A NSW Government website
The RPA Green Light Institute for Emergency Care was established at Sydney Local Health District in 2020 to facilitate and coordinate research to improve outcomes for emergency patients across Australia. These include trauma and resuscitation, care in vulnerable populations, mental health, patient flow and artificial intelligence.
Improvements in how this care is delivered require research, innovation and advocacy. For this, the RPA Green Light Institute brings together experienced and dedicated emergency clinicians from Royal Prince Alfred Hospital and the Sydney Local Health District, affiliating with other research institutes and teaching hospitals within New South Wales and the University of Sydney. We are backed by the world-class research infrastructure at RPA Hospital, underpinned by the hospital’s ethos of research-led practice. This allows us to undertake collaborative research projects at an unparalleled scale in Australasia.
The Institute was established through a charitable donation from the Hearts and Minds Investment Group and is based at RPA Hospital.
To lead improvement in emergency care and patient outcomes through collaborative research and innovation.
To facilitate research that directly impacts and improves care for the many millions of patients treated in our emergency departments each year.
The RPA Green Light Institute provides a hub for collaborative and translational research in emergency medicine, bringing together groups of experienced and dedicated emergency clinicians and nurses to provide a focal point for emergency research and collaboration with other research institutes.
The RPA Green Light Institute focuses on high-impact acute medical conditions with significant public health ramifications. These include trauma care, stroke, acute cardiac conditions, mental health and sepsis management. Together, they represent the most important causes of preventable death and disability around the world.
Since its establishment in 2020, the Institute has spearheaded many high-impact research initiatives that directly impact patient outcomes. The Institute takes a highly collaborative approach, leading and facilitating research with other pioneering organisations and clinicians.
Investigating factors associated with adolescent presentations and follow-up strategies at four tertiary emergency departments in NSW.
Assist chest X Ray interpretation in collaboration with Macquarie University and the Digital Health Cooperative Research Centre.
Providing evidence for clinicians regarding the optimal approach to early haemodynamic resuscitation in septic shock to improve patient-centred clinical outcomes. The ARISE FLUIDS trial (Australasian Resuscitation In Sepsis Evaluation: FLUid or vasopressors In emergency Department Sepsis).
In collaboration with Ottawa Hospital Research Institute looking at the treatment of acute venous thromboembolism. The COBRRA Study (COmparison of Bleeding Risk between Rivaroxaban and Apixaban for the treatment of acute venous thromboembolism).
To monitor the safety of emergency airway management across participating sites, including first pass success rates, and the incidence of adverse events. (The Australia and New Zealand Emergency Department Airway Registry).
Trial of new Urethral Catheterisation Device to manage difficult urethral catheterisation in men attending the Emergency Department.
Our team includes national leaders in emergency care, with exceptional experience in both clinical and research practice.
The Institute is comprised of emergency physicians, clinical nurse consultants, rotating emergency medicine registrars, students and a growing group of Sydney Local Health District emergency clinicians. Our advisory board, drawing on their extensive experience in emergency medicine, provides strategic guidance in the establishment and the long term direction of the Institute.
| Professor Michael Dinh | Director |
|---|---|
| Dr Radhika Seimon | Senior Research Manager |
| Saartje Berendsen Russell | Research Clinical Nurse Consultant |
| Naomi Derrick | Research Clinical Nurse Consultant |
| Rebecca Richardson | Research Clinical Nurse Consultant |
| Dr Kendall Bein | Emergency Physician and Research Associate |
| Dr Matthew Oliver | Emergency Physician and Research Associate |
| Dr Emily Symes | Emergency Physician |
| Dr Jamie Burrows | Emergency Physician |
| Dr Mahsa Kaikhosrovi | Emergency Medicine Advanced Trainee |
| Dr Viola Korczak | Emergency Medicine Advanced Trainee |
| Amount awarded | Grant and project details |
|---|---|
