Assoc 10:244-51. 2003
    ..To examine the relationships between clinical team characteristics and the adoption of the online evidence system...
  49. pmc Impact of an electronic medication management system on hospital doctors' and nurses' work: a controlled pre-post, time and motion study
    Johanna I Westbrook
    Faculty of Medicine, Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    J Am Med Inform Assoc 20:1150-8. 2013
    ..To quantify and compare the time doctors and nurses spent on direct patient care, medication-related tasks, and interactions before and after electronic medication management system (eMMS) introduction...
  50. pmc Net benefits: assessing the effectiveness of clinical networks in Australia through qualitative methods
    Frances C Cunningham
    Centre for Clinical Governance Research, Australian Institute of Health Innovation, Level 1, AGSM Building, University of New South Wales, Sydney, NSW 2052, Australia
    Implement Sci 7:108. 2012
    ..With significant investment in such networks in Australia and internationally, it is important to assess their effectiveness and sustainability as implementation mechanisms...
  51. ncbi request reprint Implementing electronic medication management at an Australian teaching hospital
    Richard O Day
    Clinical Pharmacology and Toxicology, St Vincent s Hospital, Sydney, NSW
    Med J Aust 195:498-502. 2011
    ....
  52. ncbi request reprint Cultures in hospitals and their influence on attitudes to, and satisfaction with, the use of clinical information systems
    Joanne L Callen
    The University of Sydney, Sydney, NSW, Australia
    Soc Sci Med 65:635-9. 2007
    ..The relationship between culture and attitudes towards clinical information systems should be taken into account when planning for their adoption...
  53. doi request reprint The use of computerized provider order entry to improve the effectiveness and efficiency of coagulation testing
    Andrew Georgiou
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia
    Arch Pathol Lab Med 135:495-8. 2011
    ..001) and from 34 to 23 minutes for the aPTT test results (P < .001). The results show that CPOE and decision-support systems can enhance laboratory efficiency and improve its contribution to effective patient care...
  54. ncbi request reprint Will information and communication technology disrupt the health system and deliver on its promise?
    Johanna I Westbrook
    Australian Institute of Health Innovation, University of New South Wales, Sydney, NSW, Australia
    Med J Aust 193:399-400. 2010
    ..As other industries have shown, substitution and role changes are areas in which ICT can lead to the greatest gains...
  55. ncbi request reprint Allied health professionals' use of online evidence: a survey of 790 staff working in the Australian public hospital system
    A Sophie Gosling
    Centre for Health Informatics, Level 2, Samuels Building, University of New South Wales, Kensington, Sydney 2052, NSW, Australia
    Int J Med Inform 73:391-401. 2004
    ....
  56. ncbi request reprint Effective notification of important non-urgent radiology results: A qualitative study of challenges and potential solutions
    Andrew Georgiou
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, Kensington, New South Wales, Australia
    J Med Imaging Radiat Oncol 58:291-7. 2014
    ....
  57. ncbi request reprint Monitoring the impact of the electronic medical record on the quality of laboratory test ordering practices
    Andrew Georgiou
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia
    Stud Health Technol Inform 188:33-8. 2013
    ....
  58. doi request reprint Troponin testing in the emergency department: a longitudinal study to assess the impact and sustainability of decision support strategies
    Andrew Georgiou
    Centre for Health Systems and Safety Research, University of New South Wales, Sydney, New South Wales, Australia
    J Clin Pathol 65:546-50. 2012
    ..To evaluate the impact of decision support on the proportion of troponin I (cTnI) tests and associated costs over the period 2000-7 for patients presenting with chest pain in an emergency department (ED) setting...
  59. pmc Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience
    Johanna I Westbrook
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Level 1 AGSM Building, University of New South Wales, Kensington 2052, Sydney, Australia
    BMJ Qual Saf 20:1027-34. 2011
    ..Intravenous medication administrations have a high incidence of error but there is limited evidence of associated factors or error severity...
