Professor Imogen Mitchell
BSc(Hons), MBBS, PhD, FRCP, FRACP, FCICM
Executive Director, Research and Academic Partnerships, Canberra Health Services
ANU College of Health and Medicine
T:
+61 2 524 4061
Research interests
Hospital systems to improve management of deteriorating patient
Hospital systems to improve end of life care in acute hospitals
Patient safety systems
Medical Education
Biography
Professor Imogen Mitchell, Executive Director, Research and Academic Partnerships, Canberra Health Services. Imogen graduated from University of London and undertook her physician's training in the UK before moving to Australia to complete her specialist training in intensive care. Appointed initially as an intensive care specialist at Royal Prince Alfred but then moved to Canberra in 1999 to take up the Directorship of the Intensive Care Unit at the Canberra Hospital. After 15 years as their Director and building the unit from 2 specialists to 11 specialists and securing C24 accreditation from the College of Intensive Care Medicine, she moved to being the Deputy Dean at the ANU Medical School in 2014. In 2017 she became Dean of Medicine at the ANU Medical School until she stepped down to become the Clinical Director for the ACT COVID-19 Response.
Publications
- Kelly, M, Mitchell, I, Walker, I et al. 2023, '�I can�t make all this work.� End of life care provision in natural disasters: a qualitative study', BMC Palliative Care, vol. 22, no. 1, pp. 1-8.
- Rai, S, Brace, C, Ross, P et al. 2023, 'Characteristics and Outcomes of Very Elderly Patients Admitted to Intensive Care: A Retrospective Multicenter Cohort Analysis', Critical Care Medicine, vol. 51, no. 10, pp. 1328-1338.
- Johnston, K, O'Reilly, C, Scholz, B et al. 2022, 'The experiences of pharmacists during the global COVID-19 pandemic: A thematic analysis using the jobs demands-resources framework', Research in Social and Administrative Pharmacy, vol. 18, no. 9, pp. 3649 - 3655.
- Bucknall, T, Considine, J, Harvey, G et al. 2022, 'Prioritising Responses Of Nurses To deteriorating patient Observations (PRONTO): a pragmatic cluster randomised controlled trial evaluating the effectiveness of a facilitation intervention on recognition and response to clinical deterioration', BMJ Quality and Safety, vol. 31, no. 11, pp. 1-13.
- Paterson, C, Davis, D, Roche, M et al. 2022, 'What are the long-term holistic health consequences of COVID-19 among survivors? An umbrella systematic review', Journal of Medical Virology, vol. 94, no. 12, pp. 5653-5668.
- Johnston, K, O'Reilly, C, Scholz, B et al. 2021, 'Burnout and the challenges facing pharmacists during COVID-19: results of a national survey', International Journal of Clinical Pharmacy, vol. 43, pp. 716 -725.
- Mitchell, I, Lacey, J, Anstey, M et al. 2021, 'Understanding end-of-life care in Australian hospitals', Australian Health Review, vol. 45, no. 5, pp. 540-547.
- Wu, F, Dixon-Woods, M, Aveling, E et al. 2021, 'The role of the informal and formal organisation in voice about concerns in healthcare: A qualitative interview study', Social Science and Medicine, vol. 280.
- Anstey, M, Mitchell, I, Corke, C et al. 2021, 'Intensive care doctors and nurses personal preferences for Intensive Care, as compared to the general population: a discrete choice experiment', Critical Care, vol. 25, no. 287, pp. 1-7.
- Frame, A, Grant, J, Layard, E et al. 2021, 'Bereaved caregivers’ satisfaction with end-of-life care', Progress in Palliative Care, vol. 30, no. 4, pp. 1-9.
- Anstey, M, Mitchell, I, Corke, C et al. 2020, 'Population Preferences for Treatments When Critically Ill: A Discrete Choice Experiment', Patient, vol. 13, pp. 339ââ¬â346.
- Khalaf, A, Kecskes, Z, Georgousopoulou, E et al. 2020, 'Comparison of an early warning score to single-triggering warning system for inpatient deterioration: An audit of 4089 medical emergency calls', Resuscitation, vol. 154, pp. 7-9.
- Scholz, B, Goncharov, L, Emmerich, N et al. 2020, 'Clinicians' accounts of communication with patients in end-of-life care contexts: A systematic review', Patient Education and Counseling, vol. 103, no. 10, pp. 1913-1921.
