Dr Laura Joyce

2025

Journal - Research Article

Young, W., Joyce, L. R., Frampton, C., & Mulder, R. (2025). Adolescent mental health presentations to a New Zealand emergency department: A 16-year retrospective observational study. Australasian Psychiatry. Advance online publication. doi: 10.1177/10398562251325414

Pickering, J. W., Kelland, S., Williams, O., Kim, J., Aldous, S., Joyce, L. R., & Than, M. P. (2025). Effect of change of high-sensitivity troponin I assay on emergency department diagnosis and disposition of patients with possible acute coronary syndrome. Emergency Medicine Australasia, 37, e70022. doi: 10.1111/1742-6723.70022

Egerton-Warburton, D., Lim, J., Seneviratne, D. S., Bumpstead, S., Joyce, L. R., Kuhn, L., … Fatovich, D. M. (2025). Enough is enough: Alcohol-related occupational violence and aggression in emergency departments in Australia and New Zealand. Emergency Medicine Australasia, 37, e70021. doi: 10.1111/1742-6723.70021

Conference Contribution - Verbal presentation and other Conference outputs

Joyce, L., & Brokenshire, F. (2025, March). Effectiveness of a community atrial fibrillation clinic. Invited presentation at the Annual Goodfellow Symposium, Auckland, New Zealand.

2024

Journal - Research Article

Joyce, L. R., Hamill, L. M., Rogan, A., Collins, A., & Beck, S. (2024). Gender equity in authorship of emergency medicine publications in Australasia. Emergency Medicine Australasia. Advance online publication. doi: 10.1111/1742-6723.14544

Pickering, J. W., Joyce, L. R., Florkowski, C. M., Buchan, V., Hamill, L., & Than, M. P. (2024). Emergency Department use of a high-sensitivity Point-of-Care troponin assay reduces length of stay: An implementation study preliminary report. European Heart Journal: Acute Cardiovascular Care. Advance online publication. doi: 10.1093/ehjacc/zuae114

Cameron-Dunn, S., Fisher, C., Huria, T., McCombie, A., Forbes, A., & Joyce, L. R. (2024). Outcome measures for Māori with non-traumatic dental presentations: A retrospective observational study and Kaupapa Māori approach examining emergency department inequities. New Zealand Medical Journal/Te ara tika o te hauora hapori, 137(1599), 16-26. Retrieved from https://www.nzmj.org.nz/

Pickering, J. W., Kavsak, P., Christenson, R. H., Troughton, R. W., Pemberton, C. J., Richards, A. M., Joyce, L., & Than, M. P. (2024). Determination of clinically acceptable analytical variation of cardiac troponin at decision thresholds. Clinical Chemistry, hvae059. Advance online publication. doi: 10.1093/clinchem/hvae059

Joyce, L. R., Cleland, L., Forman, E., Hlavac, A., Foulds, J., & Crossin, R. (2024). Changes in alcohol-related emergency department presentations: A comparison of three waves in 2013, 2017 and 2022. New Zealand Medical Journal/Te ara tika o te hauora hapori, 137(1593), 56-67. Retrieved from https://www.nzmj.org.nz/

Journal - Research Other

Than, M., Joyce, L. R., & Metcalf, S. C. L. (2024). Updated guidelines for SSTIs: Sensible recommendations for greater consistency. Canadian Journal of Emergency Medicine, 26, 591-592. doi: 10.1007/s43678-024-00770-9

Pickering, J. W., Devlin, G., Body, R., Aldous, S., Jaffe, A. S., Apple, F. S., … Troughton, R. W., … Joyce, L., Frampton, C., Lacey, C. J., Richards, A. M., Pitama, S., & Than, M. (2024). Protocol for Improving Care by FAster risk-STratification through use of high sensitivity point-of-care troponin in patients presenting with possible acute coronary syndrome in the EmeRgency department (ICare-FASTER): A stepped-wedge cluster randomised quality improvement initiative. BMJ Open, 14, e083752. doi: 10.1136/bmjopen-2023-083752

