James Malycha

James Malycha

Adelaide Medical School

Faculty of Health and Medical Sciences

Dr James Malycha completed his undergraduate degree at the University of Adelaide in 2004. Dr Malycha undertook his basic Intensive Care Medicine training at St Vincent's Hospital, Melbourne from 2010 - 2013 before moving to continue his advanced training in Oxford, UK from 2014 - 2019. Dr Malycha was appointed as Clinical Research Fellow within the Kadoorie Centre for Critical Care Research and Education, University of Oxford, and began his PhD in January 2017, which was been conducted with financial and academic support from the University of Oxford and University of Adelaide. He became a Fellow of the Intensive Care Society of Australia and New Zealand in 2018 and a Locum Consultant at the John Radcliffe Hospital, Oxford in 2019. Dr Malycha was appointed Consultant at the Queen Elizabeth Hospital in 2020 and the Royal Adelaide Hospital in 2022. He currently Chairs the Medical Emergency Response Committee at the TQEH. Dr Malycha is active in research in the field of patient deterioration, rapid response systems, prognostic risk algorithms, health systems analysis and user interface development for digital clinical tools. He aims to improve patient care for those most at risk of avoidable adverse events while in hospital, to increase safety, efficiency and effectiveness of hospital systems and to harness the power of electronic patient record data to improve patient care.

James Malycha is a full time intensive care consultant within Central Adelaide Local Health Network (CALHN) and the lead researcher on the CALHN Critical Care Informatics Project. James research is aimed at enabling high quality critical care informatics and artificial intelligence to improve patient care.  

 

  • Appointments
    Date Position Institution name
    2021 - ongoing Clinical Senior Lecturer University of Adelaide
    2021 - ongoing Adjunct Clinical Lecturer University of South Australia
    2020 - 2021 Deputy Chief Medical Information Officer SA Health
    2019 - ongoing Consultant SA Health
    2019 - ongoing Honorary Clinical Research Fellow University of Oxford
    2017 - 2019 Clinical Research Fellow University of Oxford
    2011 - 2012 Residential Tutor and Faculty Member University of Melbourne

  • Awards and Achievements
    Date Type Title Institution Name Country Amount
    2019 Research Award The Thomas Willis Early Career Research Prize (Runner-Up) University of Oxford, Nuffield Department of Clinical Neurosciences, United Kingdom 500 GBP
    2018 Award Oxford Regional Intensive Care Society Spring Meeting, Best Poster, Foundation Doctor Poster Prize (Supervisor) Oxford University Hospitals Trust United Kingdom -
    2018 Award Best of the Abstracts The International Society of Rapid Response Systems and The National Outreach Forum, Rapid Response 2018 Conference, United Kingdom -
    2005 Award Department of Imaging: Resident/Intern Prize Royal Perth Hospital Australia -

  • Education
    Date Institution name Country Title
    2018 College of Intensive Care Medicine Australia FCICM
    2017 - 2022 University of Adelaide Australia PhD
    2004 University of Adelaide Australia MBBS

  • Certifications
    Date Title Institution name Country
    2014 Focused Intensive Care Echocardiography Intensive Care Society United Kingdom
    2003 Certificate of Teaching English as a Foreign Language Oxford TEFL -

  • Research Interests
    Emergency & Critical Care Medicine Health Informatics Medical Informatics

