HIRAID® Inpatient - Faculty of Medicine and Health
Nurse with patient

HIRAID® Inpatient

Improving the safety and quality of inpatient nursing care.
HIRAID® Inpatient will improve nursing assessment by introducing a new standard to the whole of patient nursing framework.

Each year, up to 16% of Australia’s 11.6 million hospital patients a year experience adverse events due to failure in preventing, recognising and responding to acute deterioration1.

Nurses play a crucial role in preventing and minimising these events by monitoring patients' vital signs, assessing risks, and recognising and responding to deterioration. Yet, the prevalence of adverse events persists, indicating existing nursing frameworks for ward nurses are insufficient.

A review of the international literature found no standardised validated structure to support inpatient nursing assessment and care after admission2.

We hypothesise HIRAID® Inpatient will address these issues by providing nurses with an evidence-based structured approach to nursing care in the hospital setting.

HIRAID® Inpatient builds on research from the five year NHMRC partnership grant HIRAID® ED where implementation of HIRAID improved nursing assessment, recognition and escalation of clinical deterioration, handover and patient experience.

“This project was born from hospital nurse managers that sought our assistance to optimise nursing assessment and escalation of patient care after seeing the success of HIRAID® in emergency departments,” said Professor Kate Curtis, founder and lead investigator of HIRAID®.

“So, with consumers and nurses from 35 different wards across 10 hospitals, we will codesign a new standardised, world-first, fit-for-purpose, ‘whole-of-patient’ nursing framework known as HIRAID-Inpatient.”

Phase 1 - 2025/26 We will collaborate with consumers, frontline nurses, health professionals and leadership (nurse managers, physicians and other key stakeholders to codesign and develop HIRAID® Inpatient as adaption of HIRAID®. Modified Delphi Study. Phase 2 - 2026/27 Inpatient staff will be surveyed and interviews conducted to develop an evidence-informed implementation strategy targeting sustained behaviour change. Explanatory mixed method study and focus groups. Phase 3 - 2026/29 HIRAID® Inpatient will be implemented in three large health services districts across NSW and Vic. The effectiveness and uptake of HIRAID® on patient, staff and health service outcomes will be measured. Modified step-wedge clustered randomised control trial.

HIRAID® Inpatient has nine partners:

  • HCF Research Foundation, 
  • Thyne Reid Foundation, 
  • National Health and Medical Research Council, 
  • Illawarra Shoalhaven Local Health District, 
  • Western Sydney Local Health District, 
  • Eastern Health, 
  • Australian Commission on Safety and Quality in Health Care, 
  • Safer Care Victoria and, 
  • the Australian College of Nursing. 

With their support, our research findings will be translated into a comprehensive implementation toolkit designed to upscale HIRAID® Inpatient across Australian public and private hospitals.

 

References
1. Australian Commission on Safety and Quality in Health Care. The state of patient safety and quality in Australian hospitals 2019. Accessed 2025.
2. Wiseman T, Kourouche S, Jones T, Kennedy B, Curtis K. The impact of whole of patient nursing assessment frameworks on hospital inpatients: A scoping literature review. Journal of Advanced Nursing. 2024;80:3448-63.