Full Text Journal Articles by
Author Johanna I Westbrook

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The General Practice and Residential Aged Care Facility Concordance of Medication (GRACEMED) study.

Meredith Makeham, Lisa Pont, Carlijn Verdult, Rae-Anne Hardie, Magdalena Z Raban, Rebecca Mitchell, Helen Purdy, Martina Teichert, Andrew Ingersoll, Johanna I Westbrook,

BACKGROUND:The lack of interoperable IT systems between residential aged care facilities (RACF) and general practitioners (GP) in primary care settings in Australia introduces the potential for medication discrepancies and other medication errors. The aim of the GRACEMED study is to determine the extent and potential severity of medication discrepancies between ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 143:104264]

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Characteristics of older Australian community aged care clients who fall: Incidents reported by care staff.

Lindsey Brett, Mikaela Jorgensen, Rimma Myton, Andrew Georgiou, Johanna I Westbrook,

Falls are the leading cause of injury and hospitalisation for older adults (aged 65 years or older) worldwide. Data collected by community aged care providers are an underutilised source of information about precipitating risk factors and consequences of falls for older adults living in the community. The objective of this longitudinal, ... Read more >>

Health Soc Care Community (Health & social care in the community)
[2020, :]

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Cepheid Xpert® Flu/RSV and Seegene Allplex™ RP1 show high diagnostic agreement for the detection of influenza A/B and respiratory syncytial viruses in clinical practice.

Nasir Wabe, Robert Lindeman, Jeffrey J Post, William Rawlinson, Melissa Miao, Johanna I Westbrook, Andrew Georgiou,

BACKGROUND:Molecular assays based on reverse transcription-polymerase chain reaction (RT-PCR) provide reliable results for the detection of respiratory pathogens, although diagnostic agreement varies. This study determined the agreement between the RT-PCR assays (Xpert® Flu/RSV vs Allplex™ RP1) in detecting influenza A, influenza B, and respiratory syncytial viruses (RSVs) in clinical practice. ... Read more >>

Influenza Other Respir Viruses (Influenza and other respiratory viruses)
[2020, :]

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Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients.

Johanna I Westbrook, Ling Li, Magdalena Z Raban, Amanda Woods, Alain K Koyama, Melissa Therese Baysari, Richard O Day, Cheryl McCullagh, Mirela Prgomet, Virginia Mumford, Luciano Dalla-Pozza, Madlen Gazarian, Peter J Gates, Valentina Lichtner, Peter Barclay, Alan Gardo, Mark Wiggins, Leslie White,

BACKGROUND:Double-checking the administration of medications has been standard practice in paediatric hospitals around the world for decades. While the practice is widespread, evidence of its effectiveness in reducing errors or harm is scarce. OBJECTIVES:To measure the association between double-checking, and the occurrence and potential severity of medication administration errors (MAEs); ... Read more >>

BMJ Qual Saf (BMJ quality & safety)
[2020, :]

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Changes in medication administration error rates associated with the introduction of electronic medication systems in hospitals: a multisite controlled before and after study.

Johanna I Westbrook, Neroli S Sunderland, Amanda Woods, Magda Z Raban, Peter Gates, Ling Li,

BACKGROUND:Electronic medication systems (EMS) have been highly effective in reducing prescribing errors, but little research has investigated their effects on medication administration errors (MAEs). OBJECTIVE:To assess changes in MAE rates and types associated with EMS implementation. METHODS:This was a controlled before and after study (three intervention and three control wards) ... Read more >>

BMJ Health Care Inform (BMJ health & care informatics)
[2020, 27(3):]

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Electronic ordering and the management of treatment interdependencies: a qualitative study of paediatric chemotherapy.

Valentina Lichtner, Bryony Dean Franklin, Luciano Dalla-Pozza, Johanna I Westbrook,

BACKGROUND:There are serious safety risks associated with chemotherapy, often associated with interdependencies in regimens administered over months or years. Various strategies are used to manage these risks. Computerized provider order entry (CPOE) systems are also implemented to improve medication safety. Little is known regarding the effect of CPOE on how ... Read more >>

BMC Med Inform Decis Mak (BMC medical informatics and decision making)
[2020, 20(1):193]

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Variation in electronic test results management and its implications for patient safety: A multisite investigation.