  • Journals
    Year Citation
    2024 Van Der Vegt, A. H., Campbell, V., Mitchell, I., Malycha, J., Simpson, J., Flenady, T., . . . Scott, I. A. (2024). Systematic review and longitudinal analysis of implementing Artificial Intelligence to predict clinical deterioration in adult hospitals: What is known and what remains uncertain. Journal of the American Medical Informatics Association, 31(2), 509-524.
    DOI Scopus7 Europe PMC4
    2024 Soares, J., Leung, C., Campbell, V., Van Der Vegt, A., Malycha, J., & Andersen, C. (2024). Intensive care unit admission criteria: a scoping review. Journal of the Intensive Care Society, 25(3), 296-307.
    DOI Scopus1
    2024 Hastak, P., Cromer, D., Malycha, J., Andersen, C. R., Raith, E., Davenport, M. P., . . . Sasson, S. C. (2024). Defining the correlates of lymphopenia and independent predictors of poor clinical outcome in adults hospitalized with COVID-19 in Australia. Scientific Reports, 14(1), 10 pages.
    DOI Scopus2 Europe PMC1
    2024 Tsang, J. N. J., Bacchi, S., Ovenden, C. D., Goh, R., Kovoor, J. G., Gupta, A. K., . . . Malycha, J. (2024). Meeting medical emergency response criteria for hypertension is not associated with an increased likelihood of in-hospital mortality in a tertiary referral center. Resuscitation Plus, 19, 4 pages.
    DOI
    2024 Tyagi, D., Tan, S., Kovoor, J. G., Stretton, B., To, M. S., Goh, R., . . . Bacchi, S. (2024). In-hospital mortality is associated with observation-chart modifications. Australian Critical Care, 37(6), 837-838.
    DOI
    2023 Dishnica, N., Vuong, A., Xiong, L., Tan, S., Kovoor, J., Gupta, A., . . . Bacchi, S. (2023). Single count breath test for the evaluation of respiratory function in Myasthenia Gravis: A systematic review.. J Clin Neurosci, 112, 58-63.
    DOI Scopus5 Europe PMC1
    2023 Kovoor, J. G., Bacchi, S., Gupta, A. K., Stretton, B., Malycha, J., Reddi, B. A., . . . Maddern, G. J. (2023). The Adelaide Score: An artificial intelligence measure of readiness for discharge after general surgery. ANZ Journal of Surgery, 93(9), 2119-2124.
    DOI Scopus12 WoS1 Europe PMC1
    2023 Wiseman, T. J., Tan, S., Stretton, B., Kovoor, J., Gupta, A., Fabian, J., . . . Bacchi, S. (2023). Double or nothing: Costs of duplicate haematinic ordering in medical inpatients.. Transfus Med, 33(5), 423-425.
    DOI
    2023 Kovoor, J. G., Bacchi, S., Gupta, A. K., Stretton, B., Nann, S. D., Aujayeb, N., . . . Maddern, G. J. (2023). Surgery's Rosetta Stone: Natural language processing to predict discharge and readmission after general surgery. Surgery (United States), 174(6), 1309-1314.
    DOI Scopus7 Europe PMC2
    2022 Malycha, J., Redfern, O., Pimentel, M., Ludbrook, G., Young, D., & Watkinson, P. (2022). Evaluation of a digital system to predict unplanned admissions to the intensive care unit: A mixed-methods approach. Resuscitation Plus, 9, 1-7.
    DOI Scopus1
    2022 Malycha, J., Bacchi, S., & Redfern, O. (2022). Artificial intelligence and clinical deterioration. Current Opinion in Critical Care, 28(3), 315-321.
    DOI Scopus7 Europe PMC4
    2022 Malycha, J., Andersen, C., Redfern, O. C., Peake, S., Subbe, C., Dykes, L., . . . Jones, D. (2022). Protocol describing a systematic review and mixed methods consensus process to define the deteriorated ward patient. . BMJ open, 12(9), e057614.
    DOI Scopus1 Europe PMC1
    2021 Wronikowska, M. W., Malycha, J., Morgan, L. J., Westgate, V., Petrinic, T., Young, J. D., & Watkinson, P. J. (2021). Systematic review of applied usability metrics within usability evaluation methods for hospital electronic healthcare record systems. Journal of Evaluation in Clinical Practice, 27(6), 1403-1416.
    DOI Scopus28 Europe PMC14
    2021 Pimentel, M. A. F., Redfern, O. C., Malycha, J., Meredith, P., Prytherch, D., Briggs, J., . . . Watkinson, P. J. (2021). Detecting deteriorating patients in the hospital: Development and validation of a novel scoring system. American Journal of Respiratory and Critical Care Medicine, 204(1), 44-52.
    DOI Scopus42 Europe PMC26
    2020 Malycha, J., Murphy, D., Barker, G., Ludbrook, G., Young, J. D., & Watkinson, P. J. (2020). Using real-time location devices (RTLD) to quantify off-unit adult intensive care registrar workload: a 1-year tertiary NHS hospital prospective observational study. Journal of Clinical Monitoring and Computing, 34(4), 805-809.
    DOI Scopus1
    2019 Pimentel, M. A. F., Smith, G. B., Redfern, O. C., Gerry, S., Collins, G. S., Malycha, J., . . . Watkinson, P. J. (2019). Reply to: NEWS2 needs to be tested in prospective trials involving patients with confirmed hypercapnia. Resuscitation, 139, 371-372.
    DOI
    2019 Pimentel, M. A. F., Redfern, O. C., Gerry, S., Collins, G. S., Malycha, J., Prytherch, D., . . . Watkinson, P. J. (2019). A comparison of the ability of the National Early Warning Score and the National Early Warning Score 2 to identify patients at risk of in-hospital mortality: a multi-centre database study. Resuscitation, 134, 147-156.
    DOI Scopus108 WoS87 Europe PMC65
    2019 Subbe, C., Bannard-Smith, J., Bunch, J., Champunot, R., DeVita, M., Durham, L., . . . Welch, J. (2019). Corrigendum to “Quality metrics for the evaluation of Rapid Response Systems: Proceedings from the third international consensus conference on Rapid Response Systems” [Resuscitation 141 (2019) 1–12](S0300957219301807)(10.1016/j.resuscitation.2019.05.012). Resuscitation, 145, 93-94.
    DOI
    2019 Subbe, C. P., Bannard-Smith, J., Bunch, J., Champunot, R., DeVita, M. A., Durham, L., . . . Welch, J. (2019). Quality metrics for the evaluation of Rapid Response Systems: Proceedings from the third international consensus conference on Rapid Response Systems. Resuscitation, 141, 1-12.
    DOI Scopus51 WoS35 Europe PMC21
    2019 Smith, G. B., Redfern, O. C., Pimentel, M. A. F., Gerry, S., Collins, G. S., Malycha, J., . . . Watkinson, P. J. (2019). The National Early warning Score 2 (NEWS2). Clinical Medicine, Journal of the Royal College of Physicians of London, 19(3), 260.
    DOI Scopus85 Europe PMC60
    2019 Malycha, J., Bonnici, T., Clifton, D. A., Ludbrook, G., Young, J. D., & Watkinson, P. J. (2019). Patient centred variables with univariate associations with unplanned ICU admission: a systematic review. BMC Medical Informatics and Decision Making, 19(1), 98-1-98-9.
    DOI Scopus10 WoS7 Europe PMC8
    2019 Malycha, J., Farajidavar, N., Pimentel, M. A. F., Redfern, O., Clifton, D. A., Tarassenko, L., . . . Watkinson, P. J. (2019). The effect of fractional inspired oxygen concentration on early warning score performance: A database analysis. Resuscitation, 139, 192-199.
    DOI Scopus15 WoS10 Europe PMC12
    2019 Malycha, J., Redfern, O. C., Ludbrook, G., Young, D., & Watkinson, P. J. (2019). Testing a digital system that ranks the risk of unplanned intensive care unit admission in all ward patients: Protocol for a prospective observational cohort study. BMJ Open, 9(9), 4 pages.
    DOI Scopus6 WoS4 Europe PMC4
    2017 Malycha, J., Bonnici, T., Sebekova, K., Petrinic, T., Young, D., & Watkinson, P. (2017). Variables associated with unplanned general adult ICU admission in hospitalised patients: Protocol for a systematic review. Systematic Reviews, 6(1), 4 pages.
    DOI Scopus4 WoS4 Europe PMC4
    2015 Malycha, J., & Colebourn, C. (2015). Repatriated patient with leptospirosis and severe iron deficiency. Journal of the Intensive Care Society, 16(4), 359.
    DOI

