Alan E O'Connor

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OBJECTIVE To measure communication loads on clinical staff in an acute clinical setting, and to describe the pattern of informal and formal communication events, Australia. DESIGN Observational study. SETTING Two emergency departments, one rural and one urban, in New South Wales hospitals, between June and July 1999. PARTICIPANTS Twelve clinical staff(More)
OBJECTIVES The aim of this study was to compare morphine and pethidine in patients with clinically suspected renal colic with regard to analgesic efficacy, patient satisfaction and side effects. METHODS double blinded, randomised controlled trial. RESULTS There was no significant difference between morphine and pethidine with respect to any of the(More)
Debate around medical futility has produced a vast literature that continues to grow. Largely absent from the broader literature is the role of emergency medicine in either starting measures that prove to be futile, withholding treatment or starting the end of life communication process with patients and families. In this discussion we review the status of(More)
OBJECTIVES In spite of advances in medical technology, there remains a high discrepancy rate between the antemortem clinical diagnosis and postmortem examination diagnosis for patients who die in hospitals. The aim of this study was to compare the clinical and postmortem examination diagnoses of patients who died in the emergency department (ED) of a(More)
AIM To determine if the introduction of preformatted patient record charts improved documentation by doctors in a rural emergency department. METHODS All medical records of patients who were discharged from the emergency department were collected and analysed for a period of two weeks (control). The preformatted patient charts were then introduced for a(More)
In 2006, the American Board of Emergency Medicine co-sponsored hospice and palliative medicine as a recognized medical subspecialty. There is recognition of the need for these skills to be available in EDs in the USA. This article discusses the rationale for integrating a palliative approach in the ED. We need to engage our palliative care colleagues to(More)
OBJECTIVE To study any change in reference accuracy in the Australasian emergency medicine journal (now known as Emergency Medicine Australasia), in the 10 years since a previous analysis was undertaken. METHOD A sample of 100 randomly selected references was compared with the results from the previous analysis. RESULTS There was a significant reduction(More)
OBJECTIVE To assess the effect that the presence of an emergency physician in the ED has on the access indicators of the Australian Council on Healthcare Standards. METHODS A retrospective study was carried out in a 265 bed regional referral hospital in Victoria. The performance of the ED over a 6 month period, during which time there was incomplete(More)