Joyce, L. R., McCombie, A., & Crossin, R. (2024). Alcohol-related harm and Aotearoa New Zealand emergency departments. New Zealand Medical Journal/Te ara tika o te hauora hapori, 137(1596), 9-12. Retrieved from https://www.nzmj.org.nz/

Pickering, J. W., Hamill, L., Aldous, S., Joyce, L., Stothart, R. A., Williams, O., Florkowski, C. M., & Than, M. (2024). Determination of a whole-blood single-test low-risk threshold for a point-of-care high-sensitivity troponin assay. Emergency Medicine Journal. Advance online publication. doi: 10.1136/emermed-2023-213689

Conference Contribution - Published proceedings: Abstract

Aldous, S., Pickering, J., Hamill, L., Joyce, L., & Than, M. (2024). The use of a point of care high sensitivity troponin in the investigation of patients presenting to the Emergency Department with undifferentiated chest pain. European Heart Journal, 45(Suppl. 1), ehae666.1581. doi: 10.1093/eurheartj/ehae666.1581

Jemberie, D., Quinn, N., Wakeman, C., Joyce, L., Jordan, J., Frampton, C., Eglinton, T., Mulder, R., Krause, D., & McCombie, A. (2024). Prevalence and predictors of post-traumatic stress disorder following major trauma in New Zealand. ANZ Journal of Surgery, 94(Suppl. 1), TS005. doi: 10.1111/ans.18951

Quinn, N., Jemberie, D., Wakeman, C., Joyce, L., Jordan, J., Frampton, C., Eglinton, T., Mulder, R., Krause, D., & McCombie, A. (2024). Under diagnosis and under treatment of post traumatic stress disorder post major trauma in New Zealand. ANZ Journal of Surgery, 94(Suppl. 1), TS004. doi: 10.1111/ans.18951

Pickering, J., Kavsak, P., Christenson, R., Troughton, R., Pemberton, C., Richards, M., Joyce, L., & Than, M. (2024). High-sensitivity troponin assays are safe to rule-out myocardial infarction even if they have high imprecision. Heart, Lung & Circulation, 33(Suppl. 2), (pp. S76). doi: 10.1016/j.hlc.2024.04.259

Joyce, L., Al-Busaidi, I., Pickering, J., Addy, K., Brokenshire, F., Troughton, R., & Than, M. (2024). The implementation and iteration of an emergency department atrial fibrillation pathway to improve patient care. Heart, Lung & Circulation, 33(Suppl. 2), (pp. S67-S68). doi: 10.1016/j.hlc.2024.04.240

2023

Journal - Research Article

Joyce, L. R., Crossin, R., Jin, S., Young, W., & Mulder, R. (2023). Presence of alcohol and other drug use within youth mental health presentations to the emergency department: A single-site retrospective observational study. Emergency Medicine Australasia. Advance online publication. doi: 10.1111/1742-6723.14333

Fisher, C., Sutcliffe, O., Coghlan, P., McCombie, A., & Joyce, L. (2023). A retrospective observational study of the management of non-traumatic dental presentations at a tertiary centre in New Zealand: A Choosing Wisely approach. New Zealand Medical Journal/Te ara tika o te hauora hapori, 136(1582), 14-27. Retrieved from https://journal.nzma.org.nz/

Carne, B., Raina, A., Bothara, R., McCombie, A., Fleischer, D., & Joyce, L. R. (2023). Factors contributing to death of major trauma victims with haemorrhage: A retrospective case-control study. Emergency Medicine Australasia, 35, 968-975. doi: 10.1111/1742-6723.14275

Addy, K., Joyce, L. R., Al-Busaidi, I. S., Pickering, J. W., Troughton, R., & Than, M. (2023). Implementation of an integrated emergency department acute atrial fibrillation pathway safely reduces cardioversions and hospitalisations: A comparative pre-post study. Emergency Medicine Australasia, 35, 828-833. doi: 10.1111/1742-6723.14240

