The inTouch Integrated Care Framework - Reimagining Integrated Health Service Delivery.

Introduction: Integrated care has been adopted as a guiding principle to reduce fragmentation and to make health systems more person-centred. Successful integration requires care services and processes that include primary care, specialist care, and acute services. To promote learning and development in the field, flexible and adaptable empirically derived frameworks for different contexts, conditions and settings are required.

"I know I shouldn't but …" the inevitable tension of using workarounds to be a "good nurse".

Introduction: Rules, policies, and technologies are increasingly introduced in healthcare to reduce complexity and iatrogenic harm. One example is the implementation of Electronic Medication Management Systems (EMMS) to minimise medication errors. However, in hospitals where nurses primarily administer medications, research shows that nurses often adopt "workarounds" to overcome barriers in medication administration.

Australian infection prevention and control governance, strategy and structure: Design for success.

Background: Governance, strategy and organisational structure for Infection Prevention and Control (IPC) programs across Australia remain variable. The standardisation and integration of these functions across jurisdictions are critical for effective advancement of IPC across health systems.

Aim: Across the Australian Federal, State and Territory jurisdictions, the study examined a twofold research question: first, what are the governance, strategy and organisational structures of IPC programs?; and second, what are the essential elements for a standardised, consistent IPC governance framework?

Methods: Comprising four integrated steps: preconference document analysis of key jurisdictional program information; a survey of conference participants; open discussion - an expert panel of jurisdictional leads and conference participants; and expert panel review, incorporating mixed methods and a modified Delphi approach for consensus and validated guidance.

Impact of large language model (ChatGPT) in healthcare: an umbrella review and evidence synthesis.

Background: The emergence of Artificial Intelligence (AI), particularly Chat Generative Pre-Trained Transformer (ChatGPT), a Large Language Model (LLM), in healthcare promises to reshape patient care, clinical decision-making, and medical education. This review aims to synthesise research findings to consolidate the implications of ChatGPT integration in healthcare and identify research gaps.

Main Body: The umbrella review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

Developing an Integrated Service Planning Tool: Lessons Learnt from Planning the WSLHD Thoracic Oncology Program.

Aim: We aim to provide practical guidelines on how to develop integrated service plans that incorporate care provided by multiple specialties.

Introduction: Bringing specialties together to strategically plan future health service delivery is challenging. In Australia, collaboration between specialties is required to prepare for the introduction of the National Lung Cancer Screening Program (NLCSP).

Global approaches to older abuse research in institutional care settings: A systematic review.

Background: Over the last two decades, abuse of older adults in institutional settings has been underestimated due to challenges in defining and responding to the issue. This systematic review aims to analyze empirical studies on measuring abuse of older people residing in a long-term care facility, specifically staff-to-resident abuse.

Methods: Following PRISMA guidelines, we searched 10 databases from January 2005 till June 2024.

Factors influencing the establishment of hospital accreditation programs in low- and middle-income countries: a scoping review.

Hospital accreditation programs are globally recognized as an important tool for enhancing quality and safety in health care; however, many programs in low- and middle-income countries (LMICs) are discontinued shortly after their establishment. This scoping review synthesized published evidence on factors influencing the establishment and sustainability of hospital accreditation programs in LMICs, to provide guidance to health stakeholders involved in these processes. Six databases were searched using the terms "accreditation," "health," "hospital," and the country list of LMICs.

Factors influencing embedding of organization-wide culture change programs in health care: a scoping review.

Objective: The objective of this scoping review was to identify the key factors that influence embedding organization-wide culture change programs (OWCCP) in health care.

Introduction: OWCCP have been used as a mechanism in health care to assist the workforce to embed safe quality care. There is little research on the embedding phase of sustaining OWCCP.

Infection Prevention and Control Response and Escalation Framework: Evaluation and application beyond a pandemic.

Background: The COVID-19 pandemic resulted in constant changes to Infection Prevention and Control (IPAC) recommendations, impacting clinician capacity to stay up to date. The COVID-19 IPAC Response and Escalation Framework (IPAC Framework), rarely reported or evaluated was developed to provide scalable IPAC guidance during the pandemic to health care in New South Wales (NSW), Australia.

Methods: Using a thematic analysis approach, a qualitative study using an online, cross-sectional survey comprising 27 questions was sent to 248 key stakeholders.

Relationship between Blood Pressure and Rates of Glaucomatous Visual Field Progression: The Vascular Imaging in Glaucoma Study.

Purpose: To examine the relationship between systemic arterial blood pressure (BP) and the rate of change in standard automated perimetry (SAP) in eyes with glaucoma and suspected glaucoma.

Design: Prospective cohort study.

Participants: One hundred twenty-four eyes (91 eyes with glaucoma, 33 eyes with suspected glaucoma) of 64 patients (mean age, 68.

A Hybrid Deep Learning Classification of Perimetric Glaucoma Using Peripapillary Nerve Fiber Layer Reflectance and Other OCT Parameters from Three Anatomy Regions.

PrÉcis: A hybrid deep-learning model combines NFL reflectance and other OCT parameters to improve glaucoma diagnosis.

Objective: To investigate if a deep learning model could be used combine nerve fiber layer (NFL) reflectance and other OCT parameters for glaucoma diagnosis.

Patients And Methods: This is a prospective observational study where of 106 normal subjects and 164 perimetric glaucoma (PG) patients.