Working Group Research Articles

Codesigning culturally safe oral health care with First Nations Kidney Warriors experiencing kidney disease in South Australia

BackgroundThis paper describes how First Nations Kidney Warriors (Aboriginal and Torres Strait Islander people living with kidney disease), dental hygienists, kidney health care professionals, an Aboriginal hostel accommodation manager and researchers co-designed an approach to improve oral health in South Australia. Kidney Warriors have strong connection to Country, Community and family that underpins health, wellbeing and approaches to research. However, significant colonisation, racism and marginalisation have impacted Kidney Warriors’ social, cultural and financial determinants of health, leading to increased chronic conditions including kidney disease. Access to culturally safe, affordable and responsive oral health care is vital but challenging for First Nations Peoples undergoing dialysis and kidney transplantation; Australian oral health care is generally provided privately, in metropolitan centres, by professionals who may hold unconscious bias about First Nations Peoples and incorrect assumptions regarding equal access to care.MethodsThe AKction – Aboriginal Kidney Care Together Improving Outcomes Now kidney care oral health working group codesigned strategies to address disparities and gaps in care, and co-create more accessible, responsive, culturally safe and sustainable models of care. A decolonising and collaborative participatory action research was informed by Dadirri Deep Listening and Ganma Knowledge Sharing with repeated cycles of Look and Listen, Think and Discuss, Take Action Together. A small pilot evaluation survey of clinical placement in an Aboriginal setting was undertaken.ResultsFour phases of collaboration were undertaken. Community and health professional consultations identified key gaps and priorities. Clinical yarning and cultural safety training and an interprofessional skills day was co-facilitated. Dental hygienist student clinical placement at Kanggawodli Aboriginal Hostel was initiated and evaluated. First Nations Kidney Warriors were positioned as educators and experts of their own lives and health care needs. A new framework for kidney health—oral health cultural safety and clinical education was developed.ConclusionThis codesigned approach involving inter-professional collaboration and joint decision making with community members has significantly informed improvements in oral health care information, services and referral with and for First Nations Peoples with kidney disease. This project provides a working example of how to decolonise health service and education programs from the ground up.Trial registrationNHMRC PAR 2004389.

Small pelagic fish: new frontiers in ecological research

Populations of small pelagic fish (SPF), such as sardines, anchovies and herrings, support some of the largest marine fisheries globally and are critical for trophic transfer in large marine ecosystems and food security, particularly in low- to medium-income countries. Marked changes in population size, shifts in distribution on multiple time scales, and impacts on their populations from other pressures (e.g. overfishing, climate change) pose large challenges to sustainably manage these resources to avoid the serious socioeconomic and ecological impacts of population collapses. The ecology and management of SPF was discussed in an international symposium in Lisbon, Portugal, attracting participants from 38 countries and 6 continents. This Theme Section includes 18 research contributions examining SPF from 6 different ecological regions alongside 3 global analyses. These studies, including a wide range of topics from parasitology, behavior and trophodynamics to growth and spawning, provide important new knowledge that will improve science-based advice and tools needed for sustainable, ecosystem-based management of these resources. This symposium was an important milestone for a global working group and sowed the seeds for continued, globally coordinated research efforts on the role of SPF in complex socio-ecological systems.

Findings on celestial pole offsets predictions in the second earth orientation parameters prediction comparison campaign (2nd EOP PCC)

