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Presenters: Assoc. Prof. Ping Yu
Team: Wilf Yeo, David Reid, Barbara Sinclair, Xiaoqi Feng, Susan Bresnahan, Peter Lynch, Renee Brighton, Siyu Qian, Mudar Irani
Presenters: Assoc. Prof. Ping Yu Team: Wilf Yeo, David Reid, - - PowerPoint PPT Presentation
Presenters: Assoc. Prof. Ping Yu Team: Wilf Yeo, David Reid, - - PowerPoint PPT Presentation
Presenters: Assoc. Prof. Ping Yu Team: Wilf Yeo, David Reid, Barbara Sinclair, Xiaoqi Feng, Susan Bresnahan, Peter Lynch, Renee Brighton, Siyu Qian, Mudar Irani Alcohol A Major Risk to Population Health Road and Liver other disease
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Road and
- ther
accidents Domestic and public violence Crime Liver disease Brain damage Family breakdown Social dysfunction
Alcohol
A Major Risk to Population Health
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Project Aim
To identify the gaps in effective identification, assessment and clinical management of vulnerable patients with harmful alcohol use in Emergency presentations in Wollongong Hospital
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Retrospectively identified and audited 210 patient records with a diagnosis of alcohol related problem in Nov 2016 to Jan 2017 Compare the management against clinical guidelines
Medical records auditing
Methods
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Findings
- Age: 14 to 90 years old
– 60% of them between 40 and 70 years old 70% 30%
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Findings
Patients’ presentations NOT directly related to alcohol Patients’ presentations directly related to alcohol
E.g. intoxication E.g. abdominal pain
Ideally, they should be identified
9% 91%
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At Which Point of Patient Journey Were Harmful Alcohol Use Identified?
Triage:17%
Total 79%
Waiting room: 2% ED assessment: 37% Ward: 23%
Ward outside of ED ED Assessment Triage Registration Waiting room Treatment Referral
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At Which Point of Patient Journey Were Harmful Alcohol Use Identified?
Triage:17%
Total 79%
Waiting room: 2% ED assessment: 37% Ward: 23%
Ward outside of ED ED Assessment Triage Registration Waiting room Treatment Referral
21%
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Patients with Detailed Alcohol Use History
Total 65%
ED nurse: 3% ED doctor: 55% Ward staff: 7%
Ward outside of ED ED Assessment Triage Registration Waiting room Treatment Referral
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Patients with Detailed Alcohol Use History
ED nurse: 3% ED doctor: 55% Ward staff: 7%
Ward outside of ED ED Assessment Triage Registration Waiting room Treatment Referral
Total 65%
35%
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Alcohol Withdrawal Management
Total 57%
After assessment: 37% Before assessment: 11% Ward: 9%
Ward outside of ED ED Assessment Triage Registration Waiting room Referral Treatment
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Alcohol Withdrawal Management
After assessment: 37% Before assessment: 11% Ward: 9%
Ward outside of ED ED Assessment Triage Registration Waiting room Referral Treatment
Total 57%
43%
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Medication Management
No!
50% 50%
Prescribed!
Thiamine
- Thiamine
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Medication Management
Prescribed! No!
40% 60%
- Benzodiazepine
Benzodiazepine
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Referral to Drug and Alcohol Service
72%
28%
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210 patients
Identified Detailed alcohol use history AWS Thiamine Benzodiazepine Referred to Drug and Alcohol Service
Summary
79% 65% 57% 50% 40% 28%
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210 patients
72%
Summary
60% 50% 43% 35% 21%
Identified Detailed alcohol use history AWS Thiamine Benzodiazepine Referred to Drug and Alcohol Service
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Acknowledgement
- We are grateful for the support from
– Global Challenges Program – Illawarra and Shoalhaven Local Health District – Illawarra Health and Medical Research Institute
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T H A N K S
Q A
&