Primary Hospital Education

A clustered RCT of educational interventions on treatment of patients with acute poisoning in rural Asian hospitals

Project Grant ID: NHMRC 630650
Principal Investigator: Prof Andrew Dawson, University of New South Wales

In rural Asia much of the healthcare delivery including treatment of poisoning is delivered from small, isolated, under-resourced rural hospitals. It is recognized that there has been a failure of evidence based practice in these peripheral hospitals that has direct effects on patients’ outcomes and costs of treatment.

There is a strong rationale and supporting evidence that early intervention is effective in reducing mortality and morbidity for many serious poisonings.  Yet, previous research in peripheral hospitals has demonstrated that there is a significant gap between the treatment delivered and the ideal treatment suggested by the national treatment guidelines.

This project hypothesize that the provision of an education program on management of self-poisoning with supply of essential antidote stock will improve management of self-poisoning when compared with the provision of guidelines alone.

The aim of this study is to:

  1. Establish the effectiveness of a low cost education program delivered to primary rural Asian hospitals in translating national guidelines on the treatment of poisoning into clinical practice.
  2. Examine the duration of this effect.
  3. Quantify the effect of change in primary treatment on clinical outcomes.
  4. Identify the barriers and enablers when attempting to implement clinical practice guidelines