Full Text Journal Articles by
Author Elia Vecellio

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Seasonal and temperature effect on serum lithium concentrations.

Sonia Cheng, Nicholas A Buckley, William Siu, Angela L Chiew, Elia Vecellio, Betty S Chan,

BACKGROUND:Lithium remains the gold standard treatment for bipolar disorder. However, it has a very narrow therapeutic index (0.6-0.8 mmol/L). It has been suggested that high environmental temperature can lead to dehydration, elevated plasma lithium concentration and then lithium toxicity. OBJECTIVES:We aimed to investigate the effect of seasonal and short-term changes ... Read more >>

Aust N Z J Psychiatry (The Australian and New Zealand journal of psychiatry)
[2020, 54(3):282-287]

Cited: 0 times

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Haemodialysis for lithium poisoning: Translating EXTRIP recommendations into practical guidelines.

Nicholas A Buckley, Sonia Cheng, Katherine Isoardi, Angela L Chiew, William Siu, Elia Vecellio, Betty S Chan,

OBJECTIVES:This study aimed to determine the impact on practice of applying the Extracorporeal Treatments in Poisoning (EXTRIP) Workgroup criteria to lithium toxicity. METHOD:We retrospectively examined the medical records of patients from three hospitals who presented with chronic or acute on chronic lithium poisoning with a lithium concentration ≥1.3 mmol/L (2008-2018). ... Read more >>

Br J Clin Pharmacol (British journal of clinical pharmacology)
[2020, 86(5):999-1006]

Cited: 0 times

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Who Gets a Laboratory Test in Hospital, Why, and How Often? A Retrospective Observational Study of 4 Australian Hospitals.

Andrew Georgiou, Gorkem Sezgin, Ling Li, Roger Wilson, Euan J McCaughey, Robert Lindeman, Elia Vecellio, Johanna I Westbrook,

BACKGROUND:Laboratory providers are challenged with the need to deliver improvements in the efficiency and effectiveness of laboratory services. Initiatives have been set to reduce the inappropriate use of tests; however, empirical evidence about the rate and frequency of laboratory tests in hospitals has not been widely available. This study used ... Read more >>

J Appl Lab Med (The journal of applied laboratory medicine)
[2019, 4(3):343-354]

Cited: 0 times

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Comparison of Wells and YEARS clinical decision rules with D-dimer for low-risk pulmonary embolus patients.

Christopher J McLenachan, Olivia Chua, Betty S H Chan, Elia Vecellio, Angela L Chiew,

BACKGROUND:Assessment of pulmonary embolism (PE) remains a diagnostic and investigative burden to emergency departments. The decision of which D-dimer cut-off to use in low-risk patients remains controversial. AIMS:To compare the sensitivity and specificity of varying D-dimer cut-offs in the diagnosis of PE for Wells low-risk patients. METHODS:Retrospective review of patients ... Read more >>

Intern Med J (Internal medicine journal)
[2019, 49(6):739-744]

Cited: 1 time

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Laboratory Test Utilization and Repeat Testing for Inpatients of Age 80 and Over in Australia: A Retrospective Observational Study.

Gorkem Sezgin, Ling Li, Roger Wilson, Johanna I Westbrook, Robert Lindeman, Elia Vecellio, Andrew Georgiou,

INTRODUCTION:Repeat laboratory testing is often necessary in hospitals. However, frequent blood draws can be harmful to older patients. The objective of this study was to identify the most frequently ordered laboratory tests and repeat testing rates for these tests among older inpatients. METHODS:A retrospective observational study of inpatients of age ... Read more >>

J Appl Lab Med (The journal of applied laboratory medicine)
[2019, 4(2):143-151]

Cited: 0 times

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Retrospective evaluation of repeated supratherapeutic ingestion (RSTI) of paracetamol †.