| $1,498,877 | NHMRC Partnership Projects Grant, 2021-2026 Improving the safety and quality of emergency nursing care Investigators: Curtis K, Fry M, Considine J, Shaban R, Alkhouri H, McPhail S, Dinh M, Aggar C, Hughes J, Murphy M |
| $2,925,570 | Medical Research Future Fund (MRFF), 2022-2026 Giving patients an EPIC-START: An evidence based, data driven model of care to improve patient care and efficiency in emergency departments. Investigators: Curtis K, Dinh M, Shetty A, Fry M, Shaw T, Lung T, Murphy M, Li L, Alkhouri H, Considine J, Kourouche S, Hughes J, Shaban R, Varndell W, Aggar C. |
| $95,249 | Attorney-General's Department, 2023-2025 How to Optimise the Usability of an Emergency Department Modern Slavery Screening Process Investigator: Burrows J. |
| $2,985,952 | Medical Research Future Fund (MRFF), 2023-2028 National Injury Surveillance for Actionable Research - ED (NISAR-ED) Investigators: Sharwood L, Ivers R, Jorm L, Perez Concha O, Elliot J, Rebbeck T, Clay-Williams R, Shackel R, Cutler H, Dinh M, Hegarty K, Shand F, Bereki-Gisolf J, Swanston H, Bennett V. |
| Curtis K, Dinh MM, Shetty A, Kourouche S, Fry M, Considine J, et al. The Emergency nurse Protocols Initiating Care-Sydney Triage to Admission Risk Tool (EPIC-START) trial: protocol for a stepped wedge implementation trial. Implement Sci Commun. 2023;4(1). |
| Curtis K, Fry M, Kourouche S, Kennedy B, Considine J, Alkhouri H, et al. Implementation evaluation of an evidence-based emergency nursing framework (HIRAID): Study protocol for a step-wedge randomised control trial. BMJ Open. 2023;13(1). |
| Davis R, Bein K, Burrows J, Chakar B, Berendsen Russell S, Hutchings O, et al. Clinical characteristics and predictors for hospitalisation during the initial phases of the Delta variant COVID-19 outbreak in Sydney, Australia. EMA Emerg Med Australas. 2023;35(1):34-40. |
| Dinh M, Singh H, Deans C, Pople G, Sarrami P, Sisson G, et al. Evaluation of the New South Wales ambulance T1 major trauma transport protocol: A state-wide data linkage study. Injury. 2023. |
| Dinh MM, Bein KJ, Alkhouri H, Bhraonain SN, Seimon RV. 24 hours - Life in the ER: A state-wide data linkage analysis of in-patients with prolonged emergency department length of stay in New South Wales, Australia. Emerg Med Australas. 2023:6. |
| Hamdard K, Harris IA, Sarrami P, Shu CC, Brown J, Singh H, et al. Falls from ladders in New South Wales: A data-linkage study. Injury. 2023;54(2):442-7. |
| Korczak V, Liu H, Bein K, Lung T, Jan S, Dinh M. Emergency clinician perceptions of patients who present frequently to the emergency department: a snapshot of current practice. Aust Health Rev. 2023;47(2):226-33. |
| Stephens AS, Dinh MM, Kinsman L. Patterns of emergency department use in rural and metropolitan New South Wales by socioeconomic status: A population-based study. EMA Emerg Med Australas. 2023;35(3):489-95. |
| Ting RS, Lewis DP, Yang KX, Nguyen TA, Sarrami P, Daniel L, et al. Incidence of multiple organ failure in adult polytrauma patients: A systematic review and meta-analysis. J Trauma Acute Care Surg. 2023;94(5):725-34. |
| Chiswell K, Bein K, Simpkins D, Latt M, Dinh M. Emergency department presentations and 30-day mortality in patients from residential aged care facilities. Aust Health Rev (2022) 46(4): 414-420. |
| Sardaneh AA, Narayan S, Penm J, Oliver M, Gattas D, McLachlan A, Patanwala AE. Efficacy and safety of metaraminol in critically ill patients with shock: a systematic review. J Pharm Pract Res (2022), 52(2): 83-93. |
| Cullen P, Leong RN, Liu B, Walker N, Steinbeck K, Ivers R, Dinh M. Returning to the Emergency Department: A retrospective analysis of mental health re-presentations among young people in New South Wales, Australia. BMJ Open (2022) 12(6):e057388. |
| Davis R, Bein K, Burrows J, Chakar B, Berendsen Russell S, Hutchings O, Dearing C, Jagers D, Edwards J, Chalkley D, Shaw M, Mckenzie L, Goldmith H, Dinh M. Clinical characteristics and predictors for hospitalisation during the initial phases of the Delta variant COVID-19 outbreak in Sydney, Australia. Emerg Med Australas (2022) 35(1):34-40. |
| Korczak V, Yakubu K, Angell B, Middleton P, Dinh M, Lung T, Jan S. Understanding patient preferences for emergency care for lower triage acuity presentations during GP hours: a qualitative study in Australia. BMC Health Serv Res (2022) 22(1): 1442. |
| Korczak V, Liu H, Bein K, Lung T, Jan S, Dinh M. Emergency clinician perceptions of patients who present frequently to the emergency department: a snapshot of current practice. Aust Health Rev (2022). |
