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Issue

Vol 128 No 1421: 4 September 2015

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Issue Summary

SUMMARY

Regulating our emergency care paramedics

Bronwyn Tunnage, Andrew Swain, David Waters

Patients have a right to know that the people who care for them are fully qualified, up to date, and practising safely. In New Zealand the law requires a wide range of healthcare professionals to be registered in order to monitor standards. However, even though ambulance paramedics care for over 450,000 patients each year and perform advanced medical skills, in New Zealand they are not registered healthcare professionals.

SUMMARY

Randomised controlled trials cited in pharmaceutical advertisements targeting New Zealand health professionals: do they support the advertising claims and what is the risk of bias?

Alison Ma, Lianne Parkin

Randomised controlled trials (RCTs) are the best way to determine whether one treatment works better than another (or no treatment) - providing they are done well. Pharmaceutical (drug) advertisements are commonly found in publications which are read by health professionals. Internationally, there is concern that the therapeutic claims made in some advertisements are not supported by good evidence and might have a negative impact on what doctors prescribe. We systematically examined the advertisements in two publications directed