- Scholz, B, Bevan, A, Georgousopoulou, E et al. 2019, 'Consumer and carer leadership in palliative care academia and practice: A systematic review with narrative synthesis', Palliative Medicine, vol. 33, no. 8, pp. 959-968.
- Rai, S, Anthony, L, Needham, D et al. 2019, 'Barriers to rehabilitation after critical illness: a survey of multidisciplinary healthcare professionals caring for ICU survivors in an acute care hospital', Australian Critical Care, vol. 33, no. 3, pp. 264-271.
- Forbat, L, Johnston, N & Mitchell, I 2019, 'Defining 'specialist palliative care': Findings from a Delphi study of clinicians', Australian Health Review, vol. 44, no. 2, pp. 313-321.
- Maubach, N, Batten, M, Jones, S et al 2019, 'End-of-life care in an Australian acute hospital: a retrospective observational study', Internal Medical Journal, vol. 49, no. 11, pp. 1400-1405.
- Rebel, A, Marzano, V, Green, M et al 2019, 'Mobilisation is feasible in intensive care patients receiving vasoactive therapy: An observational study', Australian Critical Care, vol. 32, no. 2, pp. 139-146.
- Rai, S, Brown, R, van Haren, F et al 2019, 'Long-term follow-up for Psychological stRess in Intensive CarE (PRICE) survivors: Study protocol for a multicentre, prospective observational cohort study in Australian intensive care units', BMJ Open, vol. 9, no. 1, pp. Article number e023310.
- Anstey, M, Litton, E, Trevenen, M et al 2019, 'The prevalence of perceptions of mismatch between treatment intensity and achievable goals of care in the intensive care unit: a cross-sectional study', Intensive Care Medicine, vol. 45, no. 4, pp. 459-467.
- Gunasekaran, B, Scott, C, Ducharlet, K et al 2019, 'Recognising and managing dying patients in the acute hospital setting: can we do better?', Internal Medicine Journal, vol. 49, no. 1, pp. 119-122.
- Anstey, M, Litton, E, Jha, N et al 2018, 'A comparison of the opinions of intensive care unit staff and family members of the treatment intensity received by patients admitted to an intensive care unit: A multicentre survey', Australian Critical Care, vol. 32, pp. 378-382.
- Martin, G, Aveling, E, Campbell, A et al 2018, 'Making soft intelligence hard: A multi-site qualitative study of challenges relating to voice about safety concerns', BMJ Quality and Safety, vol. 27, no. 9, pp. 710-717.
- Venkatesh, B, Mehta, S, Angus, D et al 2018, 'Women in Intensive Care study: a preliminary assessment of international data on female representation in the ICU physician workforce, leadership and academic positions', Critical Care, vol. 22, no. 211, pp. 1-9.
- Hoffman, K, Loong, B, Mitchell, I et al. 2018, 'Discrepancy between factors associated with long-term outcome in very old patients referred to the intensive care unit, and prevalence of treatment limitations', Anaesthesia and Intensive Care, vol. 46, no. 3, pp. 344-346pp.
- Batten, M, Nguyen, B, Burke, B et al 2018, 'End-of-life care of oncology inpatients: Are we getting it right?', Asia-Pacific Journal of Clinical Oncology, vol. 14, no. 5, pp. e528-e534pp.
- Marzano, V, Wang, J, Neeman, T et al 2018, 'Walking for the weekend – Is there a weekend effect for mobilisation practices in ICU? An observational study', Australian Critical Care, vol. 31, no. 2, pp. 1pp.
- Rebel, A, Marzano, V, Green, M et al 2018, 'Take a walk on the wild side - Mobilising ICU patients on vasoactive infusions: An observational study', Australian Critical Care, vol. 31, no. 2, pp. 1pp.
- Brock, C, Marzano, V, Wang, J et al 2018, 'What are the barriers to mobilising ICU patients in a low-sedation high-mobilisation unit? An observational study', Australian Critical Care, vol. 31, no. 2, pp. 1pp.
- Green, M, Marzano, V, Bissett, B et al 2018, 'Our patients, their experiences, their lives: What is life like 12 months after intensive care?', Australian Critical Care, vol. 31, no. 2, pp. 1pp.
- Brock, C, Marzano, V, Green, M et al. 2018, 'Defining new barriers to mobilisation in a highly active intensive care unit � have we found the ceiling? An observational study', Heart and Lung: Journal of Acute and Critical Care, vol. 47, no. 4, pp. 380-385.
- Siiteri, O, Mitchell, I & Robertson, S 2018, 'Quick sepsis-related organ failure assessment unlikely to aid in the identification of retrieval patients at risk of an adverse outcome', Australian Critical Care, vol. 31, no. 2, pp. 1pp.
