https://ogma.newcastle.edu.au/vital/access/ /manager/Index ${session.getAttribute("locale")} 5 Scope of practice regulation in medicine: balancing patient safety, access to care and professional autonomy https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:54992 Wed 27 Mar 2024 16:31:16 AEDT ]]> Effectiveness of a structured, framework-based approach to implementation: the Researching Effective Approaches to Cleaning in Hospitals (REACH) Trial https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:37699 Tue 16 Mar 2021 17:44:54 AEDT ]]> Cost-effectiveness of an environmental cleaning bundle for reducing healthcare-associated infections https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:42064 Staphylococcus aureus bacteremia, Clostridium difficile infection, and vancomycin-resistant enterococci infections prevented in the intervention phase based on estimated reductions in the relative risk of infection. Changes to costs were defined as the cost of implementing the bundle minus cost savings from fewer infections. Health benefits gained from fewer infections were measured in quality-adjusted life-years (QALYs). Cost-effectiveness was evaluated using the incremental cost-effectiveness ratio and net monetary benefit of adopting the cleaning bundle over existing hospital cleaning practices. Results: Implementing the cleaning bundle cost $349 000 Australian dollars (AUD) and generated AUD$147 500 in cost savings. Infections prevented under the cleaning bundle returned a net monetary benefit of AUD$1.02 million and an incremental cost-effectiveness ratio of $4684 per QALY gained. There was an 86% chance that the bundle was cost-effective compared with existing hospital cleaning practices. Conclusions: A bundled, evidence-based approach to improving hospital cleaning is a cost-effective intervention for reducing the incidence of HAIs.]]> Thu 18 Aug 2022 11:06:45 AEST ]]>