Martin, R., Copley, J., Dunwoodie, R., Forbes, R., Joyce, L., Mandrusiak, A., … Wilkinson, T., & Sheehan, D. (2023). The future role of healthcare mentors and coaches in navigating workplace culture. Focus on Health Professional Education, 24(1), 95-103. doi: 10.11157/fohpe.v24i1.706

Shaji, E. J., Al-Busaidi, I. S., Joyce, L. R., Pickering, J. W., Troughton, R. W., & Than, M. (2023). Factors predictive of spontaneous reversion to sinus rhythm: Findings from an integrated acute atrial fibrillation pathway. Heart Rhythm, 20(5), 779-780. doi: 10.1016/j.hrthm.2023.01.023

Journal - Research Other

Joyce, L. R., Pickering, J. W., & Than, M. (2023). Ruling out acute myocardial infarction based on a single high-sensitivity troponin measurement in the emergency department: A clinical practice review. Journal of Laboratory & Precision Medicine, 8, 21. doi: 10.21037/jlpm-23-20

Pickering, J. W., Joyce, L., & Than, M. (2023). Twenty-six years of machine learning for ECG: And we are not there yet. Canadian Journal of Emergency Medicine, 25, 789-790. doi: 10.1007/s43678-023-00598-9

Journal - Professional & Other Non-Research Articles

Joyce, L. R., Addy, K. R., Al-Busaidi, I. S., Pickering, J. W., Troughton, R., & Than, M. (2023). Response to Re: Implementation of an integrated emergency department acute atrial fibrillation pathway safely reduces cardioversions and hospitalisations: A comparative pre-post study. Emergency Medicine Australasia, 35, 884. doi: 10.1111/1742-6723.14286

Conference Contribution - Published proceedings: Abstract

Dunn, E. T. K., Pickering, J., Joyce, L., & Than, M. (2023). ICare-SALLEE: Investigating care processes, through standardised allocation to emergent exercise stress training. Proceedings of the Graduate Research Student Symposium. (pp. 12). Retrieved from https://www.otago.ac.nz/graduate-research

Carne, B., Raina, A., Bothara, R., McCombie, A., Fleischer, D., & Joyce, L. (2023). Factors contributing to death of major trauma victims with haemorrhage: A retrospective case-control study. Proceedings of the National Trauma Symposium (NTS). Retrieved from https://www.traumasymposium.nz/

Cameron-Dunn, S., Fisher, C., Huria, T., McCombie, A., Forbes, A., & Joyce, L. (2023). Outcome measures for Māori with non-traumatic dental presentations: A retrospective observational study and Kaupapa Māori approach examining inequities in dental care. In J. Boys, S. Cubillo, L. Bandler & S. Bellingham (Eds.), Proceedings of the Leaders in Indigenous Medical Education Network Conference: LIME Connection X: Decolonising Education: Through Critique to Transformative Learning and Teaching. (pp. 29-30). Melbourne, Australia: University of Melbourne. Retrieved from https://limenetwork.net.au

Cinelli, D., D'Souza, J., Joyce, L., & Wells, J. (2023). Comparing major trauma in children and adults in a tertiary trauma centre. Proceedings of the National Trauma Symposium (NTS). Retrieved from https://www.traumasymposium.nz/

Joyce, L., Meeks, M., & Ormond, T. (2023). Practice tips for conducting virtual consultations: A teaching resource. Proceedings of the Australian & New Zealand Association for Health Professional Educators (ANZAHPE) Festival. 397. Retrieved from https://www.anzahpe.org/

Ormond, T., Sheehan, D., Meeks, M., Dean, J., & Joyce, L. (2023). Is it time for an interprofessional research methodology? Proceedings of the Australian & New Zealand Association for Health Professional Educators (ANZAHPE) Festival. 239. Retrieved from https://www.anzahpe.org/

