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Mapping the impact: kidney disease hot spots

The inner east area of Melbourne has one of the highest estimated number of adults with signs of chronic kidney disease (63,200 people), reports Kidney Health Australia's CEO Anne Wilson. The 2016 State of the Nation: Chronic Kidney Disease in Australia report indicates the number of people in Australia on dialysis and transplantation "is expected to rise by 60 per cent between 2011 and 2020 (19,780 patients in 2011 to 31,589 in 2020), although the Australian population will only increase by 13 per cent over this period. The number of people whose end stage kidney disease is caused by diabetes is projected to double between 2011 and 2020."
For the first time, this annual report utilises previously unpublished data to identify the top 20 Australian chronic kidney disease hot spots according to Medicare Local catchment areas.

Source: The Australian Kidney Foundation 2016

 

Antimicrobial resistance

It is estimated that by 2050, 10 million lives per year and a cumulative 100 trillion USD of economic output are at risk due to the rise of drug resistant infections, according to the 2016 Review on Antimicrobial Resistance. The report outlines ten recommendations to stop the global rise of drug-resistant infections. These are broadly categorised as: steps to reduce demand for antimicrobial medicines; methods to increase the effectiveness of antimicrobial drugs; and recognition that global action and investment is required to avert the impact of antimicrobial resistance.

Source: Tackling drug-resistant infections globally: final report and recommendations/ The Review on Antimicrobial Resistance. 2016

Further reading

NICE quality standard [QS121]: Antimicrobial stewardship April 2016

 

Microbial resistance
 

Pharmacist impact on medication safety

This review article reiterates the centrality of pharmacists to medication safety, noting pharmacists are "uniquely trained to be able to impact medication safety at the individual patient level". The paper discusses barriers to medication error reporting and addresses ways in which pharmacists can adopt leadership roles to assess the performance of medication systems and design safe medication processes.

Source: Drugs & Aging 2016; 33(3): 213-21

Further reading

Effectiveness of pharmacist-led medication reconciliation programmes on clinical outcomes at hospital transitions: a systematic review and meta-analysis.
BMJ Open 2016; 6: 2 e010003

Clinical medication review in Australia: A systematic review.
Clinical medication review (CMR) is a structured and collaborative service aimed at identifying and resolving medication-related problems (MRPs). This is the first systematic review of CMR research in Australia.
Research in Social & Administrative Pharmacy 2016; 12(3): 384-418
Full text available for Austin and MHW Heidelberg staff via document delivery

Medication Safety - Australian Commission on Safety and Quality in Health Care

 

 

Psychiatric illness, hospitalisations, pregnancy & ED visits

Almost 50% of women with schizophrenia become pregnant. But how stable are they during pregnancy and after delivery? The authors of this new study offer encouraging news. They found that, except for a brief period after delivery, women with schizophrenia are at lower risk of needing psychiatric inpatient and emergency care during and 1 year after pregnancy compared to the 1-year period prior to conception. Read this free article to find out more.

Source: Journal of Clinical Psychiatry 2016;77(4): 541-547

 

 

PEP talk

The Oncology Nursing Society Putting Evidence into Practice (ONS-PEP) resources are designed to provide evidence-based interventions for patient care and teaching. Providing a synthesis of the evidence, PEP evidence summaries address what interventions are effective in preventing or treating the outcome of interest. Topics include lymphoedema, mucositis, nausea and vomiting in chemotherapy, anxiety, depression, caregiver burden, fatigue, radiodermatitis and many others. These resources can be used to plan individual patient care, patient education, nursing education, quality improvement, or research.

Source: Oncology Nursing Society - Putting Evidence into Practice

 

 

Austin Health Research Online - recent submissions

Total aortic repair for acute type A aortic dissection complicated by malperfusion or symptomatic branch vessel malalignment. Perera NK, Galvin SD, Brooks, M, Seevanayagam S, Matalanis G. The Annals of Thoracic Surgery 2016;101(6): 2398-2400

A risk stratification approach to assessing for true cases of measles in a highly vaccinated population. Bond KA, Martin-Gall V, Franklin L, Sutton B. Australian and New Zealand Journal of Public Health 2016; online first: 15 May

Contemporary accuracy of digital abdominal X-ray for follow-up of pure calcium urolithiasis; is there still a role? O'Kane D, Papa NP, Manning T, Quinn J, Hawes A, Smith N, McClintock S, Lawrentschuk N, Bolton DM. Journal of Endourology 2016; online first: 19 May

See more at AHRO, Austin Health Research Online

 

eBooks spotlight

Heart failure : a companion to Braunwald's heart disease / edited by Douglas L. Mann, G. Michael Felker - 3rd ed. - Elsevier Saunders, 2016.
"This new edition keeps you current with recent developments in the field, improved patient management strategies, and new drug therapies and implantable devices that will make a difference in your patients' lives and in your practice."

Controversies in COPD / edited by Antonio Anzueto, Yvonne Heijfra and John R. Hurst - European Respiratory Society, 2015.
"COPD is one of the most common diseases worldwide & is projected to be the third leading cause of death by 2020. The ERS Monograph considers where the current controversies in COPD lie, discussing areas such as screening, premature birth, asthma-COPD overlap syndrome, treatment, rehabilitation and palliative care."

Print

Lecture notes. Gastroenterology and hepatology / Stephen Inns, Anton Emmanuel - 2nd ed. - Wiley Blackwell, 2017.
"Covers the epidemiology, causes, clinical features, investigation, treatment and prognosis of all the main gut and liver conditions. Ideal for both exam preparation and fact finding."

Perioperative nursing : an introduction / edited by Lois Hamlin - 2nd ed. - Elsevier, 2016.
"The book addresses anaesthetic, intraoperative and postanaesthetic recovery care as well as day surgery and evolving perioperative practices and environments."

Egan's fundamentals of respiratory care / edited by Robert M. Kacmarek, James K. Stoller, Albert J. Heuer - 11th ed. - Elsevier, 2017.
"Brings you the most current information on the fundamentals of respiratory care research, flexible bronchoscopy, trauma, near drowning, patient ventilator interaction, and extracorporeal life support."

 

 

Journals spotlight

These links provide access to the current table of contents:

Alimentary Pharmacology & Therapeutics

Australasian Journal of Dermatology

Australian and New Zealand Journal of Obstetrics and Gynaecology

BMJ Quality Improvement Reports

British Journal of Psychiatry

Drug Safety

Health Policy

Human Molecular Genetics

Journal of Advanced Nursing

Journal of Clinical Apheresis

JASN: Journal of the American Society of Nephrology

Microbial Drug Resistance

Seminars in Oncology Nursing

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