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"Medicine knows no limits, especially not its own"
Gerhard Kocher 


Coroner’s case reports

The latest Clinical Communique from the Victorian Institute of Forensic Medicine highlights three cases where death resulted from medication errors. These involved frequently prescribed medications which can pose serious problems when administered via an incorrect route or if significant comorbidities are present in the patient. Not-for-resuscitation (NFR) orders are a related theme also addressed in these cases. Expert commentary is provided by Dr Elizabeth Roughead who highlights the challenges associated with slip-lapse errors and hierarchical errors; and Associate Professor Mark Boughey who provides a discussion of NFR orders and Goals of Care (GOC) planning.

Source: Clinical Communique 2016; 3(4)


Clinical Answers at the point of care – BMJ + Cochrane

"BMJ, one of the world's leading medical knowledge providers, has teamed up with Cochrane Clinical Answers, to better deliver evidence and inform decision making at the point of care. The collaboration means that Cochrane Clinical Answers will be incorporated into BMJ Best Practice topics to give health professionals instant access to the highest-quality evidence for use in their daily practice. Cochrane Clinical Answers are based on the results of Cochrane systematic reviews."

Source: BMJ 2017


Exercise for chronic pain

Chronic pain contributes to disability, anxiety, depression, sleep disturbances, poor quality of life, and healthcare costs. The evidence from a new overview of Cochrane reviews, indicates that physical activity is unlikely to cause harm in those experiencing chronic pain. Overall the evidence indicates that physical activity reduces the severity of pain, improves physical function, and has a variable effect on both psychological function and quality of life, however, these results were not found in all studies.

Source: Cochrane Database of Systematic Reviews 2017; online first: 14 January


Right care choices

This series from The Lancet focuses on ‘right care', examining the extent of overuse or underuse of medical services around the world. "These four papers and commentary... highlights the drivers of inappropriate care, and provides a framework to begin to address overuse and underuse together to achieve the right care for health and wellbeing. The authors argue that achieving the right care is both an urgent task and an enormous opportunity".

Source: Lancet 2017, 8 January [Full text]


Vacuum-assisted vaginal delivery & BMI

Maternal obesity increases the risk of complications during labour for both mother and baby. Obese women also face increased risks during cesarean deliveries. In women requiring delivery assistance, pre-pregnancy obesity was associated with a decreased possibility of attempted vacuum-assisted vaginal delivery. However, researchers found that if attempted, the success rates were similar to those in normal weight women. The authors suggest that vacuum extraction be considered a viable option in clinically appropriate laboring women with obesity.

Source: Obstetrics & Gynecology 2017; online first: 9 January


Staphylococcus aureus in hospitals – Australian report

Public hospitals aim to have as few cases as possible of the bloodstream infection Staphylococcus aureus bacteraemia (SAB) and the nationally agreed benchmark is no more than 2.0 SAB cases per 10,000 days of patient care. In 2015-16 all jurisdictions in Australia had rates below the national benchmark; 1,440 cases were reported; and 19% of cases were antibiotic resistant.

Source: AIHW 2017

The Australian Institute of Health and Welfare has also recently released the following updates and reports:

Health burden of chronic diseases
"According to the recent Australian Burden of Disease Study, 4.5 million years were lost to premature death or living with illness in Australia in 2011. This was based on an analysis of the impact of nearly 200 diseases and injuries in terms of their fatal and non-fatal burden for the Australian population."
View updated webpage: What is the health burden of chronic diseases?

Healthy communities: overweight and obesity rates
This report shows that the highest rate of overweight and obesity in adults for 2014-15, was 73% in country South Australia, while Northern Sydney had the lowest rate at 53%.
Read the report: Healthy Communities: Overweight and obesity rates across Australia, 2014-15

Healthy communities: tobacco smoking rates across Australia
Daily smoking rates in Australia have continued to fall, however they remain relatively high in some Primary Health Network (PHN) areas. Overall, regional PHN areas had higher smoking rates than city-based PHNs.
Read the report: Healthy Communities: Tobacco smoking rates across Australia, 2014-15

Mental health services in Australia
The Mental health services in Australia website provides a picture of the national response of the health and welfare service system to the mental health care needs of Australians. Several topic areas have been updated during the past six months.
View updated webpages: Mental health services in Australia


Did you know?

DynaMed Plus is a point-of-care resource that provides evidence-based information to support clinical care. Mobile access is available with the DynaMed Plus app if downloaded using Austin WiFi. Please consider using your User Preferences in Cerner to put this link into a quick link tab.

This trial runs until 28 February 2017 - after reviewing DynaMed Plus please complete our survey to provide your input.

ClinicalKey Nursing, a clinical search engine for nursing content, is now available from the Library page. There is a wide variety of content available including: eBooks and journals; patient education material; multimedia; clinical skills and procedures consult; IV dosage calculators; nurse educator topics and trending topics.


Austin Health Research Online - recent submissions

Machine-learning algorithms predict graft failure following liver transplantation
Lau LF, Kankanige Y, Rubinstein B, et al. Transplantation 2016; online first: 8 December

Adapting and testing a brief intervention to reduce maternal anxiety during pregnancy (ACORN): study protocol for a randomised controlled trial
Wilkinson EL, O'Mahen HA, Fearon P, et al. Trials 2016; 17: 156

Reconciling conceptualisations of the body and person-centred care of the older person with cognitive impairment in the acute care setting
Rushton C, Edvardsson D. Nursing Philosophy 2016; online first: 23 November

A thousand words in the palm of your hand: management of clinical photography on personal mobile devices
Allen KG, Eleftheriou P, Ferguson J. Medical Journal of Australia 2016; 205 (11): 499-500

Mammographically dense human breast tissue stimulates progression to invasive lesions and metastasis
Huo CW, Waltham M, Khoo C, et al. Breast Cancer Research 2016; 18(1): 106

See more at AHRO, Austin Health Research Online


New books on display

Brukner & Khan's clinical sports medicine : injuries / Peter Brukner ... [et al.] - 5th ed. McGraw Hill Education, 2017.  
An essential guide to all aspects of preventing diagnosing and treating sports related injuries and guide to physiotherapy and musculoskeletal medicine clinicians and students.

Clinical practice guidelines for midwifery & women's health / Nell Tharpe, CL Farley, Robin Jordan - 5th ed. Jones & Bartlett, 2017.
Presents a broad range of clinical practices with an emphasis on evidence based care and reflects current and emerging midwifery and women's health practice.

Heart disease and pregnancy / ed. by Philip J Steer and Michael A Gatzoulis - 2nd ed. Cambridge Uni. Press, 2016.
Covers the causes of both congenital and acquired heart disease with a new section on heart lung transplantation.


Journals spotlight

These links provide access to the current table of contents:

Australasian Emergency Nursing Journal

Australian Critical Care


Journal of Clinical Oncology

Journal of Medical Ethics

Journal of Pain & Palliative Care Pharmacotherapy


Newborn and Infant Nursing Reviews

The Patient: Patient Centered Outcomes Research

Postgraduate Medical Journal

Looking for the latest journal issues?
All our journal titles with electronic access are available via the Journal List
(outside the Austin Health network use your Library barcode no. & PIN for access)

If you require an article from a journal that is not in the Journal List, please use our online document delivery form.


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Sign up now & start using BrowZine - all you need is the free app and a Library card! 


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The Austin Health Sciences Library accepts no liability for the information or advice provided by external links. Links are provided on the basis that readers make their own decisions about the accuracy, currency and reliability of the information contained therein. Any opinions expressed are not necessarily those of Austin Health.