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“The starting point for improvement is to recognise the need” 
Masaaki Imai

 

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The Library has a new system that provides an improved online experience for accessing Library resources, including from smartphones & tablets. The way you search for resources, place holds and renew your loans looks different.
If you access our resources from MHW or offsite, or manage your loans online, you now need to reset your password. Full instructions are available here.

Library registrations expire every 12 months - please contact us if you find you are unable to access our resources for any reason.

 

Leading a culture of safety

This US report aims to provide executive leaders with a tool for building an organisational culture of safety. The guide provides foundational and sustaining level strategies to embed safety principles across healthcare organisations and invest in continuous improvement with the goal of achieving zero harm to patients, their families and the workforce.

Source: American College of Healthcare Executives and NPSF Lucian Leape Institute 2017

 

Barcoding technology to reduce medication errors

Barcoding technology for medication dispensing or administration is being used in hospitals to provide an additional safety barrier for both nursing and pharmacy staff. This review examined the effectiveness of barcoding technology for the prevention of medication errors. Review authors concluded "bar-coding technology may reduce medication errors in hospital settings, particularly on preventing targeted wrong dose, wrong drug, wrong patient, unauthorized drug, and wrong route errors".

Source: Journal of Patient Safety 2017; online first: 30 May 

 

Deteriorating patients - reducing inappropriate CPR

Treatment Escalation Plans (TEP) are a management guide to be used in the event of clinical deterioration. The Kings College Hospital (UK) developed an intervention which promoted early collaborative decisions about limits of care and CPR status and provided standardised electronic supporting documentation. The aim was "to reduce the risk of inappropriate CPR through early transparent patient engagement and multidisciplinary decision making". The report authors acknowledge that use of the TEP optimised multidisciplinary communication regarding both rapid escalation of treatment and appropriate de-escalation of treatment.

Source: BMJ Quality Improvement Reports 2017; 6

Further reading
Effect of an automated notification system for deteriorating ward patients on clinical outcomes
Researchers found an electronic automated advisory vital signs monitoring and notification system can increase the number of activations of a Rapid Response Team leading to decreased overall mortality, cardiac arrests and illness severity in patients admitted to ICU.
Source: Critical Care 2017; 21: 52

 

Music & the brain

"The healing power of music has been acknowledged in almost all traditions of music. Music therapy is moving from a social-science model focusing on overall health and well-being towards a neuroscience model focusing on specific elements of music and its effect on sensorimotor, language and cognitive functions." This thematic paper discusses the untapped potential of Indian classical music in the treatment of psychiatric conditions.

Source: BJPsych International 2017; 14(2): 31-32

Further reading
Music and the brain: the neuroscience of music and musical appreciation
BJPsych International 2017; 14(2): 28-30

 

Knee osteoarthritis – clinical care standard

Approximately 2.1 million Australians are affected by osteoarthritis. Knee osteoarthritis "is a major contributor to disability and lost productivity and is the main reason for knee replacement surgery". The Osteoarthritis of the Knee Clinical Care Standard aims to guide clinicians in best-practice primary care management of knee osteoarthritis focusing on avoiding unnecessary testing and surgery.

Source: Australian Commission of Safety and Quality in Health Care 2017
Further information available: ACSQHC website

 

Palliative care hospitalisations

New Australian Institute of Health and Welfare (AIHW) data indicates that hospitalisations for palliative care are growing faster than all hospitalisations and a greater proportion of people are accessing palliative care services. Over half of palliative care-related hospitalisations were for people aged 75 and over, and a similar proportion involved cancer as the main diagnosis. A spokesperson for AIHW noted "we don't know how many of these people would've preferred to have received palliative care services elsewhere". This is the first in a series of updates to the online Palliative care services in Australia report for 2017.

Source: AIHW 2017

 

Austin Health Research Online - recent submissions

Clinical perspective on antihypertensive drug treatment in adults with grade 1 hypertension and low-to-moderate cardiovascular risk: an international expert consultation 
Morales Salinas A, Coca A, Olsen MH, et al. Current Problems in Cardiology 2017; 42(7): 198-225

Cervical artery dissection in patients >=60 years: often painless, few mechanical triggers
Traenka C, Dougoud D, Simonetti BG, et al. Neurology 2017; 88(14): 1313-1320

Trial of cannabidiol for drug-resistant seizures in the dravet syndrome
Devinsky O, Cross JH, Laux L, et al. New England Journal of Medicine 2017; 376: 2011-2020

The impact of disability in survivors of critical illness
Hodgson CL, Udy AA, Bailey M, et al. Intensive Care Medicine 2017; online first: 22 May

3D Printing in Liver Surgery: A Systematic Review
Witowski JS, Coles-Black J, Zuzak TZ, et al. Telemedicine and e-Health 2017; online first: 22 May

See more at AHRO, Austin Health Research Online

 

eBooks Spotlight

The medical interview : the three function approach / Steven A Cole – 3rd ed. Elsevier, 2014.
Offering a practical and systematic approach to basic interviewing skills, this book outlines a  three-function approach: "build the relationship", "assess and understand", and "collaborative management".

Stroke : pathophysiology, diagnosis, and management / by James C. Grotta et al. – 6th ed. Elsevier, 2016.
This edition has new sections on pathophysiology, epidemiology, and clinical manifestations. Included is an extensive section on medical, interventional and surgical therapy, useful for clinicians providing stroke services or for researchers.

New books on display
Pharmacology in nursing / Bronita E. Broyles et al. – 2nd ed. Cengage Learning, 2017.
Focuses on the use of medications in the healthcare environment in Australia and New Zealand. The new edition includes two new chapters on pharmacogenetics and pharmacogenomics, an area of growing interest in personalised medicine, and the second chapter deals with the ethical and legal issues relating to the administration of medications.

 

Journals Spotlight

These links provide access to the current table of contents:

Australian Critical Care

Catheretization & Cardiovascular Interventions

Endocrine Reviews

International Journal of Antimicrobial Agents

JAMA

Lancet

Liver International

Medical Education

Nursing Critical Care

Women and Birth

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.

BrowZine

BrowZine provides instant access to Austin Library journals on your favourite device.
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.