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“There is nothing more powerful than an idea whose time has come.”
Victor Hugo 


Medication allergies – coroner’s case reports

The latest VIFM clinical communique focuses on medication allergies. The effectiveness of alert systems for known medication allergies is discussed in the context of three deaths from anaphylactic drug reactions. Expert commentary provided by Adjunct Associate Professor Stuart Margison outlines the steps required by health services to ensure the safe prescribing and dispensing of medications.

Source: Clinical Communique 2017; 4(3)


Health literacy in linguistically diverse groups

"Health literacy is low among older people and even lower among older people born overseas. This paper describes findings from a recent research study which developed and used the Cultural Exchange Model. The model is based on a process of collaboration, whereby researchers, service providers and community members work together to build evidence about a particular topic, in this case dementia. The study demonstrated that the Cultural Exchange Model facilitates opportunities for researchers, health professionals, community workers and carers to improve their knowledge of conditions such as dementia and rapidly translate evidence into practice".

Source: Australian Health Review 2017; online first 7 September
Full text available for Austin & MHW Heidelberg staff via document delivery


Identifying adverse events & errors

A new approach to identify inpatients with preventable adverse events has been developed in the US. Using data from the electronic health record in conjunction with a modified Global Trigger Tool (GTT), researchers were able to identify both an increased number of preventable events as well as diagnostic errors. The data (known as e-triggers) can be used to improve our understanding of the factors that contribute to errors and adverse events in hospitalised settings, and also inform interventions for improvement.

Source: BMJ Quality & Safety 2017; online first: 21 September


Antidepressant use in cancer

The incidence of depression in cancer patients can lead to poorer patient outcomes. Research indicates rates of depression are highest in the first year of cancer diagnosis. A new Australian study has compared the prescription practices of antidepressants to cancer and non-cancer inpatients at a major tertiary hospital and assessed side effects and potential drug-drug interactions. The results show that while antidepressants were prescribed for a range of indications across cancer and non-cancer patients, they were more commonly prescribed for unspecified reasons among cancer patients.

Source: Supportive Care in Cancer 2017; online first: 19 September


Aggression in brain injury

Physical and verbal aggression is frequently associated with brain injuries and overly restrictive interventions may trigger further aggressive incidents in patients with an acquired brain injury (ABI). The Relational Neurobehavioral Approach (RNA) is a set of non-aversive intervention methods for managing brain injury-related aggression. Based on research conducted in a US "skilled nursing facility" for individuals with ABI, this paper outlines how the RNA can potentially be used to manage brain injury-related aggression without seclusion or mechanical restraint.

Source: Disability and Rehabilitation 2017; 39 (22): 2261-2268


Outcomes for infant birthweight over 5kg

Infant birthweight ≥5.0kg represents a significant risk factor for mother and neonate. Over a 25 year period, researchers in Ireland examined 73,796 deliveries of which 201 were infants with a birth weight ≥5.0kg. The authors found that mothers in the latter 11 years of the study had a higher BMI, lower spontaneous vaginal delivery rate, and higher overall caesarean delivery rate. The study showed no apparent benefit from planned pre-labour caesarean deliveries.

Source: Journal of Maternal-Fetal & Neonatal Medicine 2017; 30(24): 2961-2965


What’s new from NICE

The UK's National Institute for Health and Care Excellence (NICE) has published the following new (or revised) guidelines and quality standards


Did you know?

New patient engagement app
A Melbourne-based company has created a patient engagement platform that aims to improve patient understanding of their surgical procedure and to collect patient-reported outcome measures (PROMs) as a quality improvement exercise for clinics and surgeons. Aimed initially at private clinics but being trialled in a public hospital respiratory department as well, the platform allows clinics to send patients an SMS with a link to a video of their own surgeon explaining their procedure, along with written information. Clinics can then provide regular updates on what the patient needs to do in the pre-operative period and schedule post-operative updates as well.

Source: Pulse + IT magazine 2017; 26 September, and Nebula Health 2017
Full text available for Austin & MHW Heidelberg staff via document delivery 

Did you know when you add your favourite journals to My Bookshelf in BrowZine you will be alerted to new articles with a red notification bubble?
Select any journal to view the current issue's Table of Contents. A blue dot indicates a new, or unread, article. Easily manage unread articles by selecting "Mark This Issue Read" to clear notifications for a specific issue.


Austin Health Research Online - recent submissions

The role of whole-brain diffusion MRI as a tool for studying human in vivo cortical segregation based on a measure of neurite density
Calamante F, Jeurissen B, Smith RE, et al. Magnetic Resonance in Medicine 2017; online first: 16 September

What, where and why: exploring fluorodeoxyglucose-PET's ability to localise and differentiate infection from cancer
Douglas A, Lau E, Thursky KA, et al. Current Opinion in Infectious Diseases 2017; online first: 15 September

Changing face of robot-assisted radical prostatectomy in Melbourne over 12 years
Sathianathen NJ, Lamb A, Lawrentschuk N, et al. ANZ Journal of Surgery 2017; online first: 18 September

Bridging bio-nano science and cancer nanomedicine
Björnmal M, Thurecht KJ, Michael M, et al. ACS Nano 2017; online first: 19 September
Full text available for Austin & MHW Heidelberg staff via document delivery

See more at AHRO, Austin Health Research Online


eBooks Spotlight

Greens operative hand surgery / edited by Scott W Wolfe et al. - 7th ed. Elsevier, 2017.
The latest edition includes over 60 high resolution videos that provide step-by-step guidance on procedures and regular online content updates of emerging techniques. Included are concise tutorials, state-of-the-art coverage of hot topics, new approaches to wrist, elbow arthroplasty and new methods for internal fixation.

Hacker & Moore's essentials of obstetrics and gynecology / edited by Neville F. Hacker, JC Gambone and CJ Hobel - 6th ed. Elsevier, 2016.
This well illustrated text provides the evaluation, diagnosis and management of obstetrics and gynaecologic disorders. Each chapter begins with "clinical keys" then covers diagnosis and treatment with the most comprehensive and concise references on the subject.

Law for nurses and midwives / PJ Staunton and M Chiarella - 8th ed. Elsevier Australia, 2017.
Completely revised and updated to reflect the recent changes in legislation relating to nursing and midwifery practice. Special attention is paid to professional standard of care, workplace health and safety, coroners' jurisdiction and mental health, and ensures that a nationwide perspective is provided.

Harrison's principles of internal medicine / JL Jameson - 20th ed. McGraw Hill.
Three new sections of the yet to be published 20th edition have been released. These are on Cutaneous Drug Reactions, Chronic Hepatitis and Systemic Sclerosis (Scleroderma) and Related Disorders


Journals Spotlight

These links provide access to the current table of contents:

Australian Social Work


British Journal of Cancer

Emergency Medicine Clinics of North America

Evidence-Based Mental Health

Journal of Trauma Nursing

Orthopaedics and Trauma

The Patient: Patient-Centred Outcomes Research

Pediatrics and Neonatology

New England Journal of Medicine

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. & Password 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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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.