Judith Thomas, Maria R Dahm, Julie Li, Peter Smith, Jacqui Irvine, Johanna I Westbrook, Andrew Georgiou,

OBJECTIVE:The management and follow-up of diagnostic test results is a major patient safety concern. The aim of this qualitative study was to explore how clinicians manage test results on an everyday basis (work-as-done) in a health information technology-enabled emergency department setting. The objectives were to identify (1) variations in work-as-done ... Read more >>

J Am Med Inform Assoc (Journal of the American Medical Informatics Association : JAMIA)
[2020, 27(8):1214-1224]

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Variation in electronic test results management and its implications for patient safety: A multisite investigation

Judith Thomas, Maria R Dahm, Julie Li, Peter Smith, Jacqui Irvine, Johanna I Westbrook, Andrew Georgiou,

Abstract Objective The management and follow-up of diagnostic test results is a major patient safety concern. The aim of this qualitative study was to explore how clinicians manage test results on an everyday basis (work-as-done) in a health information technology–enabled emergency department setting. The objectives were to identify (1) variations ... Read more >>

J Am Med Inform Assoc (Journal of the American Medical Informatics Association : JAMIA)
[2020, 27(8):1214-1224]

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The 'Back Office' of a Dispensing Cabinet: Technology and Work Contributing to Medication Safety.

Valentina Lichtner, Mirela Prgomet, Bryony Dean Franklin, Johanna I Westbrook,

Automated dispensing cabinets in clinical wards may contribute to improving safety by reducing the likelihood of medications not being available when needed. However, achieving this safety benefit is dependent on a 'back office' sociotechnical infrastructure that combines semi-automated processes with mindful, resilient work practices. ... Read more >>

Stud Health Technol Inform (Studies in health technology and informatics)
[2020, 270:1405-1406]

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Does health information technology improve acknowledgement of radiology results for discharged Emergency Department patients? A before and after study.

Julie Li, Richard Paoloni, Ling Li, Joanne Callen, Johanna I Westbrook, William B Runciman, Andrew Georgiou,

BACKGROUND:The inadequate follow-up of test results is a key patient safety concern, carrying severe consequences for care outcomes. Patients discharged from the emergency department are at particular risk of having test results pending at discharge due to their short lengths of stay, with many hospitals acknowledging that they do not ... Read more >>

BMC Med Inform Decis Mak (BMC medical informatics and decision making)
[2020, 20(1):100]

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Social networks and cognitive function in older adults receiving home- and community-based aged care.

Joyce Siette, Andrew Georgiou, Carol Brayne, Johanna I Westbrook,

OBJECTIVES:Social engagement has been linked to preserved cognitive functioning in later life. Yet, little is known about the specific network factors that best predict cognitive function in older adults. This study aimed to (i) characterize the quality and quantity of interpersonal relationships and (ii) explore the relationship between social network ... Read more >>

Arch Gerontol Geriatr (Archives of gerontology and geriatrics)
[2020, 89:104083]

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Medication administration in Australian residential aged care: A time-and-motion study.

Esa Y H Chen, J Simon Bell, Jenni Ilomäki, Megan Corlis, Michelle E Hogan, Tessa Caporale, Jan Van Emden, Johanna I Westbrook, Sarah N Hilmer, Janet K Sluggett,

RATIONALE/AIM:Medication administration is a complex and time-consuming task in residential aged care facilities (RACFs). Understanding the time associated with each administration step may help identify opportunities to optimize medication management in RACFs. This study aimed to investigate the time taken to administer medications to residents, including those with complex care ... Read more >>

J Eval Clin Pract (Journal of evaluation in clinical practice)
[2020, :]

Cited: 1 time

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The effect of home care package allocation reforms on service uptake, use and cessation at a large Australian aged care provider.

