Associate Professor Graeme K Hart

Global Utilities

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Contact Details

Email: graeme.hart@austin.org.au
Phone: (03) 9496 5916
International: +61 3 9496 5916
Fax: (03) 9496 3932
International: +61 3 9496 3932

Qualifications

MBBS, FANZCA, FJFICM

Interests

Profile:

Graduated University of Melbourne, 1977
Fellow Australian and New Zealand College of Anaesthesia
Fellow Joint Faculty of Intensive Care Medicine
Visiting Assistant Professor, Dept. Anesthesiology and Critical Care Medicine, Johns Hopkins Medical Institutions, Baltimore, USA. (1986-89)
Chairman ANZICS Database Management Committee
Deputy Chair Clinical Systems Steering Committee, Health Smart Victoria
Member Clinical Terminologies and Classifications Working Group, National Health Data Standards Committee.

Major Research Interests:

Outcome and Peer Review in Intensive Care.
Clinical informatics and medical system enhancements to reduce medical error and improve patient outcomes.
Aspects of Medical Culture that influence uptake of Clinical Decision Support.
Use of Clinical Terminologies in Electronic Health Records.

Publications

1. Hypermagnesaemia and hypophosphataemia after ingestion of magnesium sulphate. Garcia-Webb P, Bhagat C, Oh TE, Hart G, Thompson W. Brit Med J 1984; 288:759-760.
2. 2. Pressure Infusors: Variability in delivered infusion pressure. Hart GK, Gibbs NM, Cameron PD, Hillman KM, Thompson WR, Oh TE. Crit Care Med 1984;12:983-985.
3. Fulminant hepatic failure and fatal encephalopathy associated with Epstein Barr Virus infection. Hart GK, Thompson WR, Schneider J, Davis NJ, Oh TE. Med J Aust 1984; 141:112-113.
4. A comparison of continuous flush devices. Gibbs NM, Hart GK, Cameron PD, Thompson WR, Oh TE. Anaesthesia & Intensive Care 1985;13:184-187.
5. Venous thromboembolism to the heart: A case report and review of treatment. Hart GK, Ireland MA, Clarke GM. Med J Aust 1986; 144:484-487.
6. Diarrhoea associated with enteral feeding in the critically ill. A prospective, randomized, double blind trial of a faecal bulking agent (FYBOGEL). Hart GK, Dobb GM. JPEN, 1988;12;465-468.
7. Foramen magnum decompression in an infant with homozygous achondroplasia: A case report. Moskowitz N, Carson B, Kopits S, Levitt R, Hart GK. J NeuroSurg. 1989;70:126-128.
8. Medical management and innovations. Kirsch JR, Diringer MN, Borel CO, Hart GK, Hanley DF Jr. In : Multiple trauma and Brain Resuscitation :Critical Care Nursing Clinics of North America,March 1989, Ed Gould KA. WB Saunders and Co.
9. Cardiologic Complications of Subarachnoid Hemorrhage. Hart GK, Humphries L. Anesthesiology Report 1989.
10. Evidence for free radical production during cerebral reperfusion. Kirsch JR, Davis RJ, Hart GK, Ackerman A, Toung TJ, Snelling LK, Koehler RC, Traystman RJ. in Proceediongs of the Symposium on Neurotransmission and Cerebral Blood Flow. La Napoule, June 2 - 5, 1989. Elsevier Medical Publishers, BV. Amsterdam.
11. Sodium and water regulation in a patient with cerebral salt wasting. Diringer M, Ladenson P, Borel C, Hart GK, Kirsch J, Hanley, DF. Arch Neurol. 1989;46:928-930.
12. Plasmapheresis in Intensive Care - Part 1: History, techniques and complications. Hart GK. Int Care World 1990;7:21-24.
13. Plasmapheresis in Intensive Care - Part 2:Indications for plasmapheresis and plasma exchange in the intensive care unit. Hart GK. Int Care World 1990;8:80-84.
