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“The greatest discovery of my generation is that human beings can alter their lives by altering their attitudes of mind.”
William James (1842-1910)


Medication safety

The purpose of this study, Evaluation of perioperative medication errors and adverse drug events, is to assess the rates of perioperative medication errors and adverse drug events “as percentages of medication administrations, to evaluate their root causes, and to formulate targeted solutions to prevent them.”

Source: Anesthesiology 2016; 124(1): 25-34

This study on Improving medication safety using computerized patient safety systems, responds to the growing international concern around medication errors in hospital settings. The study focuses on 4 areas: prescribing medicines; dispensing medicines; administering medicines to patients; and documenting medication.  Authors found there is a need to develop and standardise procedures related to all 4 parts of the medication management process.

Source: CIN: Computers, Informatics, Nursing 2015; online first 11 December

This review article aims to discuss the limitations of Medication safety during pregnancy, highlighting the evidence and resources available to health care providers to: inform practice; communicate importance of pregnancy registries; and expand the knowledge around medication safety during pregnancy.

Source: Journal of Midwifery and Women’s Health 2016; online first 15 January
There is a quality and safety element to medication safety in health care; injuries from medication are common and often preventable. Adopting a culture of reporting medication errors, thorough investigation of their causes, better training including medical and communication skills, educating patients and their families, adopting best practice, and adapting new technologies can all contribute to a reduction in adverse events from drugs.

Source: Clinical Nuclear Medicine 2016; 41(3): 201-203
Full text available for Austin staff via document delivery
Recommended reading:

(Note: these links are available on the Austin Health network)

Hub page: Standard of the Month

Tutorial on Medication Safety


Emerging Zika virus

On 1st February 2016, WHO declared an international public health emergency after Zika virus was linked to thousands of birth defects in Brazil.

“An estimated 80% of Zika infections are asymptomatic, and most of the remainder are self-limited. No specific antiviral treatment is available and care is supportive, with symptoms usually resolving within 7 days. Severe Guillain-Barré syndrome (GBS) cases can require intensive care, including mechanical ventilation.” The Centers for Disease Control and Prevention (CDC) on 19 January 2016 issued new guidelines which include recommendations for pregnant women travelling to affected areas, and for the screening, testing, and management of pregnant returning travellers.

Source: JAMA 2016; online first 27 January

Further reading:

Interim Guidelines for Pregnant Women During a Zika Virus Outbreak – United States, 2016
Source: Morbidity and Mortality Weekly Report 2016; 65(2): 30-33

Concern over Zika virus grips the world
Source: Lancet 2016; in press 3 February
(Due to a technical issue, this link directs you to the online journal  - once open, you will need to navigate to "articles in press" to access the full text.)

Zika virus news from The BMJ
BMJ has created this webpage to inform clinicians about the global threat posed by the Zika virus, and will be continuously be updated.
Source: BMJ Zika resources 2016 

Zika Virus Health Information Resources
Source: Disaster Information Management Research Center

Literature searching:

The National Library of Medicine have responded to this global health concern by creating new MeSH headings for PubMed / Medline in January 2016.
Zika Virus Infection [MeSH] and Zika Virus [MeSH]; a recommended search to include articles prior to this date would be - Zika [tiab]

Sourced: Medical Observer 3 Feb 2016

Improving outcomes for people in mental health crisis

The Crisis Concordat - a national agreement between services involved in the care and support of people in crisis in the UK - suggests “four stages of care: (1) support before crisis point; (2) urgent and emergency access to crisis care; (3) quality treatment and care when in crisis; and (4) promoting recovery”. The authors examined evidence on how well different services work for each of these four stages.

Source: Health Technology Assessment 2016; 20(3)


ED rapid response system - clinical deterioration

In a cohort of 600 patients – “the study was a retrospective cross sectional design that used stratified random sampling to select 50 patients with shortness of breath, chest pain or abdominal pain per each year studied (2009–2012). The study found the frequency of clinical deterioration in the sample was 14.8% (318 episodes/89 patients). Over the intervention there was improved recognition of clinical deterioration as unreported deterioration decreased each year. Patients who deteriorated during ED care had a longer median ED length of stay, were 31.9% more likely to need hospital admission and 4.9% more likely to die in hospital.”

Source: Australasian Emergency Nursing Journal 2015; 18(4): 218-226
Full text available for Austin staff via document delivery


Becoming a clinician researcher in allied health

In this paper, the authors examine how research is initiated in order to identify the factors that influence the successful integration of research into a clinical work role. Ultimately “quarantined time for research, a research-friendly workplace culture and supportive research relationships enabled a clinician to thrive as a researcher despite the challenges”.

Source: Australian Health Review 2016; online first 26 January
Full text available for Austin staff via document delivery


Austin Health Research Online - recent submissions

Aerosolized pentamidine for Pneumocystis pneumonia prophylaxis in renal transplant recipients – not as safe as one might think. Macesic N, Urbanci K, Ierino F. Antimicrobal Agents and Chemotherapy. 2016; online first 11 January
Full text available for Austin staff via document delivery

Anti-Tumour necrosis factor alpha therapies and inflammatory bowel disease pregnancy outcomes: A meta-analysis. Shihab Z, Yeomans ND, De Cruz P.  Journal of Crohn's and Colitis. 2016; online first 11 January
Full text available for Austin staff via document delivery

Be honest and help me prepare for the future: What people with interstitial lung disease want from education in pulmonary rehabilitation
. Holland AE, Fiore JF, Goh, N. Chronic Respiratory Disease. 2016; 12(2): 93-101
Full text available for Austin staff via document delivery

See more at AHRO, Austin Health Research Online


eBooks spotlight

Autopsy pathology : a manual and atlas / Andrew J. Connolly et al. - 3rd ed. - Elsevier, 2016.
This how-to guide details the performing, interpreting, and reporting of post-mortem examinations. The material is divided into two sections: a manual covering specific autopsy procedures, bio-safety, generation of autopsy reports, preparation of death certificates, and other essential subjects; and an atlas, organized by organ system.

Campbell-Walsh urology / editor-in-chief, Alan J. Wein - 11th ed. - Elsevier, 2016.
This text is "well written and well illustrated. Because it includes the newest research and techniques, it accurately reflects the ever-evolving field of urology."

Respiratory epidemiology / edited by Isabella Annesi-Maesano, Bo Lundback and Giovanni Viegi - European Respiratory Society Monographs, 2014.
This issue of the ERS Monograph demonstrates recent developments in respiratory medicine. It outlines the importance of epidemiology in respiratory medicine, and is a tool that will help disease management.

New books on display

Core curriculum for neonatal intensive care nursing / edited by M. Terese Verklan, Marlene Walden - 5th ed. - Elsevier Saunders, 2015.
From the Association of Women's Health, Obstetric, and Neonatal Nurses, this text can be used as a resource in the field or for exam preparation. This edition also features an increased focus on evidence-based practice, new CAMTS and AAMS guidelines, new techniques for PICC placement, and changes to the Neonatal Resuscitation Program.


Journals spotlight

These links provide access to the current table of contents:

Annals of Pharmacotherapy

Advanced Emergency Nursing Journal

British Journal of Midwifery

Continuum: Lifelong Learning in Neurology

Gynecologic Oncology

Journal of Hospice and Palliative Nursing

Journal of Patient Safety

Journal of Thoracic and Cardiovascular Surgery

Lancet Infectious Diseases

Reviews in Medical Virology

Sexual and Reproductive Healthcare


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