In 2021, the International Earth Rotation and Reference Systems Service (IERS) established a working group tasked with conducting the Second Earth Orientation Parameters Prediction Comparison Campaign (2nd EOP PCC) to assess the current accuracy of EOP forecasts. From September 2021 to December 2022, EOP predictions submitted by participants from various institutes worldwide were systematically collected and evaluated. This article summarizes the campaign's outcomes, concentrating on the forecasts of the dX, dY, and dψ, dε components of celestial pole offsets (CPO). After detailing the campaign participants and the methodologies employed, we conduct an in-depth analysis of the collected forecasts. We examine the discrepancies between observed and predicted CPO values and analyze their statistical characteristics such as mean, standard deviation, and range. To evaluate CPO forecasts, we computed the mean absolute error (MAE) using the IERS EOP 14 C04 solution as the reference dataset. We then compared the results obtained with forecasts provided by the IERS. The main goal of this study was to show the influence of different methods used on predictions accuracy. Depending on the evaluated prediction approach, the MAE values computed for day 10 of forecast were between 0.03 and 0.16 mas for dX, between 0.03 and 0.12 mas for dY, between 0.07 and 0.91 mas for dψ, and between 0.04 and 0.41 mas for dε. For day 30 of prediction, the corresponding MAE values ranged between 0.03 and 0.12 for dX, and between 0.03 and 0.14 mas for dY. This research shows that machine learning algorithms are the most promising approach in CPO forecasting and provide the highest prediction accuracy (0.06 mas for dX and 0.08 mas for dY for day 10 of prediction).Graphical abstract

Exploring Group Work Strategies to Teach Computer Programming: A Case Study of First-Year and Extended Programme Students at One South African University

Exploring Group Work Strategies to Teach Computer Programming: A Case Study of First-Year and Extended Programme Students at One South African University

Teaching with an adaptive technology

In this paper we present the first findings from a 4 year longitudinal study that investigates the interplay between an adaptive learning technology and educators and students in a nurse education in Denmark. With inspiration from grounded theory we analyse data from 14 hours of classroom observations supplemented by educator interviews, student surveys and mini interviews with students. In the paper we focus on the role of a new technology in the classroom: we ask how data reports from an adaptive learning technology influence educators’ preparations for classroom activities, and we ask how students' technology acceptance evolves over time. Analyzing our data we see three main themes emerge that contributes to answer the research question: Interpretative inclinations: The adaptive technology contributes to planning the lessons with a recurring inclination in practice: wrong answers lead to more educator presentations, and correct answers lead to student-centred group work during class. Implicit comparisons: The use of data reveals the educator’s expectations and assumptions when she implicitly compares the data on the students with her intuition, and when she compares the technology with the physical book. The implicit comparisons make the use of data challenging for the educator. Reverse adoption: The students find it hard to grasp the intention of the adaptive technology, but they accept and learn to adapt and appreciate it over time. In contrast to e.g. Rogers’ technology acceptance theory we find that the adaptive learning technology cannot be evaluated per se: in order to describe how a learning technology is accepted and what role it comes to play in an educational context, the parameter of time is mandatory to include in the research design.

GameTable Working Group 1 meeting report on search, planning, learning, and explainability

The inaugural in-person meeting for the “GameTable” COST Action’s Working Group 1 (WG1) on Search, Planning, Learning, and Explainability took place at the Leiden Institute of Advanced Computer Science (LIACS) on January 31st, 2024. The primary aims of this meeting were to facilitate talks and discussions on, and connect researchers interested in, three core research goals: (1) human-like game-playing AI, (2) imperfect-information games within a general game playing context, and (3) explainable search and reinforcement learning in games. This report provides a summary of the discussions and talks that took place during the meeting.

Quality performance indicators for oesophageal and gastric cancer: ANZ expert Delphi consensus.