14. Evidence for free radical production during cerebral reperfusion. Kirsch JR, Davis RJ, Hart GK, Ackerman A, Toung TJ, Snelling LK, Koehler RC, Traystman RJ. Neurotransmission and cerebrovascular function 1. Seylaz J and MacKenzie ET (Eds). 1989 Elsevier Science Publishers BV. (Biomedical Division.)
15. Amyloid myopathy presenting with respiratory failure. Ashe J, Borel CO, Hart G, Homphrey RL, Derrick DA, Kuncl RW. J Neurol Nsurg Psych 1992 Feb;55(2); 162
16. Disorders of sodium and water balance in patients with neurological disease. Australasian Anaesthesia 1992.
17. Shift reagent enhanced concurrent 23Na and 1H magnetic resonance spectroscopic studies of transcellular sodium distribution in the dog brain in vivo. Eleff SM, McLennan IJ, Hart GK, Maruki Y, Traystman RJ and Koehler RC. Mag Reson Med. 1993;30:11-17.
18. Adverse Incident Reporting in Intensive Care. Hart GK, Baldwin I, Gutteridge G, Ford J. Anaesth Int Care 1994;22:556-561
19. Rapidly developing pseudohypertension after renal transplantation diagnosed by non-auscultated blood pressure measurement. O'Callaghan CJ. Louis WJ. Hart GK Jackman G. Howes LG. Miach P. Nephron. 67(1):101-3, 1994.
20. Analgesia and Sedation in Interventional Radiology Procedures. Hiew CY, Hart GK, Thomson KR, Hennessy OF. Australasian Radiology 1995 ;39:
21. Australian Incident Monitoring Study in Intensive Care: AIMS-ICU. Analysis of first year of incident reporting. Beckmann U, Baldwin I, Hart GK, Runciman WB. Anaes Int Care 1996;24:314-319.
22. Australian Incident Monitoring Study in Intensive Care: AIMS-ICU. The development and evaluation of a voluntary anonymous reporting system in intensive care. Beckmann U, West LF, Groombridge GJ, Baldwin I, Hart GK, Clayton DG, Runciman WB, Webb RK. Anaes Int Care 1996;24:320-329.
23. Moran, J.L., Leppard, P.I., Churches, T., Hart, G., Herkes, D. & McWilliam, D. Performance of the acute physiology and chronic health evaluation (APACHE II) predictive algorithm in a national database, Anaesth Intensive Care; 1998; 26: 441.
24. Human Error in Medicine: Errors and Accidents in Intensive Care. Hart GK. Schweiz Med Wockenschr. 1999;129:1583 - 91.
25. Continuous plasmafiltration in sepsis syndrome. Reeves JH, Butt WW, Shann F, Layton JE, Stewart A, Waring PM, Presneill JJ and the Plasmafiltration in Sepsis Study Group. (as lead member of Study Group hospital). Crit CareMed 1999;2096-2104.
26. Early and intensive continuous hemofiltration for severe renal failure after cardiac surgery. Bent P, Tan HK, Bellomo R, Buckmaster J, Doolan L, Hart G, Silvester W, Gutteridge G etal. Ann Thorac. Surg 2001; 71: 832-837.
27. A Phase II Randomized Controlled Trial of Continuous Hemofiltration in Sepsis. Cole L, Bellomo R, Hart G, Journois D, Davenport P, Tipping P, Ronco C. Int Care Med 2001,27:978-986.
28. An extracorporeal membrane ovxygenation-based approach to cardiogenic shock in an older population. Smith CS, Bellomo R, Raman JS, Matalanis G, Rosalion A, Buckmaster J, Hart G, Silvester W, Gutteridge GA, Doolan L, Buxton BF. Ann Thorac Surg 2001;71:1421-7.
29. The Outcome of an integrated ECMO based approach to post carrdiotomy cardiogenic shock in an older population. Smith C, Bellomo R, Matalanis G, Rosalion A, Buckmaster J, Hart G, Silvester W, Gutteridge G et al. Annals Thor Surg 2001,71:1421-1427.
30. Cole L, Bellomo R, Hart G, Journois D, Davenport P, Tipping P, Ronco C. A phase II randomized controlled trial of continuous hemofiltration in sepsis. Crit Care Med 2002; 30: 100-106.
