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Trial registered on ANZCTR
Registration number
ACTRN12619001777189
Ethics application status
Approved
Date submitted
25/11/2019
Date registered
16/12/2019
Date last updated
28/01/2024
Date data sharing statement initially provided
16/12/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Safer Baby Bundle Study: Assessing the impact of a stillbirth prevention bundle of care for improving best practice care for women during pregnancy in Australia
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Scientific title
Safer Baby Bundle Study: Assessing the impact of a stillbirth prevention bundle of care for improving best practice care for women during pregnancy in Australia
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Secondary ID [1]
299854
0
Nil Known
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Universal Trial Number (UTN)
U1111-1240-5981
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Trial acronym
SBB
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stillbirth
315251
0
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Fetal death
315441
0
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Condition category
Condition code
Reproductive Health and Childbirth
313558
313558
0
0
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Fetal medicine and complications of pregnancy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Safer Baby Bundle (SBB): a bundle of care to address the priority evidence practice gaps in stillbirth prevention. This is a before and after study evaluating the impact of a healthcare improvement initiative across maternity services in three states; Queensland, Victoria and New South Wales. The impact of the SBB on stillbirth rates at 28 weeks’ gestation or more and other important maternal and newborn outcomes will be investigated.
The SBB addresses areas associated with substandard care and stillbirth. The SBB is a structured package of change ideas and interventions (containing five evidence-based elements) and is designed to formalise care and reduce practice variation. The SBB contains five elements:
Element 1: Supporting women to stop smoking in pregnancy
Element 2: Improving detection and management of fetal growth restriction
Element 3: Raising awareness and improving care for women with decreased fetal movements
Element 4: Improving awareness of maternal safe going-to-sleep position in late pregnancy
Element 5: Improving decision-making about the timing of birth for women with risk factors for stillbirth
The five included elements are the same for women and their care providers, providing complimentary messaging and resources. For health care providers this includes an educational package (both eLearning and face-to-face training); best practice recommendations; clinical audit tools; evidence summaries with clinical care pathways. The educational program and resources for clinicians have been specifically developed for this project. Women and their families will be provided with written information including brochures (designed specifically for this study), supplemented by a public awareness program and a mobile phone app.
Implementation of the SBB will be undertaken in partnership with each states health department. State healthcare quality and safety improvement agencies are responsible for recruitment of participating hospitals and implementation. Participation in the study is open to all eligible maternity hospitals across the three jurisdictions, with all those who voluntarily express an interest recruited. This study is a mixed methods, multi-centre, ‘before and after’ evaluation of the implementation of the SBB in three health jurisdictions. The study design is pragmatic to account for differences across jurisdictions for the level of implementation support provided and commencement dates. To allow for differences in commencement dates between jurisdictions and disruptions, the study implementation period (which includes pre and post implementation data collection as part of the implementation strategy) will run for 2.5 years, followed by a 2 year post-implementation phase.
Participating jurisdictions- Each state has an implementation team to provide leadership, generate and sustain motivation for change and provide tools to support practice change through education, audit and feedback, bench-marking and implementation support forums. A mixed-methods approach will be used to assess the processes, impacts and outcomes of the SBB initiative. Change in rates for the primary clinical outcome, stillbirth rate at 28 or more weeks, will compare the implementation rate (including longer term trends over 15 years) with the rate in the 2 year post-implementation period using routinely collected perinatal data. Approval will be sought through the relevant state perinatal data collection custodians to access and analyse routinely collected population-based surveillance system data covering all births in NSW, VIC and QLD public and private hospitals over the study time period (15 years’ pre-implementation to 2 years’ post-implementation). The relevant duration for participant data collection is for the period from the first antenatal visit (booking appointment) through to six weeks post-birth.
Participating hospitals are required to embed the SBB within their existing processes. Prevention champions at each site will provide leadership, collect baseline data, attend implementation learning support forums and drive implementation of best practice recommendations in the local context. All maternity staff at participating hospitals will be encouraged and supported to complete the 2 hour eLearning program (specifically designed for this project) covering each element of the bundle and to attend the complimentary one-day face-to-face workshop to improve practical skills and enhance learnings.