Quality performance indicators for the management of oesophagogastric cancer can be used to objectively measure and compare the performance of individual units and capture key elements of patient care to improve patient outcomes. Two systematic reviews were completed to identify evidence-based quality performance indicators for the surgical management of oesophagogastric cancer. Based on the indicators identified, a two-round modified Delphi process with invitations was sent to all members of the Australia and Aotearoa New Zealand Gastric and Oesophageal Surgery Association. The expert working group discussed each suggested indicator and either removed, added, or adjusted the list of indicators of oesophagogastric cancer. The final list of both OG cancer indicators included Specialized Multi-disciplinary team discussion, Endoscopy documentation, Staging Contrast CT Chest/Abdomen and Pelvis, Neoadjuvant or Adjuvant chemo/radiotherapy administered in accordance with the Local multi-disciplinary team, Pathological margin clearance (R0 Resection), Lymphadenectomy retrieving 15 or more nodes, Formal review of pathological findings and documentation, Postoperative complications, 30-day and 90-day postoperative mortality, clinical surveillance and Specialized Dietetic guidance. Indicators specific to gastric cancer included Preoperative biopsy for pathological diagnosis and Staging Laparoscopy. Indicators specific to oesophageal cancer include positron emission tomography scan if CT negative for metastasis, Perioperative Oesophagectomy Care Pathway, length of stay of 21 days or more, and Unplanned readmission within 30 days. The results of this study present a core set of indicators for the surgical management of oesophagogastric cancer that can be used to measure quality and compare performance between different units.

Development of a standardized set of outcomes for autism spectrum disorder: The International Consortium for Health Outcomes Measurement (ICHOM)

BackgroundAutism spectrum disorder (ASD) is characterized by persistent deficits in reciprocal social interaction, communication, and restricted, repetitive, behaviour, that are atypical or excessive for the individual’s age and sociocultural context (Diagnostic and Statistical Manual 5th ed TR.; 2022). The rate of ASD continues to increase and remains a concern due to inequitable access to diagnosis and quality services. A lack of standardization in assessment and treatment presents further difficulty in benchmarking and improving care. MethodThe International Consortium for Health Outcomes Measurement (ICHOM) recruited a Working Group (WG) of 20 subject matter experts, including researchers, clinicians, policy makers, and lived-experience experts to identify a minimum set of measurable outcomes along with case mix variables (i.e., risk adjustment factors). A proposed set of Patient Centered Outcome Measures (henceforth known as the ASD Set) was identified and endorsed using a modified Delphi process to reach consensus. ResultsThe WG took into consideration variation in global health, social care and educational systems were considered to ensure implementation of the ASD Set is feasible. The Set includes a core set of measurable outcomes (i.e., domains) that include core symptoms, daily functioning, accessibility, and support. ConclusionsThe ICHOM ASD Set is a scientifically-sound, internationally vetted tool that will enable assessment of care for individuals with ASD that can facilitate targeted, person-centered clinical and social inclusion strategies. Large scale implementation and use should generate standardized data describing the individual's health and wellbeing that can inform decision-making, quality improvement and best-practices insights.

CAR/CETARS/CSAR Practice Guideline on Imaging the Adult Patient With Right Lower Quadrant Pain.

In 2023, the Canadian Society of Abdominal Radiology (CSAR) and Canadian Emergency, Trauma, and Acute Care Radiology Society (CETARS) received Canadian Association of Radiologists (CAR) member feedback that there was an unmet educational need for guidance in the imaging investigation of right lower quadrant (RLQ) pain. Members requested specific guidance on how to handle controversial scenarios including which test to order when, specifics of imaging protocols, and managing pregnant patients who have RLQ pain-all from a Canadian perspective. After conducting an exhaustive literature review, the working group agreed that a Canadian-specific set of guidelines was warranted. The management recommendations presented in this guideline were discussed as a group to achieve expert consensus. As the workup for RLQ pain can vary considerably in the paediatric population, the scope of this paper was restricted to adults (18 years of age or older). Whenever possible, the best evidence was used to inform the clinical guidance, and where gaps existed, the guidelines reflect consensus among experts in the field. The result is a framework to aid in this process of managing patients with RLQ pain across various clinical scenarios while addressing current questions and controversies, particularly those most relevant to the Canadian healthcare system.

Association between physical, cognitive, and social activities with the incident of sarcopenia among community-dwelling older adults: a 4-year longitudinal study.