Harry Egan, Geoffrey K Isbister, Jennifer Robinson, Michael Downes, Betty S Chan, Elia Vecellio, Angela L Chiew,

Background: Repeated supratherapeutic ingestion (RSTI) of paracetamol can result in acute liver injury. Management guidelines vary worldwide and in Australia, acetylcysteine treatment is recommended in patients with a paracetamol concentration ≥20 mg/L and/or alanine transaminase (ALT) ≥50 U/L. Objectives: To investigate patients with RSTI of paracetamol and determine whether admission ALT <50 U/L ... Read more >>

Clin Toxicol (Phila) (Clinical toxicology (Philadelphia, Pa.))
[2019, 57(8):703-711]

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Pending Laboratory Test Results at the Time of Discharge: A 3-Year Retrospective Comparison of Paper Versus Electronic Test Ordering in Three Emergency Departments.

Nasir Wabe, Ling Li, Gorkem Sezgin, Maria Dahm, Elia Vecellio, Robert Lindeman, Johanna Westbrook, Andrew Georgiou,

Pending laboratory test results at discharge can have major adverse health outcomes. The availability of test results at discharge may depend on whether the tests were ordered electronically or by using a paper-based system. The aim of this study was to determine the rate of pending test results at time ... Read more >>

Stud Health Technol Inform (Studies in health technology and informatics)
[2018, 252:164-169]

Cited: 1 time

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Making sense of a haemolysis monitoring and reporting system: a nationwide longitudinal multimethod study of 68 Australian laboratory participant organisations.

Ling Li, Elia Vecellio, Stephanie Gay, Rebecca Lake, Mark Mackay, Leslie Burnett, Douglas Chesher, Stephen Braye, Tony Badrick, Johanna I Westbrook, Andrew Georgiou,

BACKGROUND:The key incident monitoring and management systems (KIMMS) quality assurance program monitors incidents in the pre- and postanalytical phases of testing in medical laboratories. Haemolysed specimens have been found to be the most frequent preanalytical error and have major implications for patient care. The aims of this study were to ... Read more >>

Clin. Chem. Lab. Med. (Clinical chemistry and laboratory medicine)
[2018, 56(4):565-573]

Cited: 1 time

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Current Methods of Haemolysis Detection and Reporting as a Source of Risk to Patient Safety: a Narrative Review.

Euan J McCaughey, Elia Vecellio, Rebecca Lake, Ling Li, Leslie Burnett, Douglas Chesher, Stephen Braye, Mark Mackay, Stephanie Gay, Tony C Badrick, Johanna I Westbrook, Andrew Georgiou,

Haemolysis has a major impact on patient safety as the need for a replacement specimen increases the risk of injury and infection, delays test results and extends the duration of hospital stays. Consistency of haemolysis detection and reporting can facilitate the generation of benchmark data used to develop quality practices ... Read more >>

Clin Biochem Rev (The Clinical biochemist. Reviews)
[2016, 37(4):143-151]

Cited: 3 times

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Key factors influencing the incidence of hemolysis: A critical appraisal of current evidence.

Euan James McCaughey, Elia Vecellio, Rebecca Lake, Ling Li, Leslie Burnett, Douglas Chesher, Stephen Braye, Mark Mackay, Stephanie Gay, Tony Badrick, Johanna Westbrook, Andrew Georgiou,

Hemolysis is a leading cause of pre-analytical laboratory errors. The identification of contributing factors is an important step towards the development of effective practices to reduce and prevent hemolysis. We performed a review of PUBMED, Embase, Medline and CINAHL to identify articles published between January 2000 and August 2016 that ... Read more >>

Crit Rev Clin Lab Sci (Critical reviews in clinical laboratory sciences)
[2017, 54(1):59-72]

Cited: 5 times

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The basis of clinical tribalism, hierarchy and stereotyping: a laboratory-controlled teamwork experiment.

Jeffrey Braithwaite, Robyn Clay-Williams, Elia Vecellio, Danielle Marks, Tamara Hooper, Mary Westbrook, Johanna Westbrook, Brette Blakely, Kristiana Ludlow,

OBJECTIVES:To examine the basis of multidisciplinary teamwork. In real-world healthcare settings, clinicians often cluster in profession-based tribal silos, form hierarchies and exhibit stereotypical behaviours. It is not clear whether these social structures are more a product of inherent characteristics of the individuals or groups comprising the professions, or attributable to ... Read more >>

BMJ Open (BMJ open)
[2016, 6(7):e012467]

Cited: 8 times

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Integrating the Radiology Information System with Computerised Provider Order Entry: The Impact on Repeat Medical Imaging Investigations.