Surveys of women, healthcare professionals and maternity service leads will be administered electronically pre and post implementation. The survey will be administered to women (with a singleton pregnancy without lethal fetal abnormalities) at participating hospitals following the birth (before hospital discharge) across a sample of 30 hospitals (10 hospitals per state) stratified by service capability level and geographic location (metropolitan, regional and remote). Midwives and doctors providing maternity care at the participating hospitals will also be invited to undertake pre and post-implementation questionnaires.
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Intervention code [1]
316244
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Prevention
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Comparator / control treatment
Historical comparator- standard care, 15-years pre-implementation (from January 2004 to implementation commencement date (which will vary by State)) using State level (NSW, QLD, VIC) routinely collected perinatal data-sets.
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Control group
Historical
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Outcomes
Primary outcome [1]
322015
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Stillbirth at 28 weeks’ or more in singleton pregnancies without lethal fetal congenital abnormalities. Routinely collected perinatal data.
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Assessment method [1]
322015
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Timepoint [1]
322015
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15 years' pre-implementation and 2 years' post-implementation
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Secondary outcome [1]
377004
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Women’s knowledge of stillbirth risk factors and experience and acceptability of SBB- subset of at least 2,300 women: Survey specifically designed for this study, using a combination of Likert rating scales, multiple choice, and open-ended questions.
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Assessment method [1]
377004
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Timepoint [1]
377004
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Baseline and end of study implementation period (up to 2.5 years after baseline). The implementation period will differ by jurisdiction from 12 to 24 months post launching.
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Secondary outcome [2]
377005
0
Clinicians' knowledge of stillbirth risk factors and best practice care of women with risk factors and acceptability of SBB- subset of 6,000 clinicians: Surveys specifically designed for this study, using a combination of Likert and rating scales, multiple choice, and open-ended questions.
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Assessment method [2]
377005
0
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Timepoint [2]
377005
0
Baseline and end of study implementation period (up to 2.5 years after baseline). The implementation period will differ by jurisdiction from 12 to 24 months post launching.
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Secondary outcome [3]
377006
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Health service utilisation - subset of 30 sites: Assessed via routinely collected data for inpatient and outpatient service use and surveys of maternity service managers specifically designed for this study, using a combination of Likert and rating scales, multiple choice, and open-ended questions.
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Assessment method [3]
377006
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Timepoint [3]
377006
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Baseline and end of study implementation period (up to 2.5 years after baseline). The implementation period will differ by jurisdiction from 12 to 24 months post launching.
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Secondary outcome [4]
377007
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Adverse neonatal outcome - Composite measure of birth outcomes including Apgar Score <7 at 5 minutes; umbilical artery pH <7.0; intubation and ventilation at birth; hypoxic ischemic encephalopathy; neonatal seizures; Meconium Aspiration Syndrome; neonatal intensive care greater than 5 days; use of mechanical ventilation; neonatal death.
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Assessment method [4]
377007
0
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Timepoint [4]
377007
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15 years' pre-implementation, baseline and 2 years' post-implementation. Routinely collected perinatal data.
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Secondary outcome [5]
377008
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Ecconomic Impact e.g. Incremental cost-effectiveness of the bundle compared to standard care, total and incremental costs to the health system, and total and incremental costs to society.- Medicare data on health care costs incurred through reimbursement for pharmaceutical benefits schedule (PBS) and medical benefits schedule (MBS).
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Assessment method [5]
377008
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Timepoint [5]
377008
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Baseline and end of study implementation period (up to 2.5 years after baseline). The implementation period will differ by jurisdiction from 12 to 24 months post launching.
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Secondary outcome [6]
377009
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Percentage of women who cease smoking between first antenatal care visit and birth. Routinely collected perinatal data.
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Assessment method [6]
377009
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Timepoint [6]
377009
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Baseline and end of study implementation period (up to 2.5 years after baseline). The implementation period will differ by jurisdiction from 12 to 24 months post launching.
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Secondary outcome [7]
377010
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Proportion of term births with undetected fetal growth restriction (FGR) defined as severely growth restricted singletons (less than 3rd centile) undelivered at 40 weeks’ gestation (missed FGR)- Routinely collected perinatal data.
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Assessment method [7]
377010
0
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Timepoint [7]
377010
0
Baseline and end of study implementation period (up to 2.5 years after baseline). The implementation period will differ by jurisdiction from 12 to 24 months post launching.