Mikaela Jorgensen, Joyce Siette, Andrew Georgiou, Johanna I Westbrook,

OBJECTIVE:To utilise routinely collected data to examine changes in the client profile of a large aged care provider before and after commencement of the 2017 policy reforms, whereby home care packages were allocated to individuals rather than providers. METHODS:Interrupted time series analysis was used to measure changes in service uptake ... Read more >>

Australas J Ageing (Australasian journal on ageing)
[2020, 39(2):e210-e214]

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Effectiveness of interventions targeting antibiotic use in long-term aged care facilities: a systematic review and meta-analysis.

Magdalena Z Raban, Claudia Gasparini, Ling Li, Melissa T Baysari, Johanna I Westbrook,

OBJECTIVES:There are high levels of inappropriate antibiotic use in long-term care facilities (LTCFs). Our objective was to examine evidence of the effectiveness of interventions designed to reduce antibiotic use and/or inappropriate use in LTCFs. DESIGN:Systematic review and meta-analysis. DATA SOURCES:MEDLINE, Embase and CINAHL from 1997 until November 2018. ELIGIBILITY CRITERIA:Controlled ... Read more >>

BMJ Open (BMJ open)
[2020, 10(1):e028494]

Cited: 3 times

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Comparison of the Quick Sepsis-Related Organ Failure Assessment (qSOFA) and Adult Sepsis Pathway in Predicting Adverse Outcomes among Adult Patients on General Wards: A Retrospective Observational Cohort Study.

Ling Li, Kasun Rathnayake, Malcolm Green, Amith Shetty, Mary Fullick, Scott Walter, Catriona Middleton-Rennie, Michael Meller, Jeffrey Braithwaite, Harvey Lander, Johanna I Westbrook,

BACKGROUND:Quick Sepsis-related Organ Failure Assessment (qSOFA) is recommended for use by the most recent international sepsis definition taskforce to identify suspected sepsis in patients outside the Intensive Care Unit (ICU) at risk of adverse outcomes. Evidence of its comparative effectiveness with existing sepsis recognition tools is important to guide decisions ... Read more >>

Intern Med J (Internal medicine journal)
[2020, :]

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A comparative study of the utilisation of an electronic test-result management system in emergency and intensive care settings.

Judith Thomas, Maria R Dahm, Julie Li, Johanna I Westbrook, Andrew Georgiou,

The purpose of this qualitative study was to identify differences in the utilisation of an electronic medical record test-result management system between two acute care departments. Field observations (130 min) and semi-structured interviews (n = 24) were conducted in the Intensive Care Unit and Emergency Department of an Australian hospital. Work processes identified ... Read more >>

Health Informatics J (Health informatics journal)
[2019, :1460458219889223]

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An experimental investigation of the impact of alert frequency and relevance on alert dwell time.

Melissa T Baysari, Wu Yi Zheng, Amina Tariq, Maureen Heywood, Grace Scott, Ling Li, Bethany A Van Dort, Kasun Rathnayake, Richard Day, Johanna I Westbrook,

AIM:This study aimed to determine the impact of alert frequency and relevance on alert dwell time. METHOD:A 2 × 3 design was used where 127 university students completed 60 prescribing tasks and were presented with a variable frequency of computerized alerts (low, medium and high) with variable relevance (low and high). Participants ... Read more >>

Int J Med Inform (International journal of medical informatics)
[2020, 133:104027]

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Prevalence of Medication Errors Among Paediatric Inpatients: Systematic Review and Meta-Analysis.

Peter J Gates, Melissa T Baysari, Madlen Gazarian, Magdalena Z Raban, Sophie Meyerson, Johanna I Westbrook,

INTRODUCTION:The risk of medication errors is high in paediatric inpatient settings. However, estimates of the prevalence of medication errors have not accounted for heterogeneity across studies in error identification methods and definitions, nor contextual differences across wards and the use of electronic or paper medication charts. OBJECTIVE:Our aim was to ... Read more >>

Drug Saf (Drug safety)
[2019, 42(11):1329-1342]

Cited: 2 times

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Inter-observer agreement and reliability assessment for observational studies of clinical work.