The purpose of the present study was to comprehensively examine the association between inadequate physical activity (PA), cognitive activity (CA), and social activity (SA) and the development of sarcopenia. We conducted a two-wave survey. In the first-wave survey, we asked participants five questions for each of the three categories-PA, CA, and SA. The low-activity group was defined as those who fell into the decline category for one or more of the five questions. In both Wave 1 and Wave 2, we assessed the sarcopenia status of our participants. The revised definition of the European Working Group on Sarcopenia in Older People 2 was used to determine sarcopenia, and the Asian Working Group for Sarcopenia criteria were used for cut-off points for muscle mass, grip strength, and walking speed. In the second wave, we were able to follow 2,530 participants (mean age 75.0 ± 4.7years, 47.8% men). A multivariable logistic regression showed that low-PA participants face a higher risk of incident sarcopenia, both before and after multiple imputations (odds ratio [OR] 1.62, 95%confidence interval (CI) 1.22-2.15 before imputation; OR 1.62, 95% CI 1.21-2.18 after imputation); the low-SA group also showed a higher risk of incident sarcopenia both before and after multiple imputations (OR 1.31, 95% CI 1.05-1.64 before imputation; OR1.33, 95% CI 1.07-1.65 after imputation). Each low PA and SA independently led to incident sarcopenia late in life. Encouraging not only PA, but also SA, may be effective to prevent sarcopenia among older adults.

East Meets West: Perceptions of Teachers and Students of Secondary Reform in China in 2012 and 2022

This mixed-methods study compares how secondary teachers implemented Education Reform in China in 2012 and 2022. The survey asked how often a teaching or evaluation strategy was used. The conclusions indicate that even though teacher-directed lessons (teacher talk, individual work, and questioning) still dominated, subject teachers were using a variety of student-centered learning (SCL) methods (activities and group work) and integration of technology (ICT) in accordance with reform initiatives. Surveys also revealed that classroom management needs decreased as a result of the reforms. The problem lies with the examination system, as there is little room for introducing reform initiatives.

Advancing Racial Equity with the Aquarium Conservation Partnership

ABSTRACT Historic and present-day systemic racism frequently excludes Black, Indigenous, and people of color (BIPOC) from engaging in aquarium efforts toward conservation, research, advocacy, and education. But to realize the conservation missions of aquariums—creating a more equitable and sustainable world in which people and nature thrive—we need a diversity of perspectives and voices driving adaptive, lasting solutions. In this article, the co-authors describe how a diverse coalition of U.S. aquariums is working to integrate racial justice with their conservation initiatives and to transform their sector. They outline the formation of the Aquarium Conservation Partnership (ACP) Equity Work Group, progress toward an ACP Equity Commitment, and the restructuring of ACP governance. They describe how these efforts, like equity work across the broader cultural attractions sector, have been imperfect and uncertain; but they yield lessons that may provide reassurance, encouragement, and guidance to similar coalitions committed to racial equity.

Transfer functions for QA /QB international regulatory limits for the safe transport of radioactive materials

This paper presents a proposed revision of the International Atomic Energy Agency transport regulations, related to the A 1 and A 2 limit values used to determine the radioactive transport classification. Based on the ‘Q system’, a novel methodology was introduced to derive QA and QB values related to scenarios involving external exposure from a distant source. These values are key parameters that respectively represent the total effective dose and total equivalent dose to the skin, from all primary and secondary particles contributing to radiation exposure. The International Working Group (WG A 1/A 2) is established and associated with the TRANSSC Technical Expert Group on Radiation Protection. A review of the A 1 and A 2 values is performed in response to identified limitations within the existing Q system. The followed approach is based on Monte Carlo simulations that enabled the development of transfer functions aimed at reducing computational time and increasing the flexibility of dose evaluations for any radionuclide with known particle emission spectra. This method allows updating the QA and QB values to account for future data evolutions (decay data, fluence-to-dose conversion coefficients) and standardizing the calculation of regulation limits across all referenced radionuclides and scenarios related to external exposure. The transfer functions are established using three Monte Carlo simulation codes—FLUKA, Geant4, and MCNP—and address the previous limitations of the ‘Q system’, reflecting the latest International Commission for Radiation Protection recommendations and improvements in calculation techniques. The results of the WG show consistent agreement across the codes, with minor discrepancies observed at low primary energies due to statistical uncertainties and different handling of stopping power for electrons/positrons in the codes. This revised approach aligns with current standards and recommendations, ensuring that the radiological consequences of transport accidents are acceptable for the new A 1 and A 2 limits from a radiological protection perspective.