31. Pandemic influenza-implications for critical care resources in Australia and New Zealand. Anderson TA. Hart GK. Kainer MA. ANZICS Database Management Committee Journal of Critical Care. 18(3):173-80, 2003 Sep.
32. A prospective before-and-after trial of a medical emergency team. Bellomo R. Goldsmith D. Uchino S. Buckmaster J. Hart GK. Opdam H. Silvester W. Doolan L. Gutteridge G. Medical Journal of Australia. 179(6):283-7, 2003 Sep 15.
33. Effect of Medical Emergency Team on cardiac arrest and mortality in an acute hospital. Bellomo R, Goldsmith D, Hart GK, Buckmaster J, Silvester W, Gutteridge G. Med J Aust. 2003; August 18, 2003.
34. A Prospective Controlled Trial of the Effect of the Medical Emergency Team on Post-operative Morbidity and Mortality. Rinaldo Bellomo M.D., Donna Goldsmith R.N., Shigehiko Uchino M.D., Jonathan Buckmaster M.D., Graeme Hart M.D., Helen Opdam M.D., William Silvester M.D., Laurie Doolan, MD, Geoffrey Gutteridge M.D. Critical Care Medicine. 32(4):916-921, April 2004.
35. Early and exclusive use of norepinephrine in septic shock. Morimatsu H, Singh K, Uchino S, Bellomo R, Hart G. Resuscitation. 2004 Aug;62(2):249-54.
36. Intensive Insulin Therapy in Postoperative Intensive Care Unit Patients, A Decision Analysis. Moritoki Egi, Rinaldo Bellomo, Edward Stachowski, Craig J. French, Graeme Hart, Peter Stow, Weiqui Li, and Samantha Bates
37. Long term effect of a medical emergency team on cardiac arrests in a teaching hospital. Daryl Jones, Rinaldo Bellomo, Samantha Bates, Stephen Warrillow, Donna Goldsmith, Graeme Hart, Helen Opdam, Geoffrey Gutteridge
Critical Care 2005, 9:R808-R815 (16 November 2005)
38. Plasma Filtration. Tan HK, Hart G. Ann Acad Med Singapore 2005:34:615-24.
39. Intensive Insulin Therapy in Postoperative ICU Patients: A Decision Analysis. Egi M, Bellomo R, Stachowski E, French C, Hart G, Stow P, Li W, Bates S. Am J Resp Crit Care Med. 2006;173:407-413.
40. Blood glucose on day of intensive care unit admission as a surrogate of subsequent glucose control in intensive care. Moritoki Egi, Rinaldo Bellomo*, Eddie Stachowski, Egi M, Bellomo R, Stachowski E, French CJ, Hart G, Stow P.. J Crit Care 2006 Jun;21(2):197-202.
41. Development and implementation of a high-quality clinical database: the Australian and New Zealand Intensive Care Society Adult Patient Database. Stow PJ, Hart GK, Higlett T, George C, Herkes R, McWilliam D, Bellomo R; for the ANZICS Database Management Committee. J Crit Care. 2006 Jun;21(2):133-41.
42. Patient monitoring and the timing of cardiac arrests and medical emergency team calls in a teaching hospital. Intensive Care Med. 2006 Jul 7; [Epub ahead of print] Jones D, Bellomo R, Bates S, Warrillow S, Goldsmith D, Hart G, Opdam H.
43. Variability of Blood Glucose Concentration and Short-term Mortality in Critically Ill Patients Moritoki Egi, Rinaldo Bellomo, Edward Stachowski, Craig J. French, Graeme Hart. Anesthesiology 2006; 105:244–52
44. A double-blind placebo-controlled randomised pilot study of nocturnal melatonin in tracheostomised patients. Ibrahim MG, Bellomo R, Hart GK, Norman TR, Goldsmith D, Bates S, Egi M. Crit Care Resusc 2006; 8: 187-191
45. Percutaneous Versus Surgical Tracheostomy: A Randomised Study. W Silvester, S Knight, D Wise, D Brazzale, M McMahon, R Bellomo, J Buckmaster, G Hart, R Pierce, G Gutteridge. Critical Care Medicine. 34(8):2145-52, 2006 Aug.

