- Critical Care - Research Publications
Critical Care - Research Publications
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ItemClinical decision support for increased-risk organ transplants: Participatory DesignDutch, M ; Knott, J ; Wadley, G (Association for Computer Machinery: Digital Library, 2021)Currently there are over 1,600 Australians awaiting a life-saving organ transplant. Approximately 20% of potential donors have a history of behaviors before their death that increased their risk of acquiring and transmitting HIV, Hepatitis B or Hepatitis C to potential recipients. Donation and transplant professionals need to weigh the risks of disease transmission against the benefits of timely transplantation. Using participatory design methodology, we explored the design needs for a mobile and web-based disease transmission risk calculator to support transplant decisions. We held five design activities involving different occupation groups. Participants included donation and transplantation clinicians, coordinators, administrators, and specialist consultants. Methods included surveys, workshops, interviews, and usability studies. This paper describes our design process, presents the findings, and describes our design decisions and the resulting app. The application will soon be trialed within multiple hospitals in Australia.
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ItemControversies in acute kidney injury: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) ConferenceOstermann, M ; Bellomo, R ; Burdmann, EA ; Doi, K ; Endre, ZH ; Goldstein, SL ; Kane-Gill, SL ; Liu, KD ; Prowle, JR ; Shaw, AD ; Srisawat, N ; Cheung, M ; Jadoul, M ; Winkelmayer, WC ; Kellum, JA (ELSEVIER SCIENCE INC, 2020-08)In 2012, Kidney Disease: Improving Global Outcomes (KDIGO) published a guideline on the classification and management of acute kidney injury (AKI). The guideline was derived from evidence available through February 2011. Since then, new evidence has emerged that has important implications for clinical practice in diagnosing and managing AKI. In April of 2019, KDIGO held a controversies conference entitled Acute Kidney Injury with the following goals: determine best practices and areas of uncertainty in treating AKI; review key relevant literature published since the 2012 KDIGO AKI guideline; address ongoing controversial issues; identify new topics or issues to be revisited for the next iteration of the KDIGO AKI guideline; and outline research needed to improve AKI management. Here, we present the findings of this conference and describe key areas that future guidelines may address.