Centre for Health Systems and Safety Research
Information exchange is the core of a safe, efficient and effective health system. The Centre for Health Systems and Safety Research (CHSSR) conducts innovative research aimed at understanding and improving the way in which health care delivery and patient outcomes are enhanced through the effective use and exchange of information.
Health systems internationally are coming under increasing pressures driven by demographic, social and technological change. Existing models of health care delivery will not be sustainable in future decades. Information and communication technologies have a significant role to play in creating opportunities for new models of care delivery. Examples range from telemedicine applications supporting care delivery in the community to sophisticated clinical decision support systems accessible to clinicians at the point of care.
Such interventions are designed to improve the efficiency, effectiveness and safety of the health system. Health systems around the world are making vast investments in such technologies often with limited evidence regarding the extent to which these systems will deliver desired benefits.
Our research centres are designing rigorous and innovative approaches to evaluate these health informatics interventions and to apply these methods to provide evidence of effectiveness, efficiency and safety. A unique aspect of the Centre’s work is the application of rigorous evaluation approaches which bring together highly quantitative methods grounded in epidemiological techniques married with the use of qualitative approaches including techniques such as video observational studies and social network analyses. We focus upon investigating and measuring both expected outcomes, for example reduced medication error rates following introduction of electronic prescribing systems, as well as unexpected outcomes in care delivery such as changes in the nature and amount of face-to-face communication between health care providers.
The Centre is internationally recognised for this work and constitutes the largest health informatics evaluation research team in Australia. Our work is highly competitive with other international research teams in this area and our research program is characterised by strong engagement with national and international academics from a broad range of disciplines, health practitioners, government bureaucrats, policy-makers and information system industry leaders. We aim to make significant scientific contributions to the disciplines of health informatics, health information management, evaluation methodologies and safety and quality in health care. Further we seek to promote the translation of our research findings into health care policy, implementation and evaluation approaches within the health care sector.
Centre mission
Vision
Our vision is to lead in the design and execution of innovative health systems research.
Mission
Our mission is to lead in the design and execution of innovative health systems research focused on patient safety and the evaluation of information and communication technologies in the health sector to produce a world-class evidence-base which informs policy and practice.
Aims
The Centre's research is underpinned by a systems perspective, exploiting multi-methods. Our research team is characterised by their talent and enthusiasm for working within and across discipline areas and sectors. The Centre has a focus on translational research, aimed at turning research evidence into policy and practice.
The Centre's research program has four central aims:
- Produce research evidence of the impact of information and communication technologies (ICT) on health care delivery (efficiency and effectiveness), health professionals'; work and patient outcomes;
- Develop and test rigorous and innovative tools and approaches for health informatics evaluation;
- Design and apply innovative approaches to understand the complex nature of health care delivery systems and make assessments of health care safety; and
- Disseminate evidence to inform policy, system design, practice change and the integration and safe and effective use of ICT in health care.
Functions and goals
The functions of the Centre are to:
- Build capacity and research capability in health systems research, patient safety and health informatics
- Deliver research output in the form of grants, publications and presentations
- Participate in the development and sharing of infrastructure and research expertise for research across the Centres of the AIHI
- Encourage and support collaboration across the Centres
- Forge relationships between the Institute Centres and other entities within and external to the University
- Continue to build and consolidate an international reputation in health systems and safety research
This will be achieved through:
- Strong collaborative research programs supported by continued peer-reviewed grants and commissioned research
- Extensive linkages with industry, practitioners and policy makers at local, state and national levels to improve the relevance and impact of research
- Increased numbers of skilled researchers undertaking research and evaluation activities in the area of health systems and safety research
- Increased numbers of post graduate research students
- Exercising influence via dissemination and transfer of research findings through publications, presentations and forums with a focus on academic, industry, practitioner and policy maker audiences.