Investigation of Burnout Levels of Special Education Teacher Candidates

The current research is to examine the burnout levels of special education teacher candidates. This study used a correlational survey design. 311 teacher candidates studying in the special education department in Turkiye in the 2023-2024 academic year participated in the research. The research data were collected through the Maslach Burnout Inventory-Student Form (MTE-Student Form). The analysis of the obtained data was carried out through the statistical package program. Independent groups t-test was used to reveal the differences in variables related to the gender of the teacher candidates, their satisfaction with the special education teaching department they studied in, and their interaction with individuals with special needs in the past. One-way analysis of variance ANOVA was used to determine the differentiation in terms of variables related to the grade level of education. In cases where differentiation was understood, the Tukey test was used to reveal the reason for the differentiation and to control the difference between the means. As a result of the research, it is revealed that there is a significant difference (p˂0.05) between the gender, grade level, satisfaction with the special education department and interaction with individuals with special needs in the past and burnout levels of pre-service teachers. In order to reduce burnout in pre-service special education teachers, personal achievement and skills of these individuals should be developed, activities that encourage learning should be included and group work should be included.

Specifics of the embodiment of European genre models in Chinese piano music as the basis of performance stylistics

Statement of the problem. A performer who gives “new life" to a composer’s work lets the sound world of music pass through him. In this process, the genre-stylistic “inclination” of the work becomes a signpost on the way to the realization and improvement of its performance style. The article accents the significant of the relating the genre and performance stylistics. From this viewpoint, the Chinese piano works based on the European genre models are considered in the article. Objectives, methods, and novelty of the research. The relationship between the genre and the performance style of the piano works of Chinese composers has been out of the focus of musicologists’ attention until today. The purpose of the article is to consider the specifics of the embodiment of European genre models (such as prelude, sonata, variations) in Chinese piano music as the basis of their performance stylistics. Achieving the goal required a systematic musicological approach and the involvement of historical-typological, musicalaesthetic, genre-stylistic, structural-functional, and interpretative research methods. Research results and conclusion. The samples of Chinese piano music (preludes, sonatas, variations) demonstrate that the specified group of works preserved their constant genre features, while the nationally directed means of expression were adapted to the norms of the European genre matrix, which in many ways contradicted the national ideas and mental foundations of Chinese musical art. The piano prelude genre has become very popular in the works of Chinese composers. All elements of the national musical style, closely related to the deep roots of Chinese musical and, more broadly, artistic thinking, are involved in the process of “concentrating” energy in miniature form with special laconic and aphoristic expression. The complex large-scale structure of the sonata genre promotes the principle of “activity”, offering the performer various musical ideas and emotions. The mental foundations of Chinese art were significantly adapted, especially in the first part – the sonata allegro, where tonal, figurative and textural contrast is the basis of the interaction of themes. New methods of folklore implementation, in which the role of language-creating and form-creating attitudes is growing, have a perceptible influence on the sonata work of Chinese composers. The European genre model of variations reveals new prospects for its development in combination with a freer national model of variations inherent in Chinese music. There is a peculiar “rational” approach to free variation, “ordering” according to the textural, tonal, figurative principle. Thus, the ccomposers try to “inscribe” national mode and intonation means of expression and performance techniques into the structure of the European genre. At the same time, under the influence of the Chinese traditional system of thinking, European genre models receive a certain “national” interpretation, although the features of a specific sample of the European genre remain as dominant, which determines the style of performing these composition. Such works – diverse and interesting – serve to develop the pianist’s performance skills and gain the widest recognition in the repertoire of many contemporary performers.

