On the Radar Issue 569 8 August 2022 On the Radar is a summary of some of the recent publications in the areas of safety and quality in health care. Inclusion in this document is not an endorsement or recommendation of any publication or provider. Access to particular documents may depend on whether they are Open Access or not, and/or your individual or institutional access to subscription sites/services. Material that may require subscription is included as it is considered relevant. On the Radar is available online, via email or as a PDF or Word document from https://www.safetyandquality.gov.au/publications-and-resources/newsletters/ radar If you would like to receive On the Radar via email, you can subscribe on our website https://www.safetyandquality.gov.au/publications-and-resources/newsletters or by emailing us at [email protected] . You can also send feedback and comments to [email protected] . HU U HU U For information about the Commission and its programs and publications, please visit https://www.safetyandquality.gov.au You can also follow us on Twitter @ACSQHC. On the Radar Editor: Dr Niall Johnson [email protected] Contributors: Niall Johnson Journal articles Disease and economic burden of infections in hospitalised children in New South Wales, Australia McMullan BJ, Valentine JC, Hall L, Thursky K Australian Health Review. 2022;46(4):471-477. DOI https://doi.org/10.1071/AH21360 Notes Paper reporting on a study examining ‘the burden of disease and hospitalisation costs in children with common infections using statewide administrative data.’ The study ‘analysed hospitalisation prevalence and costs for 10 infections: appendicitis, cellulitis, cervical lymphadenitis, meningitis, On the Radar Issue 569 1 osteomyelitis, pneumonia, pyelonephritis, sepsis, septic arthritis, and urinary tract infections in children aged <18 years admitted to hospital within New South Wales…over three financial years (1 July 2016–30 June 2019)’. The ‘ten infectious conditions contributed to almost 10% of all paediatric hospitalisations, and costs were increased with additional bed-days, paediatric hospital admission, and intensive care use’ Incidence of adverse incidents in residential aged care St Clair B, Jorgensen M, Georgiou A Australian Health Review. 2022;46(4):405-413. DOI https://doi.org/10.1071/AH21090 Paper reporting on a study that examined 3 years of incident management report data from 72 Residential Aged Care Facilities (RACFs) in New South Wales and the Australian Capital Territory in order to quantify the types and rates of adverse incidents experienced by residents of such facilities. Using the deidentified records of 11,987 permanent residents, the study found:  ‘Of the 60 268 adverse incidents, falls were the most common event (36%), followed by behaviour-related events Notes (33%), other impacts and injuries (22%) and medication errors (9%).  The number of adverse incidents per resident ranged from 0 (42%) to 171, with a median of 2.  Women (IRR 0.804; P < 0.001) and residents with low care needs (IRR 0.652; P < 0.001) were significantly less likely to adverse incidents compared with men and residents with high care needs respectively.’ Emergency department presentations and 30-day mortality in patients from residential aged care facilities Chiswell K, Bein K, Simpkins D, Latt M, Dinh M Australian Health Review. 2022;46(4):414-420. DOI https://doi.org/10.1071/AH21275 Paper reporting on a retrospective analysis of linked state-wide emergency, inpatient and death data from 136 public hospitals in New South Wales that sought to examine ‘patterns of emergency department (ED) presentations and predictors of 30-day mortality in patients referred from a residential aged care facility (RACF).’ The study identified 43428 presentations and the ‘most common Notes ED diagnosis categories were: injury (26.48%), respiratory conditions (14.12%) and cardiovascular conditions (10.74%).’ The authors observe that ‘Both the 30-day mortality and re-admission rates were high for patients from RACFs. Predictors of increased mortality included prolonged length of stay in the ED and readmission within 30 days.’ 2 On the Radar Issue 568 Everyone’s a winner if we test less: the CODA action plan Walsh O, Harris R, Flower O, Anstey M, McGain F Australian Health Review. 2022;46(4):460-462. DOI https://doi.org/10.1071/AH22145 The authors of this piece asset that ‘Pathology testing is ex

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