| Jones CMP, Lin CC, Jamshidi M, Shaheed CA, Maher CG, Harris IA, Patanwala AE, Dinh M, Mathieson S. Effectiveness of Opioid Analgesic Medicines Prescribed in or at Discharge From Emergency Departments for Musculoskeletal Pain. A Systematic Review and Meta-analysis. Ann Intern Med (2022) 175(11): 1572-1581. |
| Ferreira G, Lobo M, Richards B, Dinh M, Maher C. Hospital variation in admissions for low back pain following an emergency department presentation: a retrospective study. BMC Health Serv Res (2022) 22(1): 835. |
| Mitchell RJ, Harris IA, Balogh ZJ, Curtis K, Burns B, Seppelt I, Brown J, Sarrami P, Singh H, Levesque J, Dinh M. Determinants of long-term unplanned readmission and mortality following self-inflicted and non-self-inflicted major injury: a retrospective cohort study. Eur J Trauma Emerg Surg (2022) 48(3): 2145-2156. |
| Curtis K, Kennedy B, Lam MK, Mitchell, RJ, Black D, Burns B, Dinh M, Holland AJA. Pathways and factors that influence time to definitive trauma care for injured children in New South Wales, Australia. Injury (2022) 53(1): 61-68. |
| Curtis K, Kennedy B, Lam MK, Mitchell, RJ, Black D, Jan s, Burns B, Dinh M, Holland AJA. Predictors of 12-month functional outcomes and length of stay of severely injured children in NSW, Australia. A longitudinal multi-centre study. Injury (2022) 53(5): 1684-1689. |
| Partyka C, Miller M, Johnson T, Burns B, Fogg T, Sarrami P, Singh H, Dee K, Dinh M. Prehospital activation of a coordinated multidisciplinary hospital response in preparation for patients with severe hemorrhage: A statewide data linkage study of the New South Wales “Code Crimson” pathway. J Trauma Acute Care Surg (2022) 93(4): 521-529. |
| Hung KKC, Kifley A, Brown K, Jagnoor J, Craig A, Gabbe B, Derrett S, Collie A, Dinh M, Gopinath B, Cameron ID, on behalf of the fish investigators. Psychological distress, pain and insurance claims negatively affect long-term health-related quality of life after road traffic injuries. J Rehabil Med (2022) 54: 30. |
| Bein K, Berendsen Russell S, Ni Bhraonain S, Seimon R, Dinh M. Does volume or occupancy influence emergency access block? A multivariate time series analysis from a single emergency department in Sydney, Australia during the COVID-19 pandemic. Emerg Med Australas (2021) 33: 343–348. |
| Dinh M, Hutchings O, Bein K, Shaw J, Raut A, Berendsen Russell S, Jagers D, Thapa R, Fox G, Edwards J, Wand T, Britton W. Emergency Department presentations from quarantine hotels in Sydney, Australia, during the COVID-19 outbreak – an analysis of clinical patterns and outcomes. Med J Aust (2021). |
| Dinh M, Hutchings O, Bein K, Shaw J, Raut A, Berendsen Russell S, Jagers D, Thapa R, Fox G, Edwards J, Wand T, Britton W. Emergency department presentations by residents of Sydney quarantine hotels during the COVID-19 outbreak. Med J Aust (2021) 214(10): 473–474. |
| Sardaneh AA, Penm J, Oliver M, Gattas D, McLachlan A, Patanwala AE. Pharmacoepidemiology of metaraminol in critically ill patients with shock in a tertiary care hospital. Aust Crit Care (2021) 34(6): 573-579. |
| Sardaneh AA, Penm J, Oliver M, Gattas D, McLachlan A, Patanwala AE. Comparison of metaraminol versus no metaraminol on time to resolution of shock in critically ill patients. Eur J Hosp Pharm (2021). |
| Wand T, Collett G, Cutten A, Stack A, Dinh M, Bein K, Green T, Berendsen Russell S, Edwards J, White K. Evaluating an emergency department-based mental health liaison nurse service: A multi-site translational research project. Emerg Med Australas (2021) 33(1): 74–81. |
| Dinh MM, Balogh ZJ, Sisson G, Levesque JF, The New South Wales trauma quality improvement program: structure, process, outcomes and the role of trauma verification. ANZ J Surg (2021) 91(7-8): 1331-1332. |
| Hoang BH, Do NS, Vu DH, Do GP, Dao XD, Nguyen, Luu QT, Le VC, Nguyen HT, Dinh MM and Nakahara S. Outcomes for out-of-hospital cardiac arrest transported to emergency departments in Hanoi, Vietnam: A multi-centre observational study. Emerg Med Australas (2021) 33(3). |
| Dinh MM, Arce CP, Berendsen Russell S, Bein KJ. Predictors and mortality associated with prolonged emergency department length of stay in NSW tertiary hospitals 2017-18. Emerg Med Australas (2020) 32: 611–617. |
| Dinh MM, Bein KJ, Delaney J, Berendsen Russell S, Royle T. Incidence and outcomes of aortic dissection for emergency departments in New South Wales, Australia 2017-2018: A data linkage study. Emerg Med Australas (2020) 32(4): 599-603. |
| Dinh M, Berendsen Russell S. Overcrowding Kills: How COVID-19 could reshape emergency department patient flow in the new normal. Emerg Med Australas (2020) 33: 175–177. |