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:
- 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.
- Examine the duration of this effect.
- Quantify the effect of change in primary treatment on clinical outcomes.
- Identify the barriers and enablers when attempting to implement clinical practice guidelines