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Secondary outcome [8]
377011
0
Percentage of women at 28 weeks’ gestation or more who attend a maternity service within 12 hours of decreased fetal movements (DFM) concern. - subset of 30 sites, using pre and post clinical audits (3000).
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Assessment method [8]
377011
0
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Timepoint [8]
377011
0
Baseline and end of study implementation period (up to 2.5 years after baseline). The implementation period will differ by jurisdiction from 12 to 24 months post launching.
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Secondary outcome [9]
377012
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Proportion of women who report safe sleep practices after 28 weeks’ gestation- subset of at least 2,300 women: Survey specifically designed for this study, using a combination of Likert and rating scales, multiple choice, and open-ended questions.
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Assessment method [9]
377012
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Timepoint [9]
377012
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Baseline and end of study implementation period (up to 2.5 years after baseline). The implementation period will differ by jurisdiction from 12 to 24 months post launching.
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Secondary outcome [10]
377013
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Proportion of women with singleton pregnancies who undergo induction of labour (IOL) or elective caesarean section (CS) before 39 weeks’ gestation. Routinely collected perinatal data.
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Assessment method [10]
377013
0
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Timepoint [10]
377013
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15 years' pre-implementation and 2 years' post-implementation
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Secondary outcome [11]
377014
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Percentage of babies admitted to neonatal intensive care units after 36 completed weeks. Routinely collected perinatal data.
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Assessment method [11]
377014
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Timepoint [11]
377014
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15 years' pre-implementation and 2 years' post-implementation
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Secondary outcome [12]
377015
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Rate of late preterm births. Routinely collected perinatal data
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Assessment method [12]
377015
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Timepoint [12]
377015
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15 years' pre-implementation and 2 years' post-implementation
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Secondary outcome [13]
377016
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Rate of caesarean sections. Routinely collected perinatal data
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Assessment method [13]
377016
0
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Timepoint [13]
377016
0
15 years' pre-implementation and 2 years' post-implementation
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Secondary outcome [14]
377017
0
Process measures specific to each of the five SBB elements will inform implementation fidelity and evaluation strategy. Measures will be derived from routinely collected data, clinical audits and surveys designed specifically for this study of women and clinicians.
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Assessment method [14]
377017
0
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Timepoint [14]
377017
0
Baseline and end of study implementation period (up to 2.5 years after baseline). The implementation period will differ by jurisdiction from 12 to 24 months post launching.
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Eligibility
Key inclusion criteria
Women with a singleton pregnancy without lethal fetal abnormalities attending for antenatal care and midwives and doctors providing maternity care at the participating hospitals.
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Pregnant women with a lethal fetal congenital abnormality. Women who have a stillbirth or neonatal death prior to discharge from the hospital of birth will be excluded from the surveys of women around care practices.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Based on the most recent 3 year period prior to the SBB rollout, for which data are currently available (2016-2018), the late gestation stillbirth rate in Australia was 2.4 per 1000 births (unpublished data Stillbirth CRE). This decreased from 2.7 per 1000 births in 2013-20156. The SBB initiative aims to amplify and sustain a further rate reduction of at least 20% to target a rate of 1.9 per 1000 births by the end of 2023. Maintaining a downward pressure on rates is challenging given that as rates get lower further reductions may become increasingly more difficult to attain.
Based on 113,000 births per year across implementing sites, the study will be able to estimate a stillbirth rate of 1.9 to a precision of 1.7 to 2.1, with 95% confidence: 430 stillbirths out of 113,000 x 2 =1.9 per 1000 births. Put another way, the project will have 95% power (alpha=5%, two-sided) to show that an achieved stillbirth rate of 1.9 per 1000 births (the target for 2022-2023) is statistically significantly different from a stillbirth rate of 2.4 per 1000 births (pre-implementation for 2016-2018).
Secondary endpoints including obstetric intervention and other important maternal and newborn outcomes measurable using routine data are essentially safety endpoints and will be analysed using trend analysis, similar to the pre-specified primary endpoint. Formal power calculations have not been done because of the problem of statistical multiplicity. Point estimates for these secondary endpoints will be checked to confirm they support the result for the primary endpoint. Any outlying results will be investigated.