  60. pmc How much time do nurses have for patients? A longitudinal study quantifying hospital nurses' patterns of task time distribution and interactions with health professionals
    Johanna I Westbrook
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, Sydney, 2052, Australia
    BMC Health Serv Res 11:319. 2011
    ..We aimed to quantify how nurses distribute their time across tasks, with patients, in individual tasks, and engagement with other health care providers; and how work patterns changed over a two year period...
  61. pmc The development, design, testing, refinement, simulation and application of an evaluation framework for communities of practice and social-professional networks
    Jeffrey Braithwaite
    Centre for Clinical Governance Research, Faculty of Medicine, University of New South Wales, Sydney, NSW 2052, Australia
    BMC Health Serv Res 9:162. 2009
    ..Given the prevalence and importance of communities of practice and social networks, and the extent of investments in them, this project represents a scientific innovation of national and international significance...
  62. ncbi request reprint What effect does electronic ordering have on the organisational dynamics of a hospital pathology service?
    Andrew Georgiou
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, 1825, Australia
    Stud Health Technol Inform 160:223-7. 2010
    ..Successful CPOE implementation should be premised on a solid understanding of the organisational, communication, information and temporal circumstances in which the system will operate...
  63. ncbi request reprint The use of performance metrics to monitor the impact of CPOE on pathology laboratory services
    Andrew Georgiou
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, 1825, Australia
    Stud Health Technol Inform 136:291-6. 2008
    ..Performance metrics, can be relevant for measuring and monitoring changes in communication processes. This is important with CPOE systems whose introduction can have unexpected consequences requiring early detection and action...
  64. pmc Clinical decision velocity is increased when meta-search filters enhance an evidence retrieval system
    Enrico Coiera
    Centre for Health Informatics, University of New South Wales, NSW, Australia
    J Am Med Inform Assoc 15:638-46. 2008
    ....
  65. ncbi request reprint Pathology's front line - a comparison of the experiences of electronic ordering in the clinical chemistry and haematology departments
    Andrew Georgiou
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, NSW 1825, Australia
    Stud Health Technol Inform 130:121-32. 2007
    ....
  66. doi request reprint Interpreting social network metrics in healthcare organisations: a review and guide to validating small networks
    Adam G Dunn
    Centre for Health Informatics, Australian Institute of Health Innovation, University of New South Wales Sydney, NSW, Australia
    Soc Sci Med 72:1064-8. 2011
    ..We provide a methodological basis from which to perform intra-study and inter-study comparisons, for the purpose of introducing greater rigour to the use of social network analysis in health care applications...
  67. doi request reprint Non-emergency patient transport: what are the quality and safety issues? A systematic review
    Isla M Hains
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, The University of New South Wales, Sydney, NSW, Australia
    Int J Qual Health Care 23:68-75. 2011
    ..This systematic review examines the factors associated with the quality and safety of non-emergency transport services...
  68. doi request reprint Volume, rates, source and types of add-on pathology test requests across five hospitals
    Elia Vecellio
    Centre for Health Systems and Safety Research, University of New South Wales, Sydney, NSW, Australia
    Clin Chem Lab Med 50:1041-8. 2012
    ..However, little research has quantified the volume, rates, source or types of add-on tests. This study provides a descriptive analysis of add-on testing within a pathology service serving five hospitals...
  69. pmc The influence of computerized decision support on prescribing during ward-rounds: are the decision-makers targeted?
    Melissa T Baysari
    Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, Sydney, Australia
    J Am Med Inform Assoc 18:754-9. 2011
    ....
  70. ncbi request reprint A 9 year prospective cohort study of endoscoped patients with upper gastrointestinal symptoms
    Johanna I Westbrook
    Centre for Health Informatics, University of NSW, Kensington, NSW, Australia
    Eur J Epidemiol 20:619-27. 2005
    ..Endoscopic diagnosis is of limited value in predicting long-term outcomes. The association between poor outcome and use of H2RAs and PPIs challenges views about their long-term effectiveness in symptom control...
  71. doi request reprint Time matters--a theoretical and empirical examination of the temporal landscape of a hospital pathology service and the impact of e-health
    Andrew Georgiou
    University of New South Wales, Kensington, NSW, Australia
    Soc Sci Med 72:1603-10. 2011
    ..The use of qualitative methods longitudinally provided key insights into the way that temporal factors operate within pathology laboratories and their interrelationship with the performance, distribution and allocation of work...
