Author: Marian Chandler

This is a face to face meeting for members of the PREDICT network (Paediatric Research in Emergency Departments International Collaborative) and invited guests.

Date & Time

Monday 5/12/16  (9.30am-5.00pm)
Tuesday 6/12/16 (8.30am-4.00pm)

Where

Vernon Collins Theatre, Room 1.050, Health Education and Learning Precinct (HELP), Level 1, Royal Children’s Hospital, 50 Flemington Road, Melbourne. See Map attached.

PREDICT Dinner

A PREDICT dinner will be held on 5/12/16 and we encourage you to attend. Please indicate if you will be attending the dinner via Trybooking (see “Registration” for details).  Restaurant details to be advised.

Who can attend?

All PREDICT members and associated guests are welcome to attend.

Agenda

Agenda to be finalised.

Registration

Attendance is free but members must register for the event and dinner using Trybooking at: https://www.trybooking.com/212318

Costs

PREDICT will cover the expenses (accommodation and airfare) for one member from each organisation involved in PREDICT research to attend.  Additional members attending from the same site will be required to cover expenses using alternative funding sources.  (Please note: incidentals such as taxi fares, airport parking fees, meals etc. WILL NOT be covered).

Accommodation

Rooms have been reserved at a corporate rate at The Larwill Hotel, which is very conveniently located next door to the hospital.   If you would like to book a room at The Larwill, please email Marian.Chandler@mcri.edu.au with your name, mobile number and IN/OUT dates. Please DO NOT contact the hotel yourself. If you wish to book via Marian at the corporate rate you must email your request NO LATER than FRIDAY 11TH NOVEMBER 2016.  After this date the rooms will be released and pricing and availability will no longer be guaranteed.

Alternatively, you may also book accommodation elsewhere yourself and be reimbursed at a maximum limit of $200 per night for the room rate.   It is expected that most members will require a two night stay.  If you require additional nights, please contact Marian to obtain authorisation if you require reimbursement.  Any additional costs incurred such as meals or mini bar are to be paid on checkout by the individual.

Flights

Corporate Traveller, the MCRI official booking agent will handle flight bookings if we are funding your attendance.  Please complete the travel authorisation form making sure to enter flight numbers and/or clear instructions of departure times required.  Email the completed form to Marian.Chandler@mcri.edu.au and Marian will forward your request to the booking agent.  You will receive booking confirmation directly from Corporate Traveller.  If you have to change your booking, please DO NOT contact Corporate Traveller directly but email or phone Marian to obtain authorisation.  You may also book your own flights and request a reimbursement if you prefer.

Reimbursement

If PREDICT is funding your attendance, accommodation and flights can be charged directly to PREDICT as outlined above.  If you do your own bookings and require reimbursement, please complete a Reimbursement form 2016-6-03 and ensure ORIGINAL receipts are attached.  Photocopies will not be accepted.

Questions?

Please contact marian.chandler@mcri.edu.au on telephone 03 9936 6049.

 

The following CRE Training Lab podcasts have been added to the website:

• Engaged research teams
• Mastering self promotion and personal branding

Check out all the podcasts here.

The PTNA is hosting an event entitled “Paediatric Clinical Trials” in Sydney at the Mercure Hotel on 14th October 2016.

PREDICT will cover the cost of registration ($100) for up to 5 members who wish to attend.  Places are still available so please email marian.chandler@mcri.edu.au if you would like to attend or obtain further information about this event.

You may also like to consider submitting an abstract. Submissions close on 2nd September 2016.

 

Bronchiolitis is the commonest lower respiratory tract infection in children less than 12 months and is the most frequent cause of hospitalisation in infants under 6 months of age in Australasia.  Research conducted by the PREDICT identified substantial variation in practice patterns in the management of bronchiolitis, despite high levels of evidence supporting some areas of treatment.

To improve consistency of Australasian practice, an evidence based consensus led guideline for the management of bronchiolitis in infants presenting to, and admitted into hospitals was developed. This guideline represents the first high quality acute paediatric care guideline to be developed across both countries.

A Guideline Advisory Group was formed which consisted of the project chief investigators; three paediatric emergency physicians, one paediatrician and the project coordinator.  The role of this group was to provide expert advice and contribute to the guideline development process including construction of population, intervention, comparator, outcomes and time of interest (PICOt) questions, defining the guideline scope and target audience, and oversight of the project.