EDITORIALS

Hart GK. Antecedents to hospital deaths: all in good time Internal Medicine Journal. 31(6):321, 2001 Aug.

LETTERS

1. Anderson TA. Hart GK. Data clarification. [Letter] Australian Critical Care. 15(1):4; author reply 4-5, 2002 Feb.
2. Misleading Pulse-oximetry in a Patient with Tricuspid Valve Incompetence. G. Hart, S. Warrillow Letters Anaes Int Care. 2006 (4);34:282-283
NON - PEER REVIEWED REPORTS.
1. Descriptive analysis of critical care facilities in Australia and New Zealand - June 1997. Hart GK , Steed K, Warneke K, Hart P. Published Australian and New Zealand Intensive Care Society, 1998.
2. Distribution Of Critical Care Facilities In Australia And New Zealand. Hart GK , Steed K, Warneke K, Hart P. Published Australian and New Zealand Intensive Care Society, 1998.
3. ANZICS Intensive Care Survey 1998: An overview of Australian and New Zealand Critical Care Resources. Anderson T, Hart GK. Published ANZICS Centre for Critical Care Resources, June 2000.
4. Influenza Pandemic Planning for Intensive Care. Therese Anderson, Graeme Hart, Marion A Kainer & Kevin Moon. Published ANZICS Centre for Critical Care Resources. Feb 2001.
5. Review of ICU Resources and Activity. Therese Anderson, Graeme Hart, Published ANZICS Centre for Critical Care Resources, Dec 2002
6. Review of ICU Resources and Activity 2002-03. Higlett T, Bishop N, Hart GK , Hicks P. Published ANZICS Centre for Critical Care Resources, August 2005.

BOOK CHAPTERS

1. Bion J, Hart GK, Khan Z (2002) Preventing iatrogenic complications. In: Angus DC, Carlet J (eds) Surviving Intensive Care, Vol 39 Update in Intensive Care and Emergency Medicine, Springer, Heidelberg.
2. Hart GK (2006) Databases and National Registries. Critical Care Update. Publisher Indian Society of Critical Care.