  72. doi request reprint Safety and efficiency considerations for the introduction of electronic ordering in a blood bank
    Andrew Georgiou
    Health Informatics Research and Evaluation Unit, The University of Sydney, Australia
    Arch Pathol Lab Med 133:933-7. 2009
    ..There needs to be high levels of staff preparedness to minimize patient risk and optimize performance...
  73. pmc Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review
    Margaret H Reckmann
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, University of Sydney, PO Box 170, Lidcombe 1825, Sydney, Australia
    J Am Med Inform Assoc 16:613-23. 2009
    ..The role of decision support in minimizing severe prescribing error rates also requires investigation...
  74. pmc The impact of computerized provider order entry systems on medical-imaging services: a systematic review
    Andrew Georgiou
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia
    J Am Med Inform Assoc 18:335-40. 2011
    ..Computerized provider order entry (CPOE) systems have been strongly promoted as a means to improve the quality and efficiency of healthcare...
  75. ncbi request reprint Clinician reports of the impact of electronic ordering on an emergency department
    Andrew Georgiou
    Health Informatics Research and Evaluation Unit, Faculty of Health Sciences, The University of Sydney, Lidcombe, NSW 1825, Australia
    Stud Health Technol Inform 150:678-82. 2009
    ..CPOE systems in EDs present specific challenges which differ from other hospital departments. Due to the critical nature of clinical work in this setting a poor fit between CPOE and ED work may result in serious incidents...
  76. pmc Failure to follow-up test results for ambulatory patients: a systematic review
    Joanne L Callen
    Centre for Health Systems and Safety Research, Faculty of Medicine, The University of New South Wales, Sydney, NSW, 2052, Australia
    J Gen Intern Med 27:1334-48. 2012
    ..Serious lapses in patient care result from failure to follow-up test results...
  77. pmc An empirically-derived approach for investigating Health Information Technology: the Elementally Entangled Organisational Communication (EEOC) framework
    Andrew Georgiou
    Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, Sydney, Australia
    BMC Med Inform Decis Mak 12:68. 2012
    ..The EEOC framework was empirically developed as a tool to tackle organisational communication challenges in the implementation and evaluation of health information systems...
  78. ncbi request reprint A web log analysis of the online NSW Public Health Bulletin for 2001-2003
    Johanna I Westbrook
    Health Informatics Research and Evaluation Unit, University of Sydney
    N S W Public Health Bull 17:166-74. 2006
    ..The PDF version was used more than the HTML version. Examination of HTML hits revealed how different parts of the Bulletin were being used. This information provides evidence to inform planning...
  79. doi request reprint The impact of ear, nose and throat surgery on children's subsequent use of health services: An 8-year cohort study
    Marilyn I Rob
    The University of Sydney, Lidcombe, New South Wales, Australia
    J Paediatr Child Health 45:747-53. 2009
    ..This study investigated whether children who had ENT surgery used more health services prior to surgery (excluding the perisurgery period), and, if so, whether surgery resulted in reduced utilisation...
  80. pmc Do clinicians use online evidence to support patient care? A study of 55,000 clinicians
    Johanna I Westbrook
    Centre for Health Informatics, Level 2, Samuels Building, University of New South Wales, Kensington, 2052, Australia
    J Am Med Inform Assoc 11:113-20. 2004
    ....
  81. ncbi request reprint Introducing soft systems methodology plus (SSM+): why we need it and what it can contribute
    Jeffrey Braithwaite
    Graduate Management Programs, Faculty of Medicine, University of New South Wales
    Aust Health Rev 25:191-8. 2002
    ....
  82. ncbi request reprint Nurses' use of online clinical evidence
    A Sophie Gosling
    Department of Psychology, Royal Holloway University of London, Egham, Surrey, UK
    J Adv Nurs 47:201-11. 2004
    ..This is a website which provides 24 hour, online access to a range of evidence sources at the point of care...