Scott R Walter, William T M Dunsmuir, Johanna I Westbrook,

Inter-observer agreement (IOA) is a key aspect of data quality in time-and-motion studies of clinical work. To date, such studies have used simple and ad hoc approaches for IOA assessment, often with minimal reporting of methodological details. The main methodological issues are how to align time-stamped task intervals that rarely ... Read more >>

J Biomed Inform (Journal of biomedical informatics)
[2019, 100:103317]

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Duration of Antipsychotic Medication Use by Aged Care Facility Residents With Dementia.

Kimberly E Lind, Magdalena Z Raban, Andrew Georgiou, Johanna I Westbrook,

INTRODUCTION:Guidelines recommend short-term targeted use of antipsychotic medications for behavioral and psychological symptoms of dementia only when other strategies have failed. Antipsychotic prescribing in dementia is common internationally, but data on duration of use are limited. Our objectives were to determine duration, time to initiation, and prevalence of antipsychotic use ... Read more >>

Alzheimer Dis Assoc Disord (Alzheimer disease and associated disorders)
[2019, 33(4):331-338]

Cited: 1 time

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Medication safety incidents in paediatric oncology after electronic medication management system implementation.

Valentina Lichtner, Melissa Baysari, Peter Gates, Luciano Dalla-Pozza, Johanna I Westbrook,

OBJECTIVE:To explore medication safety issues related to use of an electronic medication management system (EMM) in paediatric oncology practice, through the analysis of patient safety incident reports. METHODS:We analysed 827 voluntarily reported incidents relating to oncology patients that occurred over an 18-month period immediately following implementation of an EMM in ... Read more >>

Eur J Cancer Care (Engl) (European journal of cancer care)
[2019, 28(6):e13152]

Cited: 1 time

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A profile of health status and demographics of aged care facility residents with gout.

Amy D Nguyen, Kimberly E Lind, Richard O Day, Andrew Georgiou, Johanna I Westbrook,

OBJECTIVE:To estimate gout prevalence and examine associated factors in residential aged care facilities. METHODS:Electronic data from 11 548 residents aged 65+ during 2014-2017 from 68 residential aged care facilities in Australia were analysed. Gout prevalence was estimated, and regression was used to assess differences in comorbidities, sociodemographic factors and health status ... Read more >>

Australas J Ageing (Australasian journal on ageing)
[2020, 39(1):e153-e161]

Cited: 0 times

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Control Room Operators' Cue Utilization Predicts Cognitive Resource Consumption During Regular Operational Tasks.

Daniel Sturman, Mark W Wiggins, Jaime C Auton, Shayne Loft, William S Helton, Johanna I Westbrook, Jeffrey Braithwaite,

This study was designed to examine whether qualified practitioners' cue utilization is predictive of their sustained attention performance during regular operational tasks. Simulated laboratory studies have demonstrated that cue utilization differentiates cognitive load during process control tasks. However, it was previously unclear whether similar results would be demonstrated with qualified ... Read more >>

Front Psychol (Frontiers in psychology)
[2019, 10:1967]

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Effectiveness of double checking to reduce medication administration errors: a systematic review.

Alain K Koyama, Claire-Sophie Sheridan Maddox, Ling Li, Tracey Bucknall, Johanna I Westbrook,

BACKGROUND:Double checking medication administration in hospitals is often standard practice, particularly for high-risk drugs, yet its effectiveness in reducing medication administration errors (MAEs) and improving patient outcomes remains unclear. We conducted a systematic review of studies evaluating evidence of the effectiveness of double checking to reduce MAEs. METHODS:Five databases (PubMed, ... Read more >>

BMJ Qual Saf (BMJ quality & safety)
[2020, 29(7):595-603]

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NSAID use among residents in 68 residential aged care facilities 2014 to 2017: An analysis of duration, concomitant medication use, and high-risk conditions.

Kimberly E Lind, Magdalena Z Raban, Andrew Georgiou, Johanna I Westbrook,

PURPOSE:People in residential aged care are at increased risk of adverse events from nonsteroidal anti-inflammatory drugs (NSAIDs) due to their age and health status, but little is known about use of NSAIDs in this setting. We aimed to estimate the prevalence of NSAID use by route, differences by high-risk conditions, ... Read more >>

Pharmacoepidemiol Drug Saf (Pharmacoepidemiology and drug safety)
[2019, 28(11):1480-1488]

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