Elia Vecellio, Andrew Georgiou,

Repeat and redundant procedures in medical imaging are associated with increases in resource utilisation and labour costs. Unnecessary medical imaging in some modalities, such as X-Ray (XR) and Computed Tomography (CT) is an important safety issue because it exposes patients to ionising radiation which can be carcinogenic and is associated ... Read more >>

Stud Health Technol Inform (Studies in health technology and informatics)
[2016, 227:126-131]

Cited: 0 times

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Data quality associated with handwritten laboratory test requests: classification and frequency of data-entry errors for outpatient serology tests.

Elia Vecellio, Michael W Malley, George Toouli, Andrew Georgiou, Johanna I Westbrook,

Manual data-entry of handwritten laboratory test requests into electronic information systems has implications for data accuracy. This study sought to identify the types and number of errors occurring for handwritten serology test requests received from outpatient clinics.A 15-day audit at a serology laboratory in Sydney, Australia, compared the content of ... Read more >>

Health Inf Manag (Health information management : journal of the Health Information Management Association of Australia)
[2015, 44(3):7-12]

Cited: 2 times

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The Impact of an Electronic Medical Record on Repeat Laboratory Test Ordering Across Four Australian Hospitals.

Andrew Georgiou, Elia Vecellio, Ling Li, Johanna I Westbrook,

In this study we examined the impact of an Electronic Medical Record (EMR) on repeat test rates (i.e., the same test ordered within a specified window of time) for a commonly ordered set of laboratory tests; Electrolytes, Urea, Creatinine [EUC], Full Blood Counts [FBC] and Liver Function Tests [LFT]. The ... Read more >>

Stud Health Technol Inform (Studies in health technology and informatics)
[2015, 216:917]

Cited: 2 times

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The effect of laboratory testing on emergency department length of stay: a multihospital longitudinal study applying a cross-classified random-effect modeling approach.

Ling Li, Andrew Georgiou, Elia Vecellio, Alex Eigenstetter, George Toouli, Roger Wilson, Johanna I Westbrook,

OBJECTIVES:The objective was to examine the relationship between laboratory testing (including test volume and turnaround time [TAT]) and emergency department (ED) length of stay (LOS), using linked patient-level data from four hospitals across 4 years. METHODS:This was a retrospective, multisite cohort study of patients presenting to any one of four ... Read more >>

Acad Emerg Med (Academic emergency medicine : official journal of the Society for Academic Emergency Medicine)
[2015, 22(1):38-46]

Cited: 19 times

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Monitoring health IT integration--the effect of an EMR on laboratory service timeliness across six Australian hospitals.

Andrew Georgiou, Elia Vecellio, Ling Li, Alex Eigenstetter, Roger Wilson, George Toouli, Johanna I Westbrook,

The Electronic Medical Record (EMR) incorporates computerised provider order entry systems which allow clinicians to order diagnostic tests electronically, thus eliminating the need for cumbersome handwritten orders. In many situations the EMR relies on a manual transition of information across systems (e.g., integration with the Laboratory Information System). This study, ... Read more >>

Stud Health Technol Inform (Studies in health technology and informatics)
[2014, 205:955-959]

Cited: 0 times

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What is the effect of electronic pathology ordering on test re-ordering patterns for paediatric patients?

Ling Li, Andrew Georgiou, Elia Vecellio, Alex Eigenstetter, George Toouli, Roger Wilson, Johanna I Westbrook,

Electronic ordering systems have the potential to enhance the efficient utilisation of pathology services. The aim of this study was to assess the effect of electronic pathology ordering on repeat test ordering for paediatric patients (ages 0 to 18 years) who were in intensive care units (ICUs) and non-ICU wards. ... Read more >>

Stud Health Technol Inform (Studies in health technology and informatics)
[2014, 204:74-79]

Cited: 1 time

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Orientation contrast and entropy contrast in the genesis of subjective contours along thin lines.

