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Driving change: A partnership study protocol using shared emergency department data to reduce alcohol-related harm

journal contribution
posted on 14.01.2020, 00:00 by P Miller, N Droste, D Egerton-Warburton, D Caldicott, G Fulde, N Ezard, P Preisz, A Walby, M Lloyd-Jones, J Stella
Background: Sharing anonymised ED data with community agencies to reduce alcohol-related injury and assaults has been found effective in the UK. This protocol document outlines the design of an Australian multi-site trial using shared, anonymised ED data to reduce alcohol-related harm. Design and Method: Nine hospitals will participate in a 36 month stepped-wedge cluster randomised trial. After a 9 month baseline period, EDs will be randomised in five groups, clustered on geographic proximity, to commence the intervention at 3 monthly intervals. ‘Last-drinks’ data regarding alcohol use in the preceding 12 h, typical alcohol consumption amount, and location of alcohol purchase and consumption, are to be prospectively collected by ED triage nurses and clinicians at all nine EDs as a part of standard clinical process. Brief information flyers will be delivered to all ED patients who self-report risky alcohol consumption. Public Health Interventions to be conducted are: (i) information sharing with venues (via letter), and (ii) with police and other community agencies, and (iii) the option for public release of ‘Top 5’ venue lists. Outcomes: Primary outcomes will be: (i) the number and proportion of ED attendances among patients reporting recent alcohol use; and (ii) the number and proportion of ED attendances during high-alcohol hours (Friday and Saturday nights, 20.00–06.00 hours) assigned an injury diagnosis. Process measures will assess logistical and feasibility concerns, and clinical impacts of implementing this systems-change model in an Australian context. An economic cost–benefit analysis will evaluate the economic impact, or return on investment. © 2019 Australasian College for Emergency Medicine

Funding

Category 1 - Australian Competitive Grants (this includes ARC, NHMRC)

History

Volume

31

Issue

6

Start Page

942

End Page

947

Number of Pages

6

eISSN

1742-6723

ISSN

1742-6731

Publisher

Wiley

Peer Reviewed

Yes

Open Access

No

Acceptance Date

05/02/2019

External Author Affiliations

Cardiff University, UK; University of Newcastle; Australian National University; University of New South Wales; The Canberra Hospital and Health Service; Southwest Health Care, Warrnambool; Barwon Health, Geelong; Deakin University; Monash University; Calvary Health Care, Canberra; St Vincent’s Hospital Sydney

Author Research Institute

Centre for Indigenous Health Equity Research

Era Eligible

Yes

Journal

EMA - Emergency Medicine Australasia