- Anstey, M, Watts, N, Orford, N et al. 2017, 'Does anyone ever expect to die?', Anaesthesia and Intensive Care, vol. 45, no. 4, pp. 466-468.
- Kecskes, Z & Mitchell, I 2017, 'Teaching future doctors for modern health care', Medical Journal of Australia, vol. 206, no. 4, pp. 158-159pp.
- Tiruvoipati, R, Botha, J, Fletcher, J et al. 2017, 'Intensive care discharge delay is associated with increased hospital length of stay: A multicentre prospective observational study', PLOS ONE (Public Library of Science), vol. 12, no. 7, pp. 1-13.
- Kecskes, Z & Mitchell, I 2017, 'Introducing a new series on innovations in medical education', Medical Journal of Australia, vol. 206, no. 1, pp. 13-14pp.
- Bucknall, T, Harvey, G, Considine, J et al 2017, 'Prioritising Responses Of Nurses To deteriorating patient Observations (PRONTO) protocol: Testing the effectiveness of a facilitation intervention in a pragmatic, cluster-randomised trial with an embedded process evaluation and cost analysis', Implementation Science, vol. 12, no. 1, pp. -.
- Mitchell, I, Schuster, A, Lynch, T et al 2017, 'Why don't end-of-life conversations go viral? A review of videos on YouTube', BMJ Supportive & Palliative Care - BMJ Journals, vol. 7, no. 2, pp. 197-204.
- Batten, M, Nguyen, B, Burke, B et al. 2016, 'A RETROSPECTIVE AUDIT OF END-OF-LIFE CARE IN ONCOLOGY PATIENTS AT THE CANBERRA HOSPITAL', COSA's 43rd and ANZBCTG's 38th Annual Scientific Meetings. Partners for Progress in Breast Cancer Research and Care, Wiley-Blackwell Publishing Ltd, United Kingdom, pp. 116-116.
- Mitchell, I, Schuster, A, Smith, K et al 2016, 'Patient safety incident reporting: A qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human'', BMJ Quality and Safety, vol. 25, no. 2, pp. 92-99.
- Green, M, Marzano, V, Leditschke, I et al 2016, 'Mobilization of intensive care patients: A multidisciplinary practical guide for clinicians', Journal of Multidisciplinary Healthcare, vol. 9, pp. 247-256.
- Cardona-Morrell, M, Kim, J, Turner, R et al 2016, 'Non-beneficial treatments in hospital at the end of life: A systematic review on extent of the problem', International Journal for Quality in Health Care, vol. 28, no. 4, pp. 456-469pp.
- Stone, L, Douglas, K, Mitchell, I et al 2015, 'SEXUAL ABUSE OF DOCTORS BY DOCTORS PROFESSIONALISM COMPLEXITY AND THE POTENTIAL FOR HEALING', Medical Journal of Australia, vol. 203, no. 4, pp. 170-171.
- van Haren PhD, F, Cohen, J, McKee, A et al. 2015, 'Infection control in times of Ebola: How well are we training the next generation of intensivists in Australia and New Zealand?', Critical Care and Resuscitation, vol. 17, no. 2, pp. 65-66.
- Hargreaves, D, Greaves, F, Levay, C et al 2015, 'Comparison of Health Care Experience and Access Between Young and Older Adults in 11 High-Income Countries', Journal of Adolescent Health, vol. 57, no. 4, pp. 413-420.
- Peake, S, Delaney, A, Bailey, M et al 2014, 'Goal-directed resuscitation for patients with early septic shock', New England Journal of Medicine, vol. 371, no. 16, pp. 1496-1506.
- Zapasnik, K, Mitchell, I & Knight, D 2014, 'Using Modified Early Warning Scores to predict patients at risk of chorioamnionitis following preterm, prolonged rupture of membranes', Evidence Based Women's Health Journal, vol. 4, pp. 63-65.
- Parakh, S, Piggin, A, Neeman, T et al 2014, 'Outcomes of Haematology/Oncology patients admitted to Intensive Care Unit at The Canberra Hospital', Internal Medicine Journal, vol. 44, no. 11, pp. 1087-1094.
- Delaney, A, Peake, S, Bellomo, R et al 2013, 'Australasian Resuscitation In Sepsis Evaluation trial statistical analysis plan', Emergency Medicine Australasia, vol. 25, no. 5, pp. 406-415.