Barbara J Gillam, Susan G Wardle, Elia Vecellio,

Subjective contours are widely considered to be an aspect of the perception of occlusion, but considerations of occlusion do not always drive predictions of their strength. Occluding surfaces have no necessary relationship to the contours they occlude, yet it is commonly predicted that subjective contours will be strongest for inducer ... Read more >>

Perception (Perception)
[2014, 43(1):7-22]

Cited: 0 times

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The effect of electronic pathology ordering in emergency departments on one aspect of test turn around time: a failure time analysis.

Ling Li, Andrew Georgiou, Elia Vecellio, George Toouli, Alex Eigenstetter, Roger Wilson, Johanna I Westbrook,

Electronic ordering systems have the potential to enhance the effective and efficient utilisation of pathology services. This study examined the influence of electronic ordering of pathology tests in four emergency departments on data entry times, a contributing factor to test turnaround time using failure time analysis. Data relating to tests ... Read more >>

Stud Health Technol Inform (Studies in health technology and informatics)
[2013, 188:79-85]

Cited: 0 times

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Monitoring the impact of the electronic medical record on the quality of laboratory test ordering practices.

Andrew Georgiou, Elia Vecellio, George Toouli, Alex Eigenstetter, Ling Li, Roger Wilson, Johanna I Westbrook,

The aim of this study was to examine the impact of the Electronic Medical Record (EMR) on the quality of laboratory test orders made by clinicians. The study assessed the type and frequency of pre-analytical laboratory test order errors that were associated with the EMR across three hospitals and one ... Read more >>

Stud Health Technol Inform (Studies in health technology and informatics)
[2013, 188:33-38]

Cited: 2 times

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Examination of changes in pathology tests ordered by Diagnosis-Related Group (DRGs) following CPOE introduction.

Elia Vecellio, Andrew Georgiou, George Toouli, Alex Eigenstetter, Ling Li, Roger Wilson, Johanna I Westbrook,

Electronic test ordering, via the Electronic Medical Record (EMR), which incorporates computerised provider order entry (CPOE), is widely considered as a useful tool to support appropriate pathology test ordering. Diagnosis-related groups (DRGs) are clinically meaningful categories that allow comparisons in pathology utilisation by patient groups by controlling for many potentially ... Read more >>

Stud Health Technol Inform (Studies in health technology and informatics)
[2013, 188:114-120]

Cited: 1 time

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Volume, rates, source and types of add-on pathology test requests across five hospitals.

Elia Vecellio, Andrew Georgiou, George Toouli, Johanna I Westbrook,

Add-on test requests, where a clinician requests further test assays on an existing specimen, contribute disproportionately to pathology service workload. 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.We ... Read more >>

Clin. Chem. Lab. Med. (Clinical chemistry and laboratory medicine)
[2012, 50(6):1041-1048]

Cited: 0 times

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The role of binocular vision in walking.

Mary Hayhoe, Barbara Gillam, Kelly Chajka, Elia Vecellio,

Despite the extensive investigation of binocular and stereoscopic vision, relatively little is known about its importance in natural visually guided behavior. In this paper, we explored the role of binocular vision when walking over and around obstacles. We monitored eye position during the task as an indicator of the difference ... Read more >>

Vis. Neurosci. (Visual neuroscience)
[2009, 26(1):73-80]

Cited: 15 times

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Subjective contours along truncated letters.

Barbara Gillam, Elia Vecellio,

The truncation of upper-case words can result in a subjective contour along the truncated ends of the letters. We explored this effect in two experiments designed to tease apart the processes responsible: in particular, the possible role of letter recognition. Such a role would indicate an unprecedented involvement of "high-level ... Read more >>

Perception (Perception)
[2012, 41(7):831-839]

Cited: 0 times

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Binocular depth discrimination and estimation beyond interaction space.

Robert S Allison, Barbara J Gillam, Elia Vecellio,

The benefits of binocular vision have been debated throughout the history of vision science yet few studies have considered its contribution beyond a viewing distance of a few meters. In the first set of experiments, we compared monocular and binocular performance on depth interval estimation and discrimination tasks at 4.5, ... Read more >>

J Vis (Journal of vision)
[2009, 9(1):10.1-14]

Cited: 14 times

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