Other secondary measures will be compared pre and post implementation commencing before and at the end of the implementation periods including data from surveys of women and health care professionals and clinical audits. Subgroup analysis will also explore variations in the provision of antenatal care and disparities in stillbirth rates and other clinical outcomes for Aboriginal and Torres Strait Islander, migrant and refugee, and rural and remote women.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
10/06/2019
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Date of last participant enrolment
Anticipated
3/03/2025
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Actual
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Date of last data collection
Anticipated
3/03/2025
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Actual
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Sample size
Target
235000
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Accrual to date
16157
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
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Recruitment hospital [1]
15190
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Albury Wodonga Health - Albury campus - Albury
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Recruitment hospital [2]
15191
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Ballarat Health Services (Base Hospital) - Ballarat Central
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Recruitment hospital [3]
15192
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Benalla Health - Benalla
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Recruitment hospital [4]
15193
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Bendigo Health Care Group - Bendigo Hospital - Bendigo
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Recruitment hospital [5]
15195
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Cabrini Hospital - Malvern - Malvern
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Recruitment hospital [6]
15196
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Djerriwarrh Health Service - Bacchus Marsh - Bacchus Marsh
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Recruitment hospital [7]
15197
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East Grampians Health Service - Ararat - Ararat
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Recruitment hospital [8]
15198
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Angliss Hospital - Upper Ferntree Gully
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Recruitment hospital [9]
15199
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Box Hill Hospital - Box Hill
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Recruitment hospital [10]
15200
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Echuca Regional Health - Echuca
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Recruitment hospital [11]
15201
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Latrobe Regional Hospital - Traralgon
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Recruitment hospital [12]
15202
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Maryborough District Health Service (Maryborough) - Maryborough
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Recruitment hospital [13]
15203
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Mercy Hospital for Women - Heidelberg
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Recruitment hospital [14]
15204
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Casey Hospital - Berwick
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Recruitment hospital [15]
15205
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Monash Medical Centre - Clayton campus - Clayton
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Recruitment hospital [16]
15206
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Dandenong Hospital - Dandenong
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Recruitment hospital [17]
15207
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The Northern Hospital - Epping
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Recruitment hospital [18]
15208
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Frankston Hospital - Frankston
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Recruitment hospital [19]
15209
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The Royal Women's Hospital - Parkville
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Recruitment hospital [20]
15210
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Southwest Health Care - Warrnambool - Warrnambool
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Recruitment hospital [21]
15212
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St Vincent's Private Hospital - Fitzroy
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Recruitment hospital [22]
15213
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Werribee Mercy Hospital - Werribee
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Recruitment hospital [23]
15214
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West Gippsland Healthcare Group - Warragul
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Recruitment hospital [24]
15215
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Bowral Hospital - Bowral
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Recruitment hospital [25]
15216
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Campbelltown Hospital - Campbelltown
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Recruitment hospital [26]
15217
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Fairfield Hospital - Prairiewood
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Recruitment hospital [27]
15218
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Bankstown-Lidcombe Hospital - Bankstown
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Recruitment hospital [28]
15219
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Liverpool Hospital - Liverpool
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Recruitment hospital [29]
15220
0
Belmont Hospital - Belmont
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Recruitment hospital [30]
15221
0
Glen Innes District Hospital - Glen Innes
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Recruitment hospital [31]
15222
0
Gloucester Soldiers Memorial Hospital - Gloucester
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Recruitment hospital [32]