  83. pmc Long-term patterns of online evidence retrieval use in general practice: a 12-month study
    Farah Magrabi
    Centre for Health Informatics, University of New South Wales, Sydney 2052, Australia
    J Med Internet Res 10:e6. 2008
    ..Provision of online evidence at the point of care is one strategy that could provide clinicians with easy access to up-to-date evidence in clinical settings in order to support evidence-based decision making...
  84. ncbi request reprint Trends in the utilization of diagnostic upper GI endoscopy in New South Wales, Australia, 1988 to 1998
    Johanna I Westbrook
    Centre for Health Informatics, University of New South Wales, Kensington, Australia
    Gastrointest Endosc 55:847-53. 2002
    ..Such data provide an indication of changes in clinical practice over time and identify subpopulations who may be underexposed or overexposed to the procedure...
  85. ncbi request reprint Multi-method studies in health services research
    Andrew Georgiou
    Aust N Z J Public Health 31:492. 2007
  86. ncbi request reprint Gender differences in the symptoms and physical and mental well-being of dyspeptics: a population based study
    Johanna I Westbrook
    Center for Health Informatics, University of New South Wales, Australia
    Qual Life Res 11:283-91. 2002
    ..To compare women and men with dyspepsia in terms of symptoms, physical and mental well-being and the relationships between individual symptoms and well-being...
  87. ncbi request reprint Variation in the use of online clinical evidence: a qualitative analysis
    A Sophie Gosling
    Center for Health Informatics, Level 2, Samuels Building, University of New South Wales, Sydney 2052, Australia
    Int J Med Inform 69:1-16. 2003
    ..To investigate factors influencing variations in clinicians' use of an online evidence retrieval system...
  88. ncbi request reprint Critical incidents and journey mapping as techniques to evaluate the impact of online evidence retrieval systems on health care delivery and patient outcomes
    Johanna I Westbrook
    Centre for Health Informatics, Cliffbrook Campus, University of New South Wales, Kensington, Australia
    Int J Med Inform 76:234-45. 2007
    ..Online evidence retrieval systems are a potential tool in supporting evidence-based practice. Effective and tested techniques for assessing the impact of these systems on care delivery and patient outcomes are limited...
  89. pmc Do online information retrieval systems help experienced clinicians answer clinical questions?
    Johanna I Westbrook
    Clinical Centre for Health Informatics, Cliffbrook Campus, University of New South Wales, Kensington, 2052, Australia
    J Am Med Inform Assoc 12:315-21. 2005
    ..To assess the impact of clinicians' use of an online information retrieval system on their performance in answering clinical questions...
  90. ncbi request reprint General practitioners' use of online evidence during consultations
    Farah Magrabi
    Centre for Health Informatics, University of New South Wales, Sydney 2052, Australia
    Int J Med Inform 74:1-12. 2005
    ..Provision of online evidence at the point of care is one strategy that provides clinicians with easy access to up-to-date evidence in clinical settings to support evidence-based decision-making...
  91. ncbi request reprint The impact of computerised physician order entry systems on pathology services: a systematic review
    Andrew Georgiou
    Centre for Health Informatics, University of New South Wales, UNSW, Sydney 2052, Australia
    Int J Med Inform 76:514-29. 2007
    ..The implementation of such systems is costly and complex. The purpose of this paper is to review current evidence of the impact of CPOE on hospital pathology services...
  92. ncbi request reprint What factors are associated with the integration of evidence retrieval technology into routine general practice settings?
    Farah Magrabi
    Centre for Health Informatics, University of New South Wales, Sydney 2052, Australia
    Int J Med Inform 76:701-9. 2007
    ..Information retrieval systems have the potential to improve patient care but little is known about the variables which influence clinicians' uptake and use of systems in routine work...
  93. ncbi request reprint Should clinical software be regulated?
    Enrico W Coiera
    Med J Aust 184:600-1. 2006
  94. ncbi request reprint Effectiveness of guidelines on persistent glue ear in children. Guidelines in Australia were less effective than guidelines in England
    Marilyn I Rob
    BMJ 324:673. 2002