A multidisciplinary Guideline Development Committee which included the members of the Guideline Advisory Group, was convened in accordance with the NHMRC recommendations for guideline development.  This committee comprised of twenty-two individuals, including;  eight General Paediatricians, one Paediatric Respiratory Physician, eight Paediatric Emergency Medicine Physicians, one Paediatric Intensive Care Physician , one Paediatric Nurse Practitioner, two Paediatric Nurses, and one Paediatric Emergency Nurse from a mixture of Australian and New Zealand metropolitan and non-metropolitan centres, (including representatives from six of the eight Australian States and Territories).  The Australian and New Zealand Paediatric Societies were also approached seeking their representation for the Guideline Development Committee.  This committee was established to review and synthesise the evidence to prepare the evidence based guideline, ensuring relevance to their specific speciality areas of representation.

The nine step process recommended by the National Health and Medical Research Council (NHMRC) and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology were adapted.  Formulation of the guideline included identification of PICOt questions, a systematic literature search, grading of evidence using the NHMRC process and GRADE methodology.  The GRADE and NHMRC processes provided a systematic and transparent approach, ensuring a final structure that includes a useable clinical interface for bedside use and a descriptive summary of the evidence base and evidence tables for each key statement.

Consensus with the Development Committee was sought using nominal group technique principles to formulate the clinical recommendations and practice points.  The final step was consultation and review by key paediatric health professional bodies seeking endorsement to ensure the guideline was relevant to the management of bronchiolitis in the Australasian emergency and ward settings.

The Guideline is currently in the final stages of review and will be made available for use in the next few months.

Our BellPIC study co-ordinator, Amanda Williams will depart on maternity leave on 5/8/2016.

We wish Amanda all the best and would like to welcome our interim co-ordinator Gill Ormond who will cover this leave period.
Gill will be working on Tuesday, Wednesday and Thursday and is contactable on gill.ormond@mcri.edu.au or (03) 9936 6635.

Objectives

The objectives of the “Qualitative evaluation of a deferred consent process in paediatric emergency research” study are to explore the attitudes of parents to the concept of deferred consent; highlight the limitations that parents will place on the use/provision of deferred consent and to expand knowledge about the limitations of informed consent and deferred consent.

Enrolment

Deferred consent currently has 20 patients enrolled as at 21/7/16.

Recruitment stats

• 60 letters of invitation sent out
• 20 enrolled
• 1 opted out

Sites currently recruiting

• Townsville – 20 enrolled
• RCH – 0 enrolled (to commence interviews 26/7/16)

Sites soon to commence

• Lady Cilento Children’s Hospital

Dr Emma Tavender’s abstract “Translating research evidence into paediatric emergency medicine: an international network” has been accepted for presentation at the 5th Annual NHMRC Symposium on Research Translation to be held on 23 November 2016 at the Melbourne Convention and Exhibition Centre. View the abstract on our publications page (under presentations, 2016).

 

Located in Nedlands, the Perth Children’s Hospital (PCH) will be the new home for staff and services from Princess Margaret Hospital (PMH) in Subiaco, providing specialist paediatric care for the children and adolescents of Western Australia. The new hospital will be the sole dedicated children’s hospital for WA, providing the highest level of care to children from all over the state. PCH will have 298 beds, 48 more than PMH and the design of the building allows for future expansion.

It ​is planned that PCH will take its first outpatients from 24 October 2016, with the inpatient move (Final Move Day) and opening of the Emergency Department to take place on Sunday 20 November.

The Emergency Department at PCH will be physically 88% larger than PMH and will feature 22 single patient bays within the Acute Care Pod area.  Each room will have three walls and a sliding telescopic smart glass door to provide acoustic and visual privacy for families and to benefit infection control within the department. There will also be two negative pressure isolation rooms within the department, each with an ante-chamber and ensuite. These rooms will be located directly behind triage to facilitate rapid isolation of infectious patients.  All bays in the Acute Care area of the Emergency Department have been designed around two centralised staff stations allowing staff line of sight into patient rooms.

There are 3 dedicated Resuscitation bays (Medical, Trauma and Neonatal) with an XRay gantry servicing all 3 bays and with state of the art bedside pendants, point of care testing and automated dispensing machines for all medications. There is a large internal subwait area for patients being triaged to Fast track for minor injuries, Pod C for low acuity medical conditions and the psychiatric assessment Pod D.

The eleven bed Emergency Short Stay Unit is adjacent to the ED which is equipped with single rooms with ensuites in every room and one Negative pressure room with full ensuite and anteroom. This will be managed by the emergency staff 24 hours a day

 

 

Each month we will feature photos of a research team at one of our sites to help put faces to the names we frequently email.  This month meet Jocelyn Neutze and Shirley Lawrence from Kidz First, Middlemore Hospital in Auckland.