2022

Journal - Research Article

Nonis, M., McCombie, A., Wakeman, C., Fleischer, D., & Joyce, L. (2022). Trauma team activation: Improved care of major trauma patients. New Zealand Medical Journal, 135(1562), 78-92. Retrieved from https://journal.nzma.org.nz/

Richardson, S. K., Grainger, P. C., & Joyce, L. R. (2022). Challenging the culture of Emergency Department violence and aggression. New Zealand Medical Journal, 135(1554), 9-19. Retrieved from https://www.nzma.org.nz/journal

Al-Busaidi, I. S., Clare, G. C., Joyce, L. R., Pearson, S., Lainchbury, J., Than, M., & Troughton, R. W. (2022). Presentation, treatment and long-term outcomes of a multidisciplinary acute atrial fibrillation pathway: A 12-month follow-up study. Heart, Lung & Circulation, 31, 216-226. doi: 10.1016/j.hlc.2021.05.102

Journal - Research Other

Joyce, L., Loubser, J., de Ryke, R., & McHaffie, A. (2022). Young female with abdominal pain and intra-abdominal free fluid: The risk of confirmation bias associated with point-of-care ultrasound. Australasian Journal of Ultrasound in Medicine, 25(4), 207-209. doi: 10.1002/ajum.12320

Conference Contribution - Poster Presentation (not in published proceedings)

Underwood, C., & Joyce, L. (2022, November). Raising ED clinicians' awareness of the importance of measuring frailty in geriatric trauma patients in a major trauma emergency department: A quality improvement project. Poster session presented at the Australasian College for Emergency Medicine (ACEM) Spring Symposium, Christchurch, New Zealand.

Addy, K., Joyce, L., Al-Busaidi, I. S., Pickering, J. W., Troughton, R., & Than, M. (2022, November). Improvement in patient outcomes following implementation of an emergency department atrial fibrillation pathway using a 'rate-and-wait' approach. Poster session presented at the Australasian College for Emergency Medicine (ACEM) Spring Symposium, Christchurch, New Zealand.

Underwood, C., & Joyce, L. (2022, November). Retrospective evaluation of frailty in geriatric trauma patients presenting to a major trauma emergency department. Poster session presented at the Australasian College for Emergency Medicine (ACEM) Spring Symposium, Christchurch, New Zealand.

Sutcliffe, O., Joyce, L., Crombie, R., Fisher, C., Milkina, M., Burry, T., & Hazelhurst, J. (2022, November). Predictors of ICU admission in intentional overdoses. Poster session presented at the Australasian College for Emergency Medicine (ACEM) Spring Symposium, Christchurch, New Zealand.

Cameron-Dunn, S., Fisher, C., Joyce, L., Huria, T., & McCombie, A. (2022, November). Outcome measures of Māori patients presenting with dental pain to Christchurch Emergency Department: An equity review. Poster session presented at the Australasian College for Emergency Medicine (ACEM) Spring Symposium, Christchurch, New Zealand.

Fisher, C., Sutcliffe, O., Coghlan, P., McCombie, A., & Joyce, L. (2022, November). Choosing wisely: The management of non-traumatic dental procedures at a tertiary centre in New Zealand. Poster session presented at the Australasian College for Emergency Medicine (ACEM) Spring Symposium, Christchurch, New Zealand.

Lo, K., Joyce, L., & McCombie, A. (2022, November). Does activating a trauma team improve trauma processes? Poster session presented at the Australasian College for Emergency Medicine (ACEM) Spring Symposium, Christchurch, New Zealand.

Carne, B., Raina, A., Bothara, R., McCombie, A., Fleischer, D., & Joyce, L. R. (2022, November). Factors contributing to death of major trauma victims with haemorrhage: A retrospective case-control study. Poster session presented at the Australasian College for Emergency Medicine (ACEM) Spring Symposium, Christchurch, New Zealand.