The frequency of cachexia and its associated factors in elderly diabetic patients with chronic diseases: A study using the diagnostic criteria of the Asian Working Group for Cachexia

To evaluate the frequency of cachexia and its associated factors using the Asian Working Group for Cachexia (AWGC) criteria in elderly patients with diabetes and chronic diseases. The subjects were diabetic outpatients of ≥65 years of age who were managed at Ise Red Cross Hospital. Patients with chronic disease (chronic heart failure, cancer, or chronic renal failure). Cachexia was evaluated based on the AWGC criteria and was defined as a body mass index (BMI) <21 kg/m2 and one or more of the following: anorexia, elevated C-reactive protein, and decreased grip strength. A logistic regression analysis was used to identify cachexia-related factors, with cachexia as the dependent variable, and various variables (basic attributes, blood glucose-related parameters, diabetic complications, comorbidities, and treatment) as explanatory variables. Two hundred forty-two patients (male, n=164; female, n=78) were included in the study. Forty patients (16.5%) had cachexia. A logistic analysis revealed that age (odds ratio (OR), 1.16; P<0.001), type 1 diabetes (OR, 15.25; P=0.002), diabetic retinopathy (OR, 5.72; P=0.001), and physical frailty (OR, 7.06; P<0.001) were associated with cachexia. Elderly diabetics with chronic diseases were more likely to have cachexia. According to the AWGC criteria, the frequency of cachexia was 16.5% in elderly patients with diabetes and chronic diseases. Additionally, type 1 diabetes, diabetic retinopathy, age, and physical frailty were identified as factors associated with cachexia. In elderly diabetes patients with chronic diseases, it is therefore important to raise awareness regarding cachexia when these related factors are diagnosed.

Undernutrition and sarcopenic obesity according to the GLIM criteria phenotype in elderly patients with diabetes

To evaluate the frequency of malnutrition and sarcopenic obesity in elderly patients with diabetes according to the Global Leadership Initiative on Malnutrition (GLIM) phenotypes. The subjects were outpatients with diabetes who were ≥65 years of age and were managed at Ise Red Cross Hospital. Undernutrition was assessed and categorized into the following GLIM criteria phenotypes: (1) no undernutrition, (2) undernutrition (weight loss or low body mass index [BMI]/no low appendicular skeletal muscle mass index [ASMI]), (3) undernutrition (no weight loss or no low BMI/low ASMI), and (4) undernutrition (weight loss or low BMI/low ASMI). Sarcopenia was diagnosed according to the definition of the Asian Working Group for Sarcopenia 2019, and obesity was diagnosed based on the body fat percentage. In total, 490 patients were included in the analysis. The frequency of undernutrition was 29.0%, and the frequency of undernutrition according to the GLIM criteria phenotypes was as follows: weight loss or low BMI/no low ASMI group, 10.6%; no weight loss and no low BMI/low ASMI group, 9.8%; and weight loss or low BMI/low ASMI group, 8.6%. The frequency of sarcopenic obesity was 7.3%, with the majority of cases found in the no weight loss or no low BMI/low ASMI groups. The frequency of undernutrition and sarcopenic obesity in elderly patients with diabetes, according to the GLIM phenotypes, was revealed. It is important to pay attention not only to weight loss and low BMI, but also to undernutrition and sarcopenic obesity with reduced skeletal muscle mass when diagnosing undernutrition in elderly diabetic patients.

Collecting Sociodemographic Data in Pediatric Emergency Research: A Working Group Consensus.

