Experience-based codesign approach to improve care in Australian emergency departments for complex consumer cohorts: the MyED project protocol, Stages 1.1–1.3

Reema Harrison; Jeffrey Braithwaite; Yvonne Zurynski; Peter D Hibbert; Kate Churruca; Louise A Ellis; Robyn Clay-Williams; Janet C Long; Margaret Murphy; Paul M Salmon; Anthony Brown; Rebecca Mitchell; Henry Cutler; Karen Hutchinson; Donna Gillies; Kylie Gwynne; Matthew Vukasovic; Kylie Smith; Elizabeth E Austin; Bronwyn Newman; Emilie Francis Auton; Ann Carrigan; Colleen Cheek; Nema Hayba; Lieke Richardson; Mariam Safi; Natália Ransolin; Aaron De Los Santos; Leanne Holt; Ramesh Lahiru Walpola; Reza Ali

doi:10.1136/bmjopen-2023-072908

BMJ Open (Jul 2023)

Experience-based codesign approach to improve care in Australian emergency departments for complex consumer cohorts: the MyED project protocol, Stages 1.1–1.3

Reema Harrison,
Jeffrey Braithwaite,
Yvonne Zurynski,
Peter D Hibbert,
Kate Churruca,
Louise A Ellis,
Robyn Clay-Williams,
Janet C Long,
Margaret Murphy,
Paul M Salmon,
Anthony Brown,
Rebecca Mitchell,
Henry Cutler,
Karen Hutchinson,
Donna Gillies,
Kylie Gwynne,
Matthew Vukasovic,
Kylie Smith,
Elizabeth E Austin,
Bronwyn Newman,
Emilie Francis Auton,
Ann Carrigan,
Colleen Cheek,
Nema Hayba,
Lieke Richardson,
Mariam Safi,
Natália Ransolin,
Aaron De Los Santos,
Leanne Holt,
Ramesh Lahiru Walpola,
Reza Ali

Affiliations

Reema Harrison: 1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
Jeffrey Braithwaite: 1 Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
Yvonne Zurynski: 1 NHMRC Partnership Centre for Health System Sustainability, Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
Peter D Hibbert: 1 Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia
Kate Churruca: Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Sydney, New South Wales, Australia
Louise A Ellis: Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Sydney, New South Wales, Australia
Robyn Clay-Williams: 1 Australian Institute of Health Innovation, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia
Janet C Long: 1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
Margaret Murphy: 2 Department of Emergency Medicine, Westmead Hospital, Westmead, New South Wales, Australia
Paul M Salmon: 4 Centre for Human Factors and Sociotechnical Systems, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
Anthony Brown: 12 Western Sydney University, Penrith, New South Wales, Australia
Rebecca Mitchell: 1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
Henry Cutler: 1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
Karen Hutchinson: 1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
Donna Gillies: 8 NDIS Quality and Safeguards Commission, Penrith, New South Wales, Australia
Kylie Gwynne: Heart Research Institute Ltd, Newtown, New South Wales, Australia
Matthew Vukasovic: 2 Department of Emergency Medicine, Westmead Hospital, Westmead, New South Wales, Australia
Kylie Smith: 11 Emergency Care Institute, NSW Agency for Clinical Innovation, St Leonards, New South Wales, Australia
Elizabeth E Austin: 1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
Bronwyn Newman: 1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
Emilie Francis Auton: 1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
Ann Carrigan: 1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
Colleen Cheek: 1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
Nema Hayba: 1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
Lieke Richardson: 1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
Mariam Safi: 1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
Natália Ransolin: 1 Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia
Aaron De Los Santos: 3 Department of Emergency Medicine, Blacktown and Mount Druitt Hospital, Blacktown, New South Wales, Australia
Leanne Holt: 7 Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia
Ramesh Lahiru Walpola: 10 School of Population Health, University of New South Wales, Sydney, New South Wales, Australia
Reza Ali: 3 Department of Emergency Medicine, Blacktown and Mount Druitt Hospital, Blacktown, New South Wales, Australia

DOI: https://doi.org/10.1136/bmjopen-2023-072908
Journal volume & issue: Vol. 13, no. 7

Abstract

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Introduction Emergency department (ED) care must adapt to meet current and future demands. In Australia, ED quality measures (eg, prolonged length of stay, re-presentations or patient experience) are worse for older adults with multiple comorbidities, people who have a disability, those who present with a mental health condition, Indigenous Australians, and those with a culturally and linguistically diverse (CALD) background. Strengthened ED performance relies on understanding the social and systemic barriers and preferences for care of these different cohorts, and identifying viable solutions that may result in sustained improvement by service providers. A collaborative 5-year project (MyED) aims to codesign, with ED users and providers, new or adapted models of care that improve ED performance, improve patient outcomes and improve patient experience for these five cohorts.Methods and analysis Experience-based codesign using mixed methods, set in three hospitals in one health district in Australia. This protocol introduces the staged and incremental approach to the whole project, and details the first research elements: ethnographic observations at the ED care interface, interviews with providers and interviews with two patient cohorts—older adults and adults with a CALD background. We aim to sample a diverse range of participants, carefully tailoring recruitment and support.Ethics and dissemination Ethics approval has been obtained from the Western Sydney Local Health District Human Research Ethics Committee (2022/PID02749-2022/ETH02447). Prior informed written consent will be obtained from all research participants. Findings from each stage of the project will be submitted for peer-reviewed publication. Project outputs will be disseminated for implementation more widely across New South Wales, Australia.

Published in BMJ Open

ISSN: 2044-6055 (Online)
Publisher: BMJ Publishing Group
Country of publisher: United Kingdom
LCC subjects: Medicine
Website: https://bmjopen.bmj.com

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