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Michael Buist

michaelbuistProfessor Michael Buist MbChB (Otago), FRACP, FCICM, MD (Monash), Grad Cert Health Economics
Michael Buist is a fulltime academic physician and intensive care specialist. He is a graduate of Otago Medical School in New Zealand (MB ChB 1983) and completed specialist training with the Royal Australasian College of Physicians in intensive care medicine (FRACP 1991, FCICM 2010). In 2007 he graduated Doctor of Medicine with the submission of his thesis to Monash University; “The epidemiology and prevention of in hospital cardiac arrests.” He also has a graduate certificate in health economics from Monash University (2001). He is currently the Director of Intensive Care at the North West Regional Hospital in Burnie, Tasmania and Honorary Clinical Professor, Faculty of Health, University of Tasmania. In addition he undertakes private physician clinics in a community general practice in Wynyard, Tasmania and is a clinical co-ordinator for Ambulance Tasmania.

Publications and Grants
His academic contributions (66 peer review publications) are in the areas of health reform, evidence-based approaches to improving hospital systems and processes, and clinical engagement, on contemporary issues related to patient safety and patient centred care. He has made significant contributions to patient safety that has had a substantial positive impact on hospitals, clinicians and communities nationally and internationally. This is best exemplified by his two publications on Rapid Response Systems in the British Medical Journal (2002 and 2007) and the Lancet (2005). Professor Buist has been a passionate and public advocate for health system quality and reform with a particular focus on patient safety. He has received a number of awards and distinctions in this area, as detailed in his CV. His academic publications have included both research studies and commentary in the leading international journals, such as the British Medical Journal, New England Journal of Medicine, Lancet, and the Medical Journal of Australia. Many of his publications and public output has focussed on how hospital systems can be improved to ensure patient safety. A particular recent publication on “What went wrong with the quality and safety agenda?”, published in the British Medical Journal in 2013, has had a substantial international impact, leading to invitations to speak in a number of national and international fora. This year these have included keynote addresses at the International Forum on Quality and Safety in Paris and Risky Business in London.

He is currently a Chief investigator on an ARC linkage grant, “Listen to me, I am really sick” (ARC LP 120100372) and a virtual Tasmanian Health Precinct Project grant on community polypharmacy. In 2014 he has the current Translational research grant application pending: NHMRC Development Grant: B0022592 Remote Electronic patient Clinical Status Monitoring and Intervention; An Australian Rural Regional Hospital Patient Safety Initiative.

Commercialization of basic research

Based on the basic research on rapid response team Professor Buist founded and directed a company called Patientrack (www. Patientrack.com) which is an electronic system of tracking and managing real time patient alerts (Australian Patent AU2004/001499): “System and process for facilitating the provision of healthcare.” These systems are now wide spread in the National Health Service in the United Kingdom.

Recent and Significant Publications

  1. Middleton S, Buist M. An analysis of the coronial legislation in the Australian jurisdictions. Melbourne Law Review 2014; 37 (3): 699-735.
  2. Buist M, Jaffray L, Bell E, et al. Utilization of beds on the general medical unit by “non-acute medical” patients: A retrospective study of incidence and cost in two Tasmanian regional medical hospital units. Intern Med J 2014; 44 (2); 171-7.
  3. Buist M, Middleton S. What went wrong with the quality and safety agenda? An essay by Michael Buist and Sarah Middleton. BMJ 2013; 347: f5800.
  4. Buist M. Patient safety 2012: reporting in from the bedside of a regional Australian hospital. Aust J Rural Health 2013: 21(5): 293-4.
  5. Marshall S, Shearer W, Buist M, et al. What stops hospital clinical staff from following protocols? An analysis of the incidence and factors behind the failure of bedside clinical staff to activate the Rapid Response System (RRS) in a multi-campus Australian metropolitan health care. BMJ Qual Saf 2012. Jul;21(7): 569-75
  6. Jones S, Mullally M, Ingleby S, Buist M, Bailey M, Eddleston JM. Bedside electronic capture of clinical observations and automated clinical alerts to improve compliance with a NHS Trust Early Warning Score (EWS) protocol. Crit Care Resusc 2011; 13(20): 83-88
  7. Buist M, Predicting hospital crisis; Can we do it? The Challenge of Predicting In-Hospital Iatrogenic Deaths in Medical Emergency Teams, Eds DeVita M, Hillman K, Bellomo R, Springer 2011.
  8. Buist M, Harrison J, Abaloz E, Van Dyk S. Six year audit of cardiac arrests and medical emergency team calls in an outer metropolitan teaching hospital. BMJ 2007 Dec 8; 335(7631): 1210-2.
  9. Bernard S, Gray T, Buist M, Jones B, Silvester W, Gutteride G, Smith K. The treatment of comatose survivors of prehospital cardiac arrest with induced hypothermia. NEJM 2002; 346 (8): 557-563.
  10. Buist M, Moore G, Bernard S, Waxman B, Anderson J, Nguyen T. Effects of the Medical Emergency Team in the reduction of the incidence and the mortality from unexpected in-hospital cardiac arrest calls: a preliminary study. BMJ 2002; 324 (7334): 387-390.

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