The DART3 project (Difficult Access Requires Thought, Training and Technology)

Quick facts

Principal investigator:

Prof Claire Rickard (Griffith, AVATAR)

Team members:

Prof Amanda Ullman, Dr Nicole Marsh, Ms Tricia Kleidon, Prof Gerben Keijzers, Dr Jessica Schults, Prof Marie Cooke, A/Prof Joshua Byrnes, Prof Robert Ware, Prof Louise Cullen, Dr Stuart Watkins

Project commenced:
2020
Project finished:
2023

Members of the ED Collaborative Research Group have been part of a successful partnership grant awarded by the National Health and Medical Research Council. They awarded 1.5M AUD which was matched for by national and state health partners (who contributed 2.1M) 
The main aim is to improve the experience for thousands who require peripheral intravenous (IV) catheters throughout the health system. Griffith researchers will work with three Queensland partner hospitals (two metropolitan and one regional), the Queensland rural and remote education provider, and the Australian Commission on Safety and Quality in Healthcare on the project.
In the first stage of the three-year project, Griffith researchers with partners and stakeholders will co-design a difficult IV access ultrasound pathway and associated implementation strategies. The second stage will see a progressively trialled implementation across hospitals, with a national rollout (metropolitan, rural and remote settings) in the final stage
 

Grants Awarded

NHMRC Partnership Projects Grant
$3,500,000

Multicentre, randomised trial to investigate early nasal high—flow therapy in paediatric acute hypoxaemic respiratory failure: a protocol for a randomised controlled trial—a Paediatric Acute respiratory Intervention Study (PARIS 2).

Franklin, D., Shellshear, D., Babl, F.E., Schlapbach, L.J., Oakley, E., Borland, M.L., Hoeppner, T., George, S., Craig, S., Neutze, J. and Williams, A., 2019. Multicentre, randomised trial to investigate early nasal high—flow therapy in paediatric acute hypoxaemic respiratory failure: a protocol for a randomised controlled trial—a Paediatric Acute respiratory Intervention Study (PARIS 2). BMJ open, 9(12).

Improving emergency department transfer for patients arriving by ambulance: A retrospective observational study. Emergency Medicine Australasia.

Crilly, J., Johnston, A.N., Wallis, M., O'Dwyer, J., Byrnes, J., Scuffham, P., Zhang, P., Bosley, E., Chaboyer, W. and Green, D., 2019. Improving emergency department transfer for patients arriving by ambulance: A retrospective observational study. Emergency Medicine Australasia.

Effect of the Geriatric Emergency Department Intervention on outcomes of care for residents of aged care facilities: A non‐randomised trial. Emergency Medi

Marsden, E., Taylor, A., Wallis, M., Craswell, A., Broadbent, M., Barnett, A. and Crilly, J., 2019. Effect of the Geriatric Emergency Department Intervention on outcomes of care for residents of aged care facilities: A non‐randomised trial. Emergency Medicine Australasia

Development of a revised Jalowiec Coping Scale for use by emergency clinicians: a cross-sectional scale development study.

Greenslade, J.H., Wallis, M.C., Johnston, A., Carlström, E., Wilhelms, D., Thom, O., Abraham, L. and Crilly, J., 2019. Development of a revised Jalowiec Coping Scale for use by emergency clinicians: a cross-sectional scale development study. BMJ open, 9(12

Clinician decision making in peripheral intravenous cannulation in emergency settings

Quick facts

Principal investigator:
Hugo Evison
Team members:
Prof Gerben Keijzers, Dr Jamie Ranse, Nicole Marsh, A/Prof Joshua Byrnes, Dr Peter Carr, Prof Claire Rickard, Amy Sweeny, Mercedes Carrington
Project commenced:
2019

Peripheral intravenous cannulation (PIVC) is a vital part of modern medicine, however the use of cannulas has become prolific, with many never used. The patient risks that are associated with PIVC are well documented, including pain and even infections, which can be severe and lead to death.

PIVCs which are inserted but never used (idle PIVC), have the risks and downsides, but no potential benefits. Reducing the rate of idle PIVC may reduce the overall rate of risks, side-effects and infections associated with PIVC, but it may also lead to patients who require PIVC not receiving one.

In this study, we are looking into the reasons why clinicians decide to insert a PIVC. We aim to describe: I) the proportion of PIVCs placed that do not get used within 24 hours (idle PIVCs), II) differences between the pre-hospital setting and the emergency department and III) describe which factors are associated with clinicians’ decision making regarding PIVC.

Grants Awarded

JumpStart: Funded by Emergency Medicne Foundation
$34,794

Derivation of a clinical decision-making aid to improve the insertion of clinically indicated peripheral intravenous catheters and promote vessel health preservation. An observational study.

Snelling, P.J. and Tessaro, M., 2017. Paediatric emergency medicine point‐of‐care ultrasound: Fundamental or fad?. Emergency Medicine Australasia, 29(5), pp.486-489.

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