ABSTRACTS

1. The effect of a faecal bulking agent on diarrhoea during enteral feeding in the critically ill. Hart GK, Dobb GJ. Crit Care Med 1986; 14:337.
2. Changes in neurologic function (SEP), Metabolism (regional NMR) and regional cerebral blood flow (CBF) during acute reversible middle-cerebral artery occlusion. Hart GK, Eleff S, Norris S, Traystman RJ. Society of Magnetic Resonance in Medicine Sixth Annual Meeting, August 17-21, 1987.
3. Salt wasting in CNS disease is not associated with elevated circulating atrial natriuretic factor. Diringer M, Ladenson PW, Kirsch J, Borel C, Hart GK, Hanley DF. Fortieth Annual Meeting of the American Academy of Neurology, April 17-23, 1988.
4. Exogenous catalase does not improve neurologic outcome following transient focal cerebral ischemia. Hart GK, Davis RJ, Bulkley GB, Traystman RJ. Federation of American Societies of Experimental Biology, Las Vegas, Nevada, May 2- 5, 1988.
5. Simultaneous measurements of cerebral energy metabolism using phosphorous and dysprosium enhanced sodium NMR spectroscopy. Eleff S, Hart GK, McLennan IJ, Norris S, Traystman RF. Society of Magnetic Resonance in Medicine, 7th Annual meeting, San Francisco, August 21-26, 1988.
7. Survey of Research Attitudes and Practice of Australasian Intensive Care Specialists. 15th Annual Scientific Meeting of the Australian and New Zealand Intensive Care Society.Adelaide September 1990.
8. Free Radicals in Cerebral Ischaemia. Austin Hospital Biannual Stroke Meeting. October 1990.
9. Adverse incidents in intensive care survey [AIICS]. ANZICS (Vic) 6th Continuing Education Meeting (Melbourne May 1992).
10. Adverse incidents in intensive care survey [AIICS]. ANZICS 17th Annual Scientific Meeting (Auckland, NZ, October 1992).
11. DRGs in intensive care - inaccuracy of discharge summaries is a major source of information and financial loss. Graeme K Hart, Lynda Dandie, Heather Paulet. ANZICS 17th Annual Scientific Meeting (Auckland, NZ, October 1992).
12. Analysis of the first year of ICU incident reporting at a university teaching hospital. Hart GK, Baldwin IC, Gutteridge GA. ANZICS 18th Annual Scientific Meeting (Perth, October 1993).
13. A fatal case of sporadic adenovirus pneumonia in an immunocompetent adult. Collett JM, Hart GK, Sinclair RA. Australasian Division of the International Academy of Pathology 20th Annual Scientific Meeting. June 3-5, 1994.
14. Clinical importance of the flow rate variability of electronic drug infusion devices in Intensive Care. Susanne L Lewer, Ian C Baldwin, Denis Rafter, Graeme K Hart. ANZICS (Victorian Branch) Continuing Education Meeting, World Trade Centre, Melbourne May 1995.
15. Clinical importance of the flow rate variability of electronic drug infusion devices in Intensive Care. Susanne L Lewer, Ian C Baldwin, Denis Rafter, Graeme K Hart. 20th Australian and New Zealand Intensive Care Scientific Meeting on Intensive Care, Brisbane October 1995.
16. The effect of heparin administration site on extracorporeal circuit life during continuous veno-venous haemofiltration. Baldwin I, Bridge N, Heland H, Buckmaster J, Davies A, Hart G, Gutteridge G, Bellomo R. 20th Australian and New Zealand Intensive Care Scientific Meeting on Intensive Care, Brisbane October 1995.
17. The effect of filter configuration on extracorporeal circuit life during continuous veno-venous haemofiltration. Baldwin I, Bridge N, Heland H, Buckmaster J, Davies A, Hart G, Gutteridge G, Bellomo R. 20th Australian and New Zealand Intensive Care Scientific Meeting on Intensive Care, Brisbane October 1995.
18. Australasian Incident Monitoring System: AIMS-ICU. Analysis of 2 years of incident reporting. Beckmann U, Baldwin I, Hart GK. 20th Australian and New Zealand Intensive Care Scientific Meeting on Intensive Care, Brisbane October 1995.
19. Intensive Care in Australasia: a description of demographics and outcome measures using the ANZICS Patient Database. Hart GK, Herkes R, McWilliam D, Tuxen D, Cumpston P, Hardy L, Churches T. 21st Australian and New Zealand Intensive Care Scientific Meeting on Intensive Care, Melbourne, October 1996.
20. ANZICS Intensive Care Unit Registry: first report. Hart GK, Hart P, Keyes-Pearce S. 21st Australian and New Zealand Intensive Care Scientific Meeting on Intensive Care, Melbourne, October 1996.
