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"The outcome of any serious research can only be to make two questions grow where only one grew before" Thorstein Veblen

 

Patient ID in healthcare & laboratory medicine

Authors conclude that although misidentification cannot be considered the most frequent error in healthcare and laboratory diagnostics, "the risk of attributing test results or treating the wrong patient remains tangible and the consequences are highly unpredictable". The "frequency of misidentification in laboratory medicine is around 0.01-0.1% and up to 10-20% of these errors translate into harm for patients".

Source: Clinical Biochemistry 2017; 50(10-11): 562-567
Full text available for Austin & MHW Heidelberg staff via document delivery

Standard of the month - Patient Identification & Procedure Matching (via Austin Hub)

 

Overuse of health care services in cancer management

This systematic review identified studies which measured overuse of 154 services related to cancer management including diagnostic imaging services. The authors noted “rates of overuse varied widely among services and among studies of the same service” and concluded “despite recent attention to overuse in cancer, evidence identifying areas of overuse remains limited”.

Source: Medical Care 2017; 55(7): 723-733
Full text available for Austin & MHW Heidelberg staff via document delivery

Further reading
Unnecessary surgery
In this editorial piece, the authors define unnecessary surgery and outline the impact it can have on patient safety. They encourage surgeons “to be unwavering patient safety advocates” and to foster a culture of shared decision-making by eliminating the “phantom menace” of unnecessary surgery.
Source: Patient Safety in Surgery 2017; 11(1): 1

Choosing Wisely (via Austin Hub)

 

Sepsis: awareness, prevention, diagnosis & management

This research estimates there are 30 million episodes and 6 million deaths arising from sepsis globally each year. National surveys from across the world consistently report low community awareness of sepsis, its signs and symptoms, its causes, and its toll of death and disability. In Australia, only 40% of surveyed people had heard of sepsis and only 14% could name one of its signs. WHO provide recommendations to: increase awareness, improve early presentation to a health care facility, train health care workers on early recognition of health care–associated sepsis, rapid administration of appropriate antibiotics, and urgent treatment according to locally developed guidelines all which can significantly reduce deaths from sepsis.

Source: NEJM 2017; online first: 28 June

 

An evolving approach to delirium: NZ experience

Up to 42% of medical inpatients experience delirium. Across hospitals in New Zealand several delirium programs have been developed and implemented in order to improve patient care. Using a mixed methods approach, researchers evaluated the design and implementation of a hospital-wide delirium program and the findings triggered major changes. The review outlines the “creation of a critical pathway; replacing the Short-CAM test with a rapid assessment tool; and the barriers faced by nurses and doctors during implementation”.

Source: Australasian Journal on Ageing 2017; 36(2): E20-E26

 

Depression comorbidity in migraine

“Studies show that patients with migraine are 2-4 times more likely to develop lifetime Major Depressive Disorder (MDD) predominantly due to similar underlying pathophysiologic and genetic mechanisms. Quality-of-life and health-related outcomes are worse for patients that suffer from both conditions. Thus, a careful assessment of the patient with access to appropriate resources and follow-up is paramount. Future studies in genetics and brain imaging will be helpful in further elucidating the underlying mechanisms in these comorbid conditions, which will hopefully lead to better treatment options”.

Source: International Review of Psychiatry 2017; 6:1-12

 

HELP to make Austin Library even better!

In 2012 Austin Health Library achieved a new benchmark high among Australian Health Libraries (hospital & university) reaching an overall survey response score of 86.0% for our service importance and performance.

As part of our next hospital accreditation your Library is again engaging in this exercise.

Please support us by completing this short survey which will remain open until 30 July 2017.

Your opinions will help to validate the Library's continued commitment and contribution to evidence based practice.

 

Austin Health Research Online - recent submissions

Treatment efficacy, adherence, and quality of life among women younger than 35 years in the international breast cancer study group TEXT and SOFT adjuvant endocrine therapy trials
Saha P, Regan MM, Pagani O, et al. Journal of Clinical Oncology 2017; online first: 27 June

Breaking up sitting time after stroke (BUST-Stroke)
Janssen H, Dunstan DW, Bernhardt J, et al. International Journal of Stroke 2017; 12(4): 425-429

Occupational exposure to pesticides are associated with fixed airflow obstruction in middle-age
Alif SM, Dharmage SC, Benke G, et al. Thorax 2017; online first: 7 July

The Post-SIR-Spheres Surgery Study (P4S): retrospective analysis of safety following hepatic resection or transplantation in patients previously treated with selective internal radiation therapy with yttrium-90 resin microspheres
Pardo F, Sangro B, Lee R, et al. Annals of Surgical Oncology 2017; online first: 27 June

Magnesium status and magnesium therapy in cardiac surgery: a systematic review and meta-analysis focusing on arrhythmia prevention
Fairley JL, Zhang L, Glassford NJ, et al. Journal of Critical Care 2017; 42: 69-77

See more at AHRO, Austin Health Research Online

 

eBooks Spotlight

Williams textbook of endocrinology / edited by Shlomo Melmed et al. – 13th ed., Elsevier, 2016.
Provides clear and logical navigation through a wealth of scholarly information. Includes new chapters on the genetics of endocrinology and on population health with an emphasis on endocrine practice today.

New books on display 
The overactive pelvic floor / edited by Anna Padoa and Talli Y. Rosenbaum – Springer, 2016.
Provides a comprehensive review of the overactive pelvic floor. Offers clinical tools for medical & mental health practitioners for recognition, assessment, treatment & interdisciplinary referral of patients.

Surgery, the ultimate placebo : a surgeon cuts through the evidence / Ian Harris – Newsouth, 2016. 
This book argues that many surgical procedures become accepted practice without sufficient examination of the evidence and can be found to be unnecessary or harmful when properly evaluated. 

 

Journals Spotlight

These links provide access to the current table of contents:

Annals of Thoracic Surgery

Aggression and Violent Behavior

BMJ

Depression & Anxiety

Diabetes Care

Evidence-Based Mental Health

Journal of Neurology, Neurosurgery & Psychiatry

New England Journal of Medicine

Nursing for Women's Health

Sleep

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.