Research areas
Diagnostic informatics
Diagnostic testing (laboratory medicine, anatomic pathology and medical imaging) underpin much of our health care system, generating information that is crucial to the prevention, diagnosis, prognosis, stratification of risk and treatment of disease. Whilst diagnostic testing may account for a small (less than 5%) proportion of most hospital budgets, it is considered to have a huge influence on medical decision-making. Diagnostic informatics relates to the gathering, integrating, interpreting and communicating of data and information, an integral part of the diagnostic process and crucial to the quality and safety of patient care. The diagnostic informatics research team is involved in major areas of research across the diagnostic analytical process. This ranges from research about the clinical choice of diagnostic request, the quality and efficiency of the analytical process, right through to the interpretation and follow-up of test results and their impact on patient care outcomes. Read more
Electronic decision support and human factors in healthcare
Understanding and improving the fit between users and their work environment (including information technology) ensures that work is safe, productive, and efficient. We apply a broad range of methods, including field observations, interviews and focus groups, simulation, and system logs to understand how information technology is being used by clinicians, and to identify well-designed and poorly designed features of systems. Projects have included, for example, exploring the use of mobile technologies by doctors on ward-rounds, and evaluating and optimising the design of computerised alerts for prescribers. Read more
Medication safety and eHealth
Medication error and inappropriate medication therapy are two of the oldest, most costly and least tractable safety problems which health systems face. Information technology has the potential to make medication management safer and more effective. With that expectation, health systems worldwide are making vast investments in information technology. Our research is investigating the ways in which information technology can reduce medication errors and support improved medication therapy decisions and outcomes in hospital and residential aged care facilities. Read more
Work Innovation, Communication and eHealth
Understanding the way clinical care is delivered is central to supporting effective and safe care delivery models including the design of new service models. Applying novel measurement techniques, the Centre has undertaken leading research investigating the impact of cognitive load (e.g. interruption and multitasking) on error production and patient safety. Information and communication technologies (ICT) can be used to potentially reduce cognitive load, supporting clinicians in dynamic clinical environments, but research is required to understand how best to design these systems to meet users’ needs. ICT also provides the opportunity to reshape the composition of teams who deliver care, and the processes of care delivery. ICT may both enhance and disrupt patterns of work. Our research investigates patterns of clinicians’ work, and how ICT influences workflow and workloads. We apply a broad range of methods including direct observational methods, social network analysis and qualitative techniques. Projects have included investigation of the relationship between organisational culture and ICT use, the impact of electronic health record systems on workflow and efficiency, and clinicians’ actions in response to electronic decision support alerts. This research covers broad discipline areas such as cognitive psychology, process engineering, communication processes, health informatics and operations research. Read more
Aged Care Evaluation and Research (ACER) Team
Delivering care and services to ageing populations is a significant challenge internationally. Communities and health systems are seeking effective ways to plan and manage the health and support services required to enable citizens to actively engage in society and maintain a high quality of life. Information and communication technologies (ICT) can help meet these challenges by offering direct assistance (e.g. telehealth) which promote individuals’ engagement and social connection and, through large-scale electronic health record systems, which can enhance the integration and coordination of care across health care sectors. As aged care organisations embrace technology and electronic health record systems, our research is focusing on unlocking these valuable data and linking across health datasets in order to answer important questions about care trajectories and outcomes. Further, our work is focussed on how information technology in this sector can be used to monitor social participation and quality of life as important outcome indicators of community and aged care services, and to be able to assist in monitoring major policy initiatives such as consumer-directed care. Read more
Our people
Our people have expertise in health informatics, health services evaluation, digital health, medicine, epidemiology, human factors, patient safety, biostatistics, pharmacy, public health, aged care, psychology and health economics.
Director, Centre for Health Systems and Safety Research
Professor Johanna Westbrook
Professor Westbrook is Director of the Centre for Health Systems and Safety Research (CHSSR), Australian Institute of Health Innovation (AIHI). Her research expertise centres on the design and execution of complex multi-method evaluations in the health sector with a particular focus on the effective use of information and communication technologies.