Nonis, M., McCombie, A., Wakeman, C., Fleischer, D., & Joyce, L. (2022, November). Trauma team activation: Improved care of major trauma patients. Poster session presented at the Australasian College for Emergency Medicine (ACEM) Spring Symposium, Christchurch, New Zealand.

Joyce, L., & McCombie, A. (2022, November). Under-appreciation of the Silver Tsunami: Major trauma in older adults. Poster session presented at the Australasian College for Emergency Medicine (ACEM) Spring Symposium, Christchurch, New Zealand.

Conference Contribution - Verbal presentation and other Conference outputs

Joyce, L. (2022, November). The benefits and challenges of interprofessional co-debriefing in simulation. Verbal presentation at the New Zealand Association for Simulation in Healthcare (NZASH) Conference, Wellington, New Zealand.

Joyce, L. (2022, July). Never let a good crisis go to waste: Implementing an extended-hours acute ultrasound pilot during the OMICRON wave. Verbal presentation at the Australasian Society for Ultrasound in Medicine (ASUM) New Zealand Conference, [Online].

Awarded Masters Degree

Joyce, L. (2022). The benefits and challenges of interprofessional co-debriefing in simulation (MMedEd). University of Dundee, Dundee, UK.

2021

Journal - Research Article

Raina, A., Carne, B., Bothara, R., McCombie, A., Gee, P., & Joyce, L. (2021). Paediatric exploratory ingestion presentations to Christchurch Hospital emergency department during 2019. New Zealand Medical Journal, 134(1541), 45-56. Retrieved from https://www.nzma.org.nz/journal

Schwab, K., Nguyen, D., Ungab, G., Feld, G., Maisel, A. S., Than, M., Joyce, L., & Peacock, W. F. (2021). Artificial intelligence MacHIne learning for the detection and treatment of atrial fibrillation guidelines in the emergency department setting (AIM HIGHER): Assessing a machine learning clinical decision support tool to detect and treat non-valvular atrial fibrillation in the emergency department. JACEP Open, 2(4), e12534. doi: 10.1002/emp2.12534

Bothara, R. K., Raina, A., Carne, B., Walls, T., McCombie, A., Ardagh, M. W., & Joyce, L. R. (2021). Paediatric presentations to Christchurch Hospital Emergency Department during COVID-19 lockdown. Journal of Paediatrics & Child Health, 57, 877-882. doi: 10.1111/jpc.15347

Joyce, L. R., Richardson, S. K., McCombie, A., Hamilton, G. J., & Ardagh, M. W. (2021). Mental health presentations to Christchurch Hospital Emergency Department during COVID-19 lockdown. Emergency Medicine Australasia, 33, 324-330. doi: 10.1111/1742-6723.13667

Conference Contribution - Verbal presentation and other Conference outputs

Nonis, M., McCombie, A., Wakeman, C., Fleischer, D., Evans, M., & Joyce, L. (2021, December). Trauma team activation in Christchurch Hospital. Verbal presentation at the National Trauma Symposium (NTS), [Online].

2016

Journal - Research Other

Henry, J., Boonstra, A., & Joyce, L. (2016). ACEM trainee opportunities in subspecialist domains: Experience from ultrasound, pre-hospital and medical education terms. Emergency Medicine Australasia, 28, 468-470. doi: 10.1111/1742-6723.12631

2006

Journal - Research Article

Light, K. J., Joyce, P. R., Luty, S. E., Mulder, R. T., Frampton, C. M. A., Joyce, L. R. M., Miller, A. L., & Kennedy, M. A. (2006). Preliminary evidence for an association between a dopamine D3 receptor gene variant and obsessive-compulsive personality disorder in patients with major depression. American Journal of Medical Genetics Part B, 141B(4), 409-413. doi: 10.1002/ajmg.b.30308