Lessons from the frontline: Documenting the experiences of Pacific emergency care clinicians responding to the COVID-19 pandemic

Cox, Megan; Phillips, Georgina; Mitchell, Rob; Körver, Sarah; Herron, Lisa; Sharma, Deepak; Brolan, Claire E; Kendino, Mangu; Masilaca, Osea; O’Reilly, Gerard; Poloniati, G; Kafoa, Berlin

doi:10.1016/j.lanwpc.2022.100517

Cited by 9 publications

(4 citation statements)

References 52 publications

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“…As with the rest of the world, the Pacific region has been heavily impacted by the pandemic. 8 , 9 , 10 , 11 Surge events have highlighted the importance of screening and triage at the point of hospital entry, and the value of efficient streaming and patient flow in the ED. 2 , 8 , 12 , 13 , 14 As a consequence, emergency clinicians in Pacific Island Countries and Territories have been called upon to rapidly implement new processes, requiring dynamic and innovative approaches to staff training and change management.…”

Section: Introductionmentioning

confidence: 99%

Multimodal learning for emergency department triage implementation: experiences from Papua New Guinea during the COVID-19 pandemic

Mitchell¹,

Bornstein²,

Piamnok³

et al. 2023

The Lancet Regional Health - Western Pacific

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Section: Introductionmentioning

confidence: 99%

Multimodal learning for emergency department triage implementation: experiences from Papua New Guinea during the COVID-19 pandemic

Mitchell¹,

Bornstein²,

Piamnok³

et al. 2023

The Lancet Regional Health - Western Pacific

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“…Interview transcripts were analyzed using a hybrid approach to thematic analysis ( 25 ). This qualitative methodology is a novel approach to exploring veterinarians’ experiences with canine disease outbreaks, although it has been previously employed in the fields of livestock health ( 26 ) and human health ( 27 ). The methodology developed in this study was applied to six canine diseases and syndromes that had been identified in a previous study ( 11 ) as the top surveillance priorities in the United Kingdom.…”

Section: Discussionmentioning

confidence: 99%

Setting clinically relevant thresholds for the notification of canine disease outbreaks to veterinary practitioners: an exploratory qualitative interview study

Tamayo Cuartero,

Szilassy,

Radford

et al. 2024

Front. Vet. Sci.

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IntroductionThe Small Animal Veterinary Surveillance Network (SAVSNET) has developed mathematical models to analyse the veterinary practice and diagnostic laboratory data to detect genuine outbreaks of canine disease in the United Kingdom. There are, however, no validated methods available to establish the clinical relevance of these genuine statistical outbreaks before their formal investigation is conducted. This study aimed to gain an actionable understanding of a veterinary practitioner’s preferences regarding which outbreak scenarios have a substantial impact on veterinary practice for six priority canine diseases in the United Kingdom.MethodologyAn intensity sampling approach was followed to recruit veterinary practitioners according to their years of experience and the size of their practice. In-depth semi-structured and structured interviews were conducted to describe an outbreak notification and outbreak response thresholds for six canine endemic diseases, exotic diseases, and syndromes. These thresholds reflected participants’ preferred balance between the levels of excess case incidence and predictive certainty of the detection system. Interviews were transcribed, and a thematic analysis was performed using NVivo 12.ResultsSeven interviews were completed. The findings indicate higher preferred levels of predictive certainty for endemic diseases than for exotic diseases, ranging from 95 to 99% and 80 to 90%, respectively. The levels of excess case incidence were considered clinically relevant at values representing an increase of two to four times in the normal case incidence expectancy for endemic agents, such as parvovirus, and where they indicated a single case in the practice’s catchment area for exotic diseases such as leishmaniosis and babesiosis.ConclusionThis study’s innovative methodology uses veterinary practitioners’ opinions to inform the selection of a notification threshold value in real-world applications of stochastic canine outbreak detection models. The clinically relevant thresholds derived from participants’ needs will be used by SAVSNET to inform its outbreak detection system and to improve its response to canine disease outbreaks in the United Kingdom.

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“…Interview transcripts were analyzed using a hybrid approach to thematic analysis (25). This qualitative methodology is a novel approach to exploring veterinarians' experiences with canine disease outbreaks, although it has been previously employed in the fields of livestock health (26) and human health (27). The methodology developed in this study was applied to six canine diseases and syndromes that had been identified in a previous study (11) as the top surveillance priorities in the United Kingdom.…”

Section: Discussionmentioning

confidence: 99%

Setting clinically relevant thresholds for notification of canine disease outbreaks to veterinary practitioners: an exploratory qualitative interview study

Cuartero,

Szilassy,

Radford

et al. 2023

Preprint

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Lessons from the frontline: Documenting the experiences of Pacific emergency care clinicians responding to the COVID-19 pandemic

Cited by 9 publications

References 52 publications

Multimodal learning for emergency department triage implementation: experiences from Papua New Guinea during the COVID-19 pandemic

Multimodal learning for emergency department triage implementation: experiences from Papua New Guinea during the COVID-19 pandemic

Setting clinically relevant thresholds for the notification of canine disease outbreaks to veterinary practitioners: an exploratory qualitative interview study

Setting clinically relevant thresholds for notification of canine disease outbreaks to veterinary practitioners: an exploratory qualitative interview study

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