Academic staff
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Professor Andrew Georgiou
Professor -
Associate Professor Melissa Baysari
Associate Professor -
Associate Professor Ling Li
Associate Professor -
Dr Maria (Mary) Dahm
Research Fellow -
Dr Peter Gates
Research Fellow -
Dr Mikaela Jorgensen
Research Fellow -
Dr Alain Koyama
Research Fellow -
Dr Kim Lind
Research Fellow -
Dr Virginia Mumford
Research Fellow -
Dr Mirela Prgomet
Research Fellow -
Dr Magdalena Raban
Research Fellow -
Dr Joyce Siette
Research Fellow -
Dr Neroli Sunderland
Research Fellow -
Dr Nasir Wabe
Research Fellow -
Dr Scott Walter
Research Fellow -
Dr Rae-Anne Hardie
Postdoctoral Research Fellow -
Dr Chrissy Imai
Postdoctoral Research Fellow -
Dr Amy Nguyen
Postdoctoral Research Fellow -
Dr Kasun Rathnayake
Postdoctoral Research Fellow -
Dr Wu Yi Zheng
Postdoctoral Research Fellow
Professional staff
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Ms Sheree Crick
Manager -
Ms Kelly Smith
Administrative Assistant -
Gary Roberts
Clinical Research Officer -
Ahmed Abo Salem
Research Officer -
Ms Cinny Dong
Research Officer -
Erin Fitzpatrick
Research Officer -
Renee Quirk
Research Officer (Pharmacist) -
Ms Laura Dodds
Research Assistant -
Ms Yu Jia Julie Li
Research Assistant -
Claire Maddox
Research Assistant -
Ms Melissa Miao
Research Assistant -
Dr Ryan McMullan
Research Assistant -
Mr Gorkem Sezgin
Research Assistant -
Dr Judith Thomas
Research Assistant -
Dr Rachel Urwin
Research Assistant -
Bethany Van Dort
Research Assistant -
Mr Guilherme Franco
Biostatistician
Visiting appointments
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Professor Paul Monagle
Honorary Professor -
Dr Lisa Pont
Honorary Associate Professor -
Professor Heiko Gewald
Visiting Professor -
Dr Tony Badrick
Visiting Fellow -
Dr Trevor Cobain
Visiting Fellow -
Professor Rita Horvath
Visiting Fellow -
Dr Valentina Lichtner
Visiting Fellow -
Associate Professor Robert Lindeman
Visiting Fellow -
Professor Roger Wilson
Visiting Fellow -
Mr Neville Board
Adjunct Fellow -
Professor Michael Legg
Adjunct Fellow -
Adj. A/Prof Cheryl McCullagh
Adjunct Fellow -
Dr Tze Ping Loh
Adjunct Fellow
Higher degree research students
Craig Campbell | PhD | |
Nicole Jeppeson | PhD/Masters of Clinical Psychology | |
Gorkem Sezgin | PhD | |
Bella St Clair-Fenech | PhD | |
Lia Asrianti | MRes2 | |
Dennis Mok | MRes2 | |
Wilson Punyalack | MRes2 | |
Anmol Sandhu | MRes2 | |
Elizabeth Abbottsmith | MRes1 | |
Kalissa Inshaw | MPH Research |
Our projects
Our projects focus on the impact of information and communication technologies (ICT) on health care delivery, health professionals’ work and patient outcomes. We design and test innovative tools and apply rigorous approaches to understand the complex nature of health care delivery systems and disseminate evidence to inform policy, system design and practice change.
Key projects
Aged care evaluation and research (ACER) team | |
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Connections Matter: the role of social networks in community aged care | |
Diagnostic informatics | |
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Evaluation and optimisation of sepsis risk identification tools | |
Improving test result communication, management and follow-up | |
Work innovation, communication and eHealth | |
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An evaluation of indication-based pre-written orders for antibiotics | |
Electronic medication management systems and their impact on pharmacists’ work | |
Other | |
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Creating safe, effective systems of care: The translational challenge | |
Our resources
CHSSR has developed a suite of resources relevant to researchers, clinicians, medical practitioners, healthcare and government policy makers, healthcare administrators, students, and industry.
Our resources
Safety and Health Informatics in Practice Series (SHIPS)
- ICT and impacts on work practice in the ICU - work in progress - Site 3
- Improving the effectiveness and efficiency of coagulation testing
- Interruptions and medication administration errors
- Impact of information technology on quality of care in Emergency Departments
- Impact of PACS on ICU nursing work practices
- Can technology change the work of nurses? Evaluation of an electronic drug monitoring system used in an ambulatory rheumatology setting
- ICT and impacts on work practice in the ICU - work in progress - Site 1
- Intravenous (IV) medication administration errors in hospitals
Evidence briefings on interventions to improve medication safety
Content owner: Australian Institute of Health Innovation Last updated: 04 Feb 2019 4:14pm