Site Changes — April 2026 Review

Summary

• 10 pages updated across the site
• 8 items pending — waiting on ZZ for content or confirmation
• Review date: 18–19 April 2026
• Reviewer: Professor Zhen Zheng, RMIT University

Home Page

• Hero text replaced. The opening subtitle now describes HAIF as a service implementation framework, introduces the PONV project, and mentions PANDA (Personalised Acupuncture in the Northern Hospital Emergency Department for Acute Pain) as a future example.
• Bottom Line box updated. Changed from "the only non-pharmacological interventions" to "effective non-pharmacological interventions" — a more accurate characterisation of the evidence. Scope broadened to include acute pain alongside PONV.
• Attribution added. Added to the About the Framework section: "HAIF is a collaborative innovation created by RMIT University and Northern Health, led by Professor Zhen Zheng."

About Page

• Collaborative attribution added to the Acknowledgements section: "HAIF is a collaborative innovation created by RMIT University and Northern Health, led by Professor Zhen Zheng."

Contact Page

• Email address updated. Changed from contact [at] hospitalacupuncture.com to [email protected]. (Ideally [email protected] once set up.)
• Response time statement removed. Deleted "Please allow up to five business days for a response."

Evidence Page

• Acupressure wristband cost updated in the modality characteristics table: ~$5 AUD → ~$8–$15 AUD per unit.
• Acupuncture needle cost updated: ~$0.05/needle → ~$0.10–$0.20/needle (~$0.60–$1.20 per treatment).
• Wristband evidence data labelled as provisional. A note has been added to the Acupressure Wristbands rows explaining that the current RR figures reflect PC6 acupressure broadly, not wristband-specific trials. Wristband-specific data will be updated when ZZ provides it. (Data pending — ZZ to supply)
• Three new references added (placeholder entries): PubMed PMIDs 35579002, 36153218, and 27158297. Full citation details to be confirmed by ZZ. (Citations pending — ZZ to confirm)

Resources & Downloads Page

• Phase 2, 3, and 4 checklist links removed. Only the Phase 1: Exploration Checklist file exists. Phases 2–4 now show "coming soon" instead of broken links.
• CARI readiness assessment scoring corrected. Previous text incorrectly stated "100 points total, minimum 15 per category." Correct scoring: 8 categories × 20 points = 160 total; threshold is 80% overall.
• PONV Data Extraction Template link replaced with "coming soon." ZZ has the file but needs to locate and send it. (File pending — ZZ to supply)
• Staff Survey Template link replaced with a reference to Zheng et al. and Faircloth (2014). ZZ to provide the actual survey instrument and confirm citation. (File and citation pending — ZZ to supply)

Framework — Phase 1: Exploration

• Wristband cost updated: ~$5 AUD → ~$8–$15 AUD per unit.
• Needle cost updated: ~$0.05 → ~$0.10–$0.20 per needle.
• CARI scoring corrected (same correction as Resources page): 8 categories × 20 points = 160 total; 80% threshold.
• Australian Hospital Survey citation added. Survey results (n=165) now reference "Zheng et al. (reference to be confirmed)." (Citation pending — ZZ to confirm)

Framework — Phase 4: Sustainment

• Phase 4 content gap acknowledged. A note has been added at the top of the page explaining that HAIF currently has limited published information for Phase 4, and that content will grow as experience accumulates.
• External factors bullet updated: "Evidence of peer hospital interest as external motivation" → "Evidence of peer hospital interest and implementation success as external motivations."
• Broken Phase 4 resource links removed. All four resource links (sustainment checklist, fidelity audit template, orientation guide, leadership template) replaced with "Phase 4 resources are in development."

Example: PONV Acupressure (Northern Hospital)

• Evidence attribution clarified. The wristband selection rationale now notes that the RR figures (nausea 0.60, vomiting 0.54) reflect PC6 acupressure broadly, and that wristband-specific data will be updated. (Data pending — ZZ to supply)
• Wristband cost updated: ~$5 AUD → ~$8–$15 AUD per unit.
• Staff survey citation added. The survey of 165 staff now references "Zheng et al. (reference to be confirmed)." (Citation pending — ZZ to confirm)
• CARI scoring corrected: "80+ points out of 100" → "8 categories × 20 points = 160 total; readiness threshold 80% overall."
• External factors bullet updated (same as Sustainment page above).
• Key Outcomes table updated. Cost row updated to $8–$15 AUD. Wristband-specific nausea and vomiting reduction rows now labelled as "PC6 acupressure evidence" with a note that wristband-specific data will be updated. (Data pending — ZZ to supply)
• Implementation Outcomes section added. New section covers implementation outcomes (PONV risk assessed; acupressure recorded in pre-operative checklist) and clinical outcomes (PONV incidence within 24 hours; rescue anti-emetic use).

For Hospital Administrators

• Wristband cost updated in the Bottom Line box and cost-effectiveness bullet: ~$5 AUD → ~$8–$15 AUD per unit.
• Needle cost updated: $0.05/needle → ~$0.10–$0.20/needle.
• CARI scoring corrected in the organisational readiness bullet.

FAQ Page

• Wristband cost updated across three FAQ answers: ~$5 AUD → ~$8–$15 AUD per unit.
• Needle cost updated in equipment FAQ: ~$0.05/needle → ~$0.10–$0.20/needle.
• CARI scoring corrected across two FAQ answers.

Pending Items — Waiting on ZZ

The following items cannot be completed until Professor Zhen Zheng provides content or confirmation.

1. Correct wristband-specific RR evidence data (to replace PC6 acupressure aggregate figures)
2. Full citation for PMID 35579002
3. Full citation for PMID 36153218
4. Confirm Zheng et al. staff survey citation (~2021, Acupuncture in Medicine, PMID 27158297)
5. Correct outcome measures / provide PONV protocol for Key Outcomes table
6. PONV Data Extraction Template file
7. Staff Survey instrument file
8. Setup of [email protected] email address

Structural Decisions Pending

These items require a joint decision between DW and ZZ.

1. Evidence table consolidation: Evidence appears in multiple pages in different formats. Should all pages point to one canonical source, or should each page maintain its own copy?
2. Clinical Decision Aid: The Step 3 modality selection table has a Nausea RR + Evidence column that ZZ says may not have valid data. Should the column be replaced with implementation barriers/facilitators?
3. Key Outcomes table on PONV page: Remove entirely, or keep with "data to be updated" markers?

Last reviewed: April 2026