Understanding and addressing health care disparities relies on collecting and reporting accurate data in clinical care and research. Data regarding a child's race, ethnicity, and language; sexual orientation and gender identity; and socioeconomic and geographic characteristics are important to ensure equity in research practices and reported outcomes. Disparities are known to exist across these sociodemographic categories. More consistent, accurate data collection could improve understanding of study results and inform approaches to resolve disparities in child health. However, published guidance on standardized collection of these data in children is limited, and given the evolving nature of sociocultural identities, requires frequent updates. The Pediatric Emergency Care Applied Research Network, a multi-institutional network dedicated to pediatric emergency research, developed a Health Disparities Working Group in 2021 to support and advance equitable pediatric emergency research. The working group, which includes clinicians involved in pediatric emergency medical care and researchers with expertise in pediatric disparities and the conduct of pediatric research, prioritized creating a guide for approaches to collecting race, ethnicity, and language; sexual orientation and gender identity; and socioeconomic and geographic data during the conduct of research in pediatric emergency care settings. Our aims with this guide are to summarize existing barriers to sociodemographic data collection in pediatric emergency research, highlight approaches to support the consistent and reproducible collection of these data, and provide rationale for suggested approaches. These approaches may help investigators collect data through a process that is inclusive, consistent across studies, and better informs efforts to reduce disparities in child health.

A Pain in the Pilot.

Multi-agency guidelines recommend use of a functional pain assessment tool as an objective assessment of pain, rather than relying on a subjective verbal rating scale. This project was created to address issues managing Patients' pain in inpatient settings. The project aimed to answer: 'How can we adopt the use of a Functional Pain Assessment into our clinical practice, optimising its effectiveness for ALL patient groups in our inpatient ward areas?' Output from multi-disciplinary working group: two electronic documents were created - Pain Assessment Tool and Pain Observations Chart: for staff to document routine pain observations. Five wards participated in the pilot study, with training/support provided. Result: Staff and patients preferred the new approach, compared to previous pain documentation method. However, documentation compliance was not as good as expected. Pilot proved the concept, documents are effective in pain management, but more education and support is needed to embed cultural shift.

Streamlining electronic reporting of serious adverse events (SAEs) using the REDCap data collection system: the eSAE Project

BackgroundIt is essential that electronic data collection (EDC) systems are both compliant with regulations and the principles of Good Clinical Practice (GCP) to allow for the timely and accurate reporting of data including safety data. For clinical trials of investigational medicinal products (CTIMPs), investigators must immediately report to the sponsor any serious adverse event (SAE) that occurs in a site for which they are responsible. It is therefore expected that sponsors provide systems for timely review and reporting should a SAE be classified as a suspected unexpected serious adverse reaction (SUSAR). Challenges arise when data related to adverse events (AEs) needs to be re-entered for SAEs; this can be prone to error and may delay reporting. Additionally, recognising what has changed from an initial SAE report when an investigator responds to queries raised can cause errors.MethodA multi-disciplinary working group came together from a UK academic clinical trials unit (CTU) to establish if an electronic system could be created in the unit’s open-source EDC system—REDCap, to manage SAEs in an efficient way.ResultsA module has been created in REDCap to facilitate electronic SAE reporting: enabling an AE form to automatically trigger an SAE form for any AE which is also a SAE, prepopulating relevant fields of the SAE form, reducing the risk of delay and error when entering data into the SAE form. The system has also been developed with an embedded code to allow for instant visual recognition of any data updated following reporting to allow the sponsor to immediately review and resolve SAEs in a timely manner, complying with UK regulatory reporting. This functionality ‘The eSAE Project’ is now an active project for all of our new trials where data collection is undertaken using the REDCap system.ConclusionThe eSAE Project coded into REDCap offers a unique way of populating SAE forms with information already entered in the initial AE forms as applicable, coupled with highlighting any updates during the lifetime of the SAE for sponsors to identify any new information that needs to be reassessed to process and report the SAE.