Georgina Ann Phillips

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OBJECTIVE To evaluate the effects of multidisciplinary case management (CM) on emergency department (ED) utilisation and psychosocial variables for frequent attenders at the ED. DESIGN Retrospective cohort analysis, with the study population as historical controls and data analysed 12 months before and after CM intervention in the period 1 January 2000 -(More)
STUDY OBJECTIVE Parenteral benzodiazepines or antipsychotics are often used to manage acute agitation in emergency department (ED) settings in which alternative strategies have failed or are not feasible. There are scant data comparing parenteral medication regimens. We aim to determine the efficacy and safety of intravenous droperidol or olanzapine as an(More)
OBJECTIVES To evaluate qualitative feedback from patients who received opportunistic screening and brief intervention for harmful alcohol use during an ED attendance; to evaluate emergency staff attitudes to performing alcohol screening and delivering opportunistic brief intervention; and to document process issues associated with the introduction of(More)
OBJECTIVE To evaluate the feasibility and efficacy of routine opportunistic screening and brief intervention (BI) by ED staff to reduce high-risk alcohol consumption. METHODS This was an open, randomized controlled trial with allocation blinding performed over 12 months. Using the Paddington Alcohol Test, adult patients were screened for high-risk alcohol(More)
OBJECTIVE To test the hypothesis that frequent attenders to the ED are suitable for diversion to general practice. METHODS A retrospective review of a computerized database for the top 500 frequent presenters to an inner city adult teaching hospital ED. RESULTS Five hundred patients presented 12,940 times, an average of 26 times per patient, accounting(More)
Psychosocial factors such as marital status (odds ratio, 3.52; 95% confidence interval, 1.43-8.69; P = .006) and nonclinical factors such as outpatient nonattendances (odds ratio, 2.52; 95% confidence interval, 1.22-5.23; P = .013) and referrals made (odds ratio, 1.20; 95% confidence interval, 1.06-1.35; P = .003) predict hospital utilization for patients(More)
The elderly have a higher mortality rate during heat waves and may, therefore, have higher morbidity. We investigated the effects of high ambient environmental temperature on emergency department (ED) function and patient (age >64 years) morbidity. A retrospective case-control study of ED presentations at an Australian metropolitan hospital from September(More)
STUDY OBJECTIVE We aim to determine the most efficacious of 3 common medication regimens for the sedation of acutely agitated emergency department (ED) patients. METHODS We undertook a randomized, controlled, double-blind, triple-dummy, clinical trial in 2 metropolitan EDs between October 2014 and August 2015. Patients aged 18 to 65 years and requiring(More)