- Bellomo, R, Lipcsey, M, Calzavacca, P et al 2013, 'Early acid-base and blood pressure effects of continuous renal replacement therapy intensity in patients with metabolic acidosis', Intensive Care Medicine, vol. 39, no. 3, pp. 429-436.
- Delaney, A, Peake, S, Bellomo, R et al 2013, 'The Australasian Resuscitation in Sepsis Evaluation (ARISE) trial statistical analysis plan', Critical Care and Resuscitation, vol. 15, no. 3, pp. 162-171.
- Jones, D, Mitchell, I, Hillman, K et al 2013, 'Defining clinical deterioration', Resuscitation, vol. 84, no. 8, pp. 1029-1034.
- Iolovska, E, Bullard, H, Beckingham, W et al 2013, 'Vancomycin-resistant enterococci surveillance of intensive care patients: incidence and outcome of colonisation', Healthcare Infection, vol. 18, no. 3, pp. 115-120.
- McKay, H, Mitchell, I, Sinn, K et al 2013, 'Effect of a multifaceted intervention on documentation of vital signs and staff communication regarding deteriorating paediatric patients', Journal of Paediatrics and Child Health, vol. 49, no. 1, pp. 48-56.
- Leditschke, I, Green, M, Irvine, J et al 2012, 'What Are the Barriers to Mobilizing Intensive Care Patients?', Cardiopulmonary Physical Therapy Journal, vol. 23, no. 1, pp. 26-29.
- Finfer, S, Liu, B, Chittock, D et al 2012, 'Hypoglycemia and risk of death in critically ill patients', New England Journal of Medicine, vol. 367, no. 12, pp. 1108-1118.
- van Haren, F & Mitchell, I 2012, 'V1a receptor agonists: the search for clean and green alternatives to vasopressin', Critical Care Medicine, vol. 40, no. 6, pp. 1999-2000.
- Mitchell, I, Kulh, M & McKay, H 2011, 'Use of the modified early warning score in emergency medical units', Medical Journal of Australia, vol. 195, no. 8, pp. 448-448.
- Mitchell, I, McKay, H, Van Leuvan, C et al 2010, 'A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients', Resuscitation, vol. 81, no. 6, pp. 658-666.
- Finfer, S, Chittock, D, Yu Shuo Su, S et al 2009, 'Intensive versus Conventional Glucose Control in Critically Ill Patients', New England Journal of Medicine, vol. 360, no. 13, pp. 1283 - 1297.
- Webb, S, Pettila, V, Seppelt, I et al 2009, 'Critical Care Services and 2009 H1N1 Influenza in Australia and New Zealand', New England Journal of Medicine, vol. 361, pp. 1925 -1934.
- Van Leuvan, C & Mitchell, I 2008, 'Missed Opportunities? An observational study of vital sign measurements', Critical Care and Resuscitation, vol. 10, no. 2, pp. 111-115.
- Mitchell, I, Antoniou, B, Gosper, J et al 2008, 'A robust clinical review process: the catalyst for clinical governance in an Australian tertiary hospital', Medical Journal of Australia, vol. 189, no. 8, pp. 451-455.
- Doig, G, Simpson, F, Finfer, S et al 2008, 'Effect of Evidence-Based Feeding Guidelines on Mortality of Critically Ill Adults', JAMA: The Journal of the American Medical Association, vol. 300, no. 23, pp. 2731-2741.
- Mitchell, I, Knight, E, Gissane, J et al 2006, 'A Phase II Randomised Controlled Trial of Intensive Insulin Therapy in General Intensive Care Patients', Critical Care and Resuscitation, vol. 8, no. 4, pp. 289-293.
- Mitchell, I, Finfer, S, Bellomo, R et al 2006, 'Management of Blood Glucose in the Critically Ill in Australia and New Zealand: A Practice Survey and Inception Cohort Study', Intensive Care Medicine, vol. 32, no. 6, pp. 867-874.
Projects and Grants
Grants information is drawn from ARIES. To add or update Projects or Grants information please contact your College Research Office.
- Effective Communication during End of Life interactions at The Canberra Hospital (Secondary Investigator)
- Understanding End of Life Care in Acute Hospitals in Australia (Primary Investigator)
- CCCGPT Fund: provide prizes and/or scholarships to medical students with the aim of fostering an interest in rural general practice inclusive of Aboriginal Health (Secondary Investigator)
- 2014 Citation for Outstanding Contributions to Student Learning - Mitchell, Imogen (Primary Investigator)
