{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T07:03:57Z","timestamp":1761203037737,"version":"build-2065373602"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:00:00Z","timestamp":1760400000000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Low back pain (LBP) has the second highest burden of disease in Australia and is the 5th most common reason for attending an Emergency Department (ED). Variation in clinical care is linked to poorer outcomes and higher health care costs. In 2022, the Australian Commission for Safety and Quality in Healthcare (ACSQHC) released the LBP Clinical Care Standard (LBP CCS). An audit was completed at a tertiary metropolitan hospital ED to benchmark the care of patients attending with LBP against the LBP CCS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The medical notes of all adult patients with a diagnosis of LBP, attending Royal Perth Hospital (RPH) ED between 1 January and 31 March 2023 were reviewed. A total of 170 records met the inclusion criteria and were audited against the LBP CCS. A groupwise threshold of 80% was set a priori to confirm acceptable adherence of recorded practice with each item of the LBP CCS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Screening for serious spinal pathologies and appropriate patient review demonstrated the highest adherence, with imaging rates close to meeting the pre\u2010determined threshold. No patients were screened for psychosocial factors and compliance with the remaining LBP CCS items was low.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This audit demonstrated that care for people with LBP in a tertiary ED did not meet the recommendations set out by the LBP CCS. A multifaceted approach incorporating a pathway within ED, with ongoing clinician education to implement contemporary LBP management, is warranted to reduce this variation and facilitate higher value care for patients with LBP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.70156","type":"journal-article","created":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T13:24:00Z","timestamp":1760448240000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Variable Adherence to Australian Clinical Care Standard: An Audit of Patients With Acute Low Back Pain Attending a Tertiary Emergency Department"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-1261-3205","authenticated-orcid":false,"given":"Jane","family":"Males","sequence":"first","affiliation":[{"name":"Department of Physiotherapy, Royal Perth Hospital East Metropolitan Health Service  Perth Western Australia Australia"},{"name":"Emergency Department, Royal Perth Hospital East Metropolitan Health Service  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leigh","family":"Hobday","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Royal Perth Hospital East Metropolitan Health Service  Perth Western Australia Australia"},{"name":"Emergency Department, Royal Perth Hospital East Metropolitan Health Service  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7001-2598","authenticated-orcid":false,"given":"Michelle","family":"Hobday","sequence":"additional","affiliation":[{"name":"Office of the East Metropolitan Health Service Executive Director of Medical Services East Metropolitan Health Service  Perth Western Australia Australia"},{"name":"School of Nursing Curtin University  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carly","family":"Fitzgerald","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Royal Perth Hospital East Metropolitan Health Service  Perth Western Australia Australia"},{"name":"Body Logic Physiotherapy  Shenton Park Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janice","family":"Power","sequence":"additional","affiliation":[{"name":"Emergency Department, Royal Perth Hospital East Metropolitan Health Service  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maeve","family":"Kiely","sequence":"additional","affiliation":[{"name":"Emergency Department, Royal Perth Hospital East Metropolitan Health Service  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brittney","family":"Wicksteed","sequence":"additional","affiliation":[{"name":"Emergency 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Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dale W.","family":"Edgar","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Royal Perth Hospital East Metropolitan Health Service  Perth Western Australia Australia"},{"name":"School of Health Sciences, Faculty of Medicine, Nursing, Midwifery and Health Sciences The University of Notre Dame Australia  Fremantle Western Australia Australia"},{"name":"Institute for Health Research The University of Notre Dame Australia  Fremantle Western Australia Australia"},{"name":"Fiona Wood Foundation of Western Australia Fiona Stanley Hospital  Perth Western Australia Australia"},{"name":"Burn Injury Research Unit University of Western Australia  Crawley Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,14]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Australian Institute of Health and Welfare 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