Sonya Osborne - Academia.edu (original) (raw)
Nursing and health services researcher. Implementation scientist. Perioperative patient safety.
less
Uploads
Papers by Sonya Osborne
American Journal of Infection Control, May 1, 2007
AORN Journal, May 26, 2023
Anesthesia & Analgesia, Jun 1, 2018
Research Square (Research Square), Nov 19, 2020
Background: Residential aged care facility residents experience high rates of hospital admissions... more Background: Residential aged care facility residents experience high rates of hospital admissions which are stressful, costly and often preventable. The EDDIE program is a hospital avoidance initiative designed to enable nursing and care staff to detect, refer and quickly respond to early signals of a deteriorating resident. The program was implemented in a 96-bed residential aged care facility in regional Australia. Methods: A prospective pre-post cohort study design was used to collect data on costs of program delivery, hospital admission rates and length of stay for the 12 months prior to, and following, the intervention. A Markov decision model was developed to synthesize study data with published literature in order to estimate the cost-effectiveness of the program. Quality adjusted life years (QALYs) were adopted as the measure of effectiveness. Results: The EDDIE program was associated with a 19% reduction in annual hospital admissions and a 31% reduction in the average length of stay. The cost-effectiveness analysis found the program to be both more effective and less costly than usual care, with 0.06 QALYs gained and $249,000 health system costs saved in a modelled cohort of 96 residents. A probabilistic sensitivity analysis estimated that there was an 86% probability that the program was cost-effective after taking the uncertainty of the model inputs into account. Conclusions: This study provides promising evidence for the effectiveness and cost-effectiveness of a nurse led, early intervention program in preventing unnecessary hospital admissions within a residential aged care facility. Further research in multi-site randomised studies is needed to con rm the generalisability of these results.
Cochrane Database of Systematic Reviews, Apr 19, 2006
AORN Journal, 2014
"We thank Dr Marsh for his thoughtful comments and acknowledge the limitations of our study,... more "We thank Dr Marsh for his thoughtful comments and acknowledge the limitations of our study, which we clearly outlined in the article. We also thank Dr Marsh for supporting our call for larger, independent trials to test the effectiveness of preoperative consumption of highcarbohydrate fluids to improve patient outcomes..."
Additional file 2. Parent/young person interview question guide.
Additional file 3. Purpose designed checklists for clinical auditing.
John Wiley & Sons, Inc., Jun 1, 2014
Additional file 4. Clinic Communication Form.
Additional file 1. Clinician focus group question guide.
Additional file 4. Figure A: Density of the fitted Normal distribution for the annual number of h... more Additional file 4. Figure A: Density of the fitted Normal distribution for the annual number of hospital admissions. Figure B: Density of the fitted Gamma distribution for length of stay.
Additional file 3. Cost-effectiveness model structure. Figure A: Health states and transitions wi... more Additional file 3. Cost-effectiveness model structure. Figure A: Health states and transitions within usual care. Figure B: Health states and transitions within the EDDIE intervention.
Additional file 2. Costs of EDDIE implementation.
American Journal of Infection Control, May 1, 2007
AORN Journal, May 26, 2023
Anesthesia & Analgesia, Jun 1, 2018
Research Square (Research Square), Nov 19, 2020
Background: Residential aged care facility residents experience high rates of hospital admissions... more Background: Residential aged care facility residents experience high rates of hospital admissions which are stressful, costly and often preventable. The EDDIE program is a hospital avoidance initiative designed to enable nursing and care staff to detect, refer and quickly respond to early signals of a deteriorating resident. The program was implemented in a 96-bed residential aged care facility in regional Australia. Methods: A prospective pre-post cohort study design was used to collect data on costs of program delivery, hospital admission rates and length of stay for the 12 months prior to, and following, the intervention. A Markov decision model was developed to synthesize study data with published literature in order to estimate the cost-effectiveness of the program. Quality adjusted life years (QALYs) were adopted as the measure of effectiveness. Results: The EDDIE program was associated with a 19% reduction in annual hospital admissions and a 31% reduction in the average length of stay. The cost-effectiveness analysis found the program to be both more effective and less costly than usual care, with 0.06 QALYs gained and $249,000 health system costs saved in a modelled cohort of 96 residents. A probabilistic sensitivity analysis estimated that there was an 86% probability that the program was cost-effective after taking the uncertainty of the model inputs into account. Conclusions: This study provides promising evidence for the effectiveness and cost-effectiveness of a nurse led, early intervention program in preventing unnecessary hospital admissions within a residential aged care facility. Further research in multi-site randomised studies is needed to con rm the generalisability of these results.
Cochrane Database of Systematic Reviews, Apr 19, 2006
AORN Journal, 2014
"We thank Dr Marsh for his thoughtful comments and acknowledge the limitations of our study,... more "We thank Dr Marsh for his thoughtful comments and acknowledge the limitations of our study, which we clearly outlined in the article. We also thank Dr Marsh for supporting our call for larger, independent trials to test the effectiveness of preoperative consumption of highcarbohydrate fluids to improve patient outcomes..."
Additional file 2. Parent/young person interview question guide.
Additional file 3. Purpose designed checklists for clinical auditing.
John Wiley & Sons, Inc., Jun 1, 2014
Additional file 4. Clinic Communication Form.
Additional file 1. Clinician focus group question guide.
Additional file 4. Figure A: Density of the fitted Normal distribution for the annual number of h... more Additional file 4. Figure A: Density of the fitted Normal distribution for the annual number of hospital admissions. Figure B: Density of the fitted Gamma distribution for length of stay.
Additional file 3. Cost-effectiveness model structure. Figure A: Health states and transitions wi... more Additional file 3. Cost-effectiveness model structure. Figure A: Health states and transitions within usual care. Figure B: Health states and transitions within the EDDIE intervention.
Additional file 2. Costs of EDDIE implementation.