  • Preprint
    Year Citation
    2024 Kovoor, J. G., Carmichael, G. J., Stretton, B., Gupta, A. K., Kleinig, O. S., Ittimani, M., . . . Bacchi, S. (2024). Emergency Department Patient Journey Prediction with Machine Learning (Preprint).
    DOI

1. CALHN Critical Care Informatics System. CALHN CEO Clinical Rapid Implementation Project Scheme (CRIPS) Innovation grant (Principal Investigator) $200,000 (2023 – 2025)


2. CALHN Critical Care Informatics System. AusHealth Innovation Grant. (Principal Investigator) $322,000 (2023 – 2025)

3. Advanced Recovery Room Care – an iterative model to improve outcomes and reduce cost in perioperative care, CALHN CEO Clinical Rapid Implementation Project Scheme (CRIPS) (Chief Investigator) $200,000 (2020 – 2022)

4. Hospital Alerting via Electronic Noticeboard (HAVEN), Predicting unplanned ICU admission in ward patients, Wellcome Trust and Department of Health (UK) HICF-R9-524 (Clinical Research Fellow) £1,836,059 (2017 – 2019)

2020 South Australian Critical Care Ultra Sound Course, Faculty

2017 Keble College, University of Oxford, 4th Year Medical Student, Clinical Tutor
2014 John Radcliffe Hospital ICU Oxford Simulation, Training and Research (OxSTAR) Safe Patient Transfer Course, Instructor
2014 John Radcliffe Hospital ICU Acute Life-Threatening Event, Recognition and Treatment (ALERT), Instructor
2013 Royal Adelaide Hospital ICU Basic Intensive Care Medicine (BICMED), Instructor
2013 Royal Adelaide Hospital ICU Simulation, Instructor
2012 St Vincent’s Hospital ICU Resident Education Course, Designer, Coordinator and Instructor
2011 – 12 St Vincent’s Hospital ICU Teaching Coordinator
2011 – 12 Ormond College, University of Melbourne, Residential Tutor and Post Graduate Medical Student Course Coordinator
2006 Intern Orientation Week, Royal Perth Hospital, Perth, Tutor
2003 Teaching English as Foreign Language, Oxford House, Barcelona, Spain

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