Ms Yvonne Singer1, Ms Heather Cleland1, Professor Belinda Gabbe2, Ms Lara Kimmel3
1Victorian Adult Burn Service, Melbourne, Australia, 2Monash University, School of Public Health and Preventive Medicine, Melbourne, Australia, 3Department of Physiotherapy, The Alfred, Melbourne, Australia
The revised Burn Registry of Australia & New Zealand (BRANZ) implemented on July 1st 2016, includes a suite of modified quality indicators that have potential to improve the quality of care by monitoring performance and outcomes across Burn Services. This presentation provides a snapshot of two revised BRANZ QIs to showcase some of what’s new, what’s different, and the potential of the data.
Acute Kidney Injury (AKI) in severe burn injury is associated with adverse patient outcomes. The first six months of the revised BRANZ dataset will be analysed using the RIFLE Criteria to determine the incidence and factors associated with the development of acute kidney injury (AKI) in the first 72 hours of admission to an Australian/New Zealand Burn Service. RIFLE, developed to more accurately categorize severity of renal dysfunction, defines three grades of increasing severity of AKI: based on changes in either serum creatinine or eGFR and two outcome categories (loss and end-stage kidney disease).
Bloodstream infections increase the risk of complications and mortality in immuno-compromised, burn injured patients. The first 6 months of BRANZ data will also be analysed to determine the incidence of positive blood cultures and describe their pre-emptive management.
Improving the quality of burn care is a priority for all burn care professionals to ensure patients are provided the best opportunities for recovery and reintegration following injury. The BRANZ provides a unique opportunity for Australia & New Zealand Burn Services to benchmark and compare processes and outcomes to establish best practices and improve care.
Yvonne was born at the Alfred and she went away for a while to go to school and came back as a Graduate Nurse in the 90s and hasn’t left.
Yvonne is the Burn Program Coordinator at the Victorian Adult Burn Service at the Alfred Hospital in Melbourne. Yvonne has worked at the Alfred for over 25 years and has been working in the field of burns for over 15 years in various positions including Clinical Nurse Specialist, Educator and Care Coordinaor.
Yvonne is the Australian Vice President of the Australian & New Zealand Burn Association and past Chair of the ANZBA Nursing Committee. She is a member of the Steering committee for the Burn Registry of Australia & New Zealand and a member of the ANZBA Burn Prevention Committee.
She is a 2007 Churchill Fellow, and her interests include quality improvement, patient safety, registry science, clinical practice guidelines development, education, prevention and sustainable workforce planning