21. Vascular Access Devices: a prospective analysis of use and complications in a general intensive care unit. Hart GK, French C, Turner A, Bellomo R, Buckmaster J, Silvester W, Gutteridge G. 21st Australian and New Zealand Intensive Care Scientific Meeting on Intensive Care, Melbourne, October 1996.
22. Comparison of two organ failure scoring systems in a general intensive care unit. Hart GK, French C, Turner A, Bellomo R, Buckmaster J, Silvester W, Gutteridge G. 21st Australian and New Zealand Intensive Care Scientific Meeting on Intensive Care, Melbourne, October 1996.
23. Readmissions to ICU: an indicator for quality of care? Beckmann K, Ackland M, Hart GK. 22nd. Australian and New Zealand Intensive Care Scientific Meeting on Intensive Care, Hobart, October 1997.
24. Descriptive analysis of critical care facilities in australia and new zealand - June 1997. Hart GK , Steed K, Warneke K, Hart P. 22nd. Australian and New Zealand Intensive Care Scientific Meeting on Intensive Care, Hobart, October 1997.
25. Distribution Of Critical Care Facilities In Australia And New Zealand. Hart GK , Steed K, Warneke K, Hart P. 22nd. Australian and New Zealand Intensive Care Scientific Meeting on Intensive Care, Hobart, October 1997.
26. Patterns Of Re-Admission To Australasian Intensive Care Units Utilising The Anzics Patient Database. Hart GK *, Beckmann K#, Ackland M#. 22nd. Australian and New Zealand Intensive Care Scientific Meeting on Intensive Care, Hobart, October 1997.
27. New Zealand 1998: ICU Utilisation and Demographic Overview. Dinsdale D, Anderson T, Hart G. ANZICS NZ Regional Scientific Meeting Mar 2000.
28. Queensland ICU Profile: 1998. Anderson T,Hart G & Fraenkel D. ANZICS Qld Regional Scientific Meeting 2000.
29. Femoral Vein Compression in Suspected Deep Vein Thrombosis.. How safe is it?? Ashby G, Molan M, HartGK.
30. What is a working week for ICU Specialists – what is an FTE? . Hart GK & Anderson TA. Australian and New Zealand Intensive Care 25th Scientific Meeting on Intensive Care, Canberra, October 2000.
31. Intensive Care Profile: The Distribution Of Resources Hart GK & Anderson TA. Australian and New Zealand Intensive Care 25th Scientific Meeting on Intensive Care, Canberra, October 2000.
32. Coping with Catastrophe:Predictions & planning for intensive care using influenza pandemic as the model. Anderson TA & Hart GK. 8th World Congress on Intensive Care, Canberra, October 2001.
33. Benchmarking Critical Care Beds. Anderson TA & Hart GK. 8th World Congress on Intensive Care, Canberra, October 2001.
34. Percutaneous Versus Surgical Tracheostomy: A Randomised Study. W Silvester, S Knight, D Wise, D Brazzale, M McMahon, R Bellomo, J Buckmaster, G Hart, R Pierce, G Gutteridge. 8th World Congress on Intensive Care, Canberra, October 2001.
35. The Challenge of Implementing Electronic Prescribing and Drug Administration in the Hospital Environment. Hart GK, McKew RH 2 , Thomson WA, Garrett MK, Turner L. Health Informatics Conference. 2002, Melbourne.
36. Adult intensive care breakthrough collaborative: system wide results from statewide change initiative. MacDonald, B, Hart GK, Bartlett J. 3rd Asia Pacific Foum on Quality improvement in Health Care. Auckland NZ. Sept 2003.
37. Trends in ICU service provision and resource allocation: Australia and New Zealand (1997-201). Hart GK, Anderson TA. ANZICS ASM Cairns September 2003.
38. Victorian Adult intensive care breakthrough collaborative: Factors affecting patient admission and discharge from intensive care.Hart GK, McMilan A, McDonald B, Ludolf S, Bartlett J.
39. Computerised Physician Order Entry In The Emergency Department: The Austin Health Experience. Davis H, Turner L, Hart GK, Moritz V, Braitberg G, Brown J, Scordel D. HIC 2003 Sydney.
40. Admissions to ICU in Australia and New Zealand: describing the information in the Australian and New Zealand Intensive Care Society (ANZICS) adult patient database (APD). ANZICS ASM Melbourne 2004. Stow P , George C , Higlett T, Bristow P and Hart G K for the ANZICS Database Management Committee
41. Organisational Factors influencing uptake of Electronic Clinical Decision Support in a Tertiary Hospital Environment: Hart GK, Barbeler D, Kidd B, Long S. HIC 2005, Melbourne.
42. Prolonged Duration Of Stay In Australian & New Zealand Intensive Care Units – Prevalence And Outcomes (1999-2004). David Pilcher, Carol George, John Moran, Rinaldo Bellomo, Graeme Hart and the ANZICS Adult Database Management Committee. ANZICS ASM, Adelaide 2005.