15223
0
Singleton District Hospital - Singleton
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Recruitment hospital [33]
15226
0
Gunnedah District Hospital - Gunnedah
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Recruitment hospital [34]
15227
0
Inverell District Hospital - Inverell
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Recruitment hospital [35]
15228
0
Moree District Hospital - Moree
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Recruitment hospital [36]
15229
0
Muswellbrook Hospital - Muswellbrook
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Recruitment hospital [37]
15230
0
Narrabri District Hospital - Narrabri
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Recruitment hospital [38]
15231
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Scott Memorial Hospital, Scone - Scone
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Recruitment hospital [39]
15232
0
Tamworth Rural Referral Hospital - Tamworth
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Recruitment hospital [40]
15234
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Manning Rural Referral Hospital (Taree) - Taree
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Recruitment hospital [41]
15235
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Armidale Rural Referral Hospital - Armidale
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Recruitment hospital [42]
15236
0
The Maitland Hospital - Maitland
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Recruitment hospital [43]
15237
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John Hunter Hospital - New Lambton
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Recruitment hospital [44]
15238
0
Auburn Hospital & Community Health Services - Auburn
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Recruitment hospital [45]
15239
0
Blacktown Hospital - Blacktown
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Recruitment hospital [46]
15240
0
Westmead Hospital - Westmead
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Recruitment hospital [47]
15241
0
Wyong Public Hospital - Hamlyn Terrace
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Recruitment hospital [48]
15242
0
Gosford Hospital - Gosford
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Recruitment hospital [49]
15243
0
Mater Mother's Hospital - South Brisbane
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Recruitment hospital [50]
15246
0
Gold Coast University Hospital - Southport
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Recruitment hospital [51]
15247
0
Thursday Island Hospital - Thursday Island
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Recruitment hospital [52]
15248
0
Cooktown Hospital - Cooktown
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Recruitment hospital [53]
15249
0
Ipswich Hospital - Ipswich
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Recruitment hospital [54]
15250
0
Logan Hospital - Meadowbrook
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Recruitment hospital [55]
15251
0
Beaudesert Hospital - Beaudesert
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Recruitment hospital [56]
15252
0
Redland Hospital - Cleveland
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Recruitment hospital [57]
15253
0
Caboolture Hospital - Caboolture
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Recruitment hospital [58]
15254
0
Toowoomba Hospital - Toowoomba
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Recruitment hospital [59]
15255
0
Kingaroy Hospital & Community Health Centre - Kingaroy
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Recruitment hospital [60]
15256
0
Dalby Hospital Health Service - Dalby
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Recruitment hospital [61]
15257
0
Goondiwindi Hospital - Goondiwindi
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Recruitment hospital [62]
15258
0
Warwick Hospital - Warwick
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Recruitment hospital [63]
15259
0
Stanthorpe Hospital - Stanthorpe
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Recruitment hospital [64]
15260
0
Charleville Hospital - Charleville
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Recruitment hospital [65]
15261
0
Roma Hospital - Roma
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Recruitment hospital [66]
15262
0
St George Hospital - Kogarah
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Recruitment hospital [67]
15263
0
Mackay Base Hospital - Mackay
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Recruitment hospital [68]
15264
0
Rockhampton Base Hospital - Rockhampton
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Recruitment hospital [69]
15265
0
Gladstone Hospital - Gladstone
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Recruitment hospital [70]
15266
0
Emerald Hospital - Emerald
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Recruitment hospital [71]
15267
0
Biloela Hospital - Biloela
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Recruitment hospital [72]
21779
0
Cairns Base Hospital - Cairns
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Recruitment postcode(s) [1]
28499
0
2640 - Albury
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Recruitment postcode(s) [2]
28500
0
3350 - Ballarat Central
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Recruitment postcode(s) [3]
28501
0
3672 - Benalla
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Recruitment postcode(s) [4]
28502
0
3550 - Bendigo
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Recruitment postcode(s) [5]
28504
0
3144 - Malvern
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Recruitment postcode(s) [6]
28505
0
3340 - Bacchus Marsh
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Recruitment postcode(s) [7]
28506
0
3377 - Ararat
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Recruitment postcode(s) [8]
28507
0
3156 - Upper Ferntree Gully
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Recruitment postcode(s) [9]
28508
0
3128 - Box Hill
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Recruitment postcode(s) [10]
28509
0
3564 - Echuca
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Recruitment postcode(s) [11]
28510
0
3844 - Traralgon
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Recruitment postcode(s) [12]
28511
0
3465 - Maryborough
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Recruitment postcode(s) [13]
28512
0
3084 - Heidelberg
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Recruitment postcode(s) [14]
28513
0
3806 - Berwick
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Recruitment postcode(s) [15]
28514
0
3168 - Clayton
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Recruitment postcode(s) [16]
28515
0
3175 - Dandenong
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Recruitment postcode(s) [17]
28516
0
3076 - Epping
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Recruitment postcode(s) [18]
28517
0
3199 - Frankston
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Recruitment postcode(s) [19]
28518
0
3052 - Parkville
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Recruitment postcode(s) [20]
28519
0
3280 - Warrnambool
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Recruitment postcode(s) [21]
28521
0
3065 - Fitzroy
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Recruitment postcode(s) [22]
28522
0
3030 - Werribee
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Recruitment postcode(s) [23]
28523
0
3820 - Warragul
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Recruitment postcode(s) [24]
28524
0
2576 - Bowral
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Recruitment postcode(s) [25]
28525
0
2560 - Campbelltown
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Recruitment postcode(s) [26]
28526
0
2176 - Prairiewood
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Recruitment postcode(s) [27]
28527
0
2200 - Bankstown
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Recruitment postcode(s) [28]
28528
0
2170 - Liverpool
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Recruitment postcode(s) [29]
28529
0
2280 - Belmont
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Recruitment postcode(s) [30]
28530
0
2370 - Glen Innes
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Recruitment postcode(s) [31]
28531
0
2422 - Gloucester
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Recruitment postcode(s) [32]
28532
0
2330 - Singleton
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Recruitment postcode(s) [33]
28535
0
2380 - Gunnedah
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Recruitment postcode(s) [34]
28536
0
2360 - Inverell
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Recruitment postcode(s) [35]
28537
0
2400 - Moree
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Recruitment postcode(s) [36]
28538
0
2333 - Muswellbrook
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Recruitment postcode(s) [37]
28539
0
2390 - Narrabri
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Recruitment postcode(s) [38]
28540
0
2337 - Scone
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Recruitment postcode(s) [39]
28541
0
2340 - Tamworth
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Recruitment postcode(s) [40]
28543
0
2430 - Taree
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Recruitment postcode(s) [41]
28544
0
2350 - Armidale
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Recruitment postcode(s) [42]
28545
0
2320 - Maitland
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Recruitment postcode(s) [43]
28546
0
2305 - New Lambton
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Recruitment postcode(s) [44]
28547
0
2144 - Auburn
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Recruitment postcode(s) [45]
28548
0
2148 - Blacktown
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Recruitment postcode(s) [46]
28549
0
2145 - Westmead
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Recruitment postcode(s) [47]
28550
0
2259 - Hamlyn Terrace
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Recruitment postcode(s) [48]
28551
0
2250 - Gosford
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Recruitment postcode(s) [49]
28552
0
4101 - South Brisbane
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Recruitment postcode(s) [50]
28555
0
4215 - Southport
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Recruitment postcode(s) [51]
28556
0
4875 - Thursday Island
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Recruitment postcode(s) [52]
28557
0
4895 - Cooktown
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Recruitment postcode(s) [53]
28558
0
4305 - Ipswich
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Recruitment postcode(s) [54]
28559
0
4131 - Meadowbrook
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Recruitment postcode(s) [55]
28560
0
4285 - Beaudesert
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Recruitment postcode(s) [56]
28561
0
4163 - Cleveland
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Recruitment postcode(s) [57]
28562
0
4510 - Caboolture
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Recruitment postcode(s) [58]
28563
0
4350 - Toowoomba
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Recruitment postcode(s) [59]
28564
0
4610 - Kingaroy
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Recruitment postcode(s) [60]
28565
0
4405 - Dalby
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Recruitment postcode(s) [61]
28566
0
4390 - Goondiwindi
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Recruitment postcode(s) [62]
28567
0
4370 - Warwick
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Recruitment postcode(s) [63]
28568
0
4380 - Stanthorpe
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Recruitment postcode(s) [64]
28569
0
4470 - Charleville
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Recruitment postcode(s) [65]
28570
0
4455 - Roma
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Recruitment postcode(s) [66]
28571
0
2217 - Kogarah
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Recruitment postcode(s) [67]
28572
0
4740 - Mackay
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Recruitment postcode(s) [68]
28573
0
4700 - Rockhampton
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Recruitment postcode(s) [69]
28574
0
4680 - Gladstone
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Recruitment postcode(s) [70]
28575
0
4720 - Emerald
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Recruitment postcode(s) [71]
28576
0
4715 - Biloela
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Recruitment postcode(s) [72]
36836
0
4870 - Cairns
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Funding & Sponsors
Funding source category [1]
304312
0
Government body
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Name [1]
304312
0
National Health and Medical Research Council
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Address [1]
304312
0
Level 1
16 Marcus Clarke Street
Canberra ACT 2601
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Country [1]
304312
0
Australia
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Funding source category [2]
304316
0
Government body
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Name [2]
304316
0
Safer Care Victoria, Victorian Agency for Health Information
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Address [2]
304316
0
50 Lonsdale Street, Melbourne VIC 3000
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Country [2]
304316
0
Australia
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Funding source category [3]
304317
0
Government body
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Name [3]
304317
0
Clinical Excellence Commission, NSW Government
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Address [3]
304317
0
Level 17, McKell Building
2-24 Rawson Place, Sydney NSW 2000
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Country [3]
304317
0
Australia
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Funding source category [4]
304318
0
Government body
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Name [4]
304318
0
Clinical Excellence Queensland, Queensland Health
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Address [4]
304318
0
5 Butterfield Street
Herston Queensland 4006
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Country [4]
304318
0
Australia
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Funding source category [5]
304319
0
Charities/Societies/Foundations
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Name [5]
304319
0
Stillbirth Foundation Australia
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Address [5]
304319
0
Suite 105, 283 Alfred St, North Sydney, NSW, 2060
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Country [5]
304319
0
Australia
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Funding source category [6]
304320
0
Charities/Societies/Foundations
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Name [6]
304320
0
Still Aware
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Address [6]
304320
0
Level 2, 8 Greenhill Road, Wayville SA 5034
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Country [6]
304320
0
Australia
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Primary sponsor type
Individual
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Name
Professor Vicki Flenady
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Address
Mater Research Institute - The University of Queensland
Level 3 Aubigny Place
Mater Health Services
South Brisbane QLD 4101
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Country
Australia
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Secondary sponsor category [1]
304559
0
None
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Name [1]
304559
0
Query!
Address [1]
304559
0
Query!
Country [1]
304559
0
Query!
Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
304766
0
Royal Brisbane & Women’s Hospital Human Research Ethics Committee
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Ethics committee address [1]
304766
0
Royal Brisbane & Women’s Hospital Executive Suites, Lower Ground Floor Dr James Mayne Building Butterfield Street, Herston Qld 4029
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Ethics committee country [1]
304766
0
Australia
Query!
Date submitted for ethics approval [1]
304766
0
04/04/2019
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Approval date [1]
304766
0
04/06/2019
Query!
Ethics approval number [1]
304766
0
HREC/2019/QRBW/47709
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Summary
Brief summary
Stillbirth directly affects over 2,000 families in Australia each year. Stillbirth is a personal tragedy for the families involved and a serious public health problem with far reaching social, emotional and financial burdens on all involved. In many cases stillbirth is preventable and research shows 20-30% of late gestation stillbirths could be avoided with better care. The Safer Baby Bundle (SBB) was developed to address priority evidence practice gaps in stillbirth prevention. This before and after study evaluates the impact of this healthcare improvement initiative across maternity services in three states; Queensland, Victoria and New South Wales. By implementing the SBB elements of care, the goal is to reduce stillbirth in Australia by 20% for women from 28 weeks’ gestation and beyond.
Query!
Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
98130
0
Prof Vicki Flenady
Query!
Address
98130
0
Mater Research Institute - The University of Queensland
Level 3 Aubigny Place
Mater Health Services
South Brisbane QLD 4101
Query!
Country
98130
0
Australia
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Phone
98130
0
+61 07 31631592
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Fax
98130
0
Query!
Email
98130
0
[email protected]
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Contact person for public queries
Name
98131
0
Christine Andrews
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Address
98131
0
Mater Research Institute - The University of Queensland
Level 3 Aubigny Place
Mater Health Services
South Brisbane QLD 4101
Australia
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Country
98131
0
Australia
Query!
Phone
98131
0
+61 07 31635344
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Fax
98131
0
Query!
Email
98131
0
[email protected]
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Contact person for scientific queries
Name
98132
0
Vicki Flenady
Query!
Address
98132
0
Mater Research Institute - The University of Queensland
Level 3 Aubigny Place
Mater Health Services
South Brisbane QLD 4101
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Country
98132
0
Australia
Query!
Phone
98132
0
+61 07 31631592
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Fax
98132
0
Query!
Email
98132
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
Query!
No/undecided IPD sharing reason/comment
Aggregate data only will be available researchers upon appropriate request and approval of the chief investigator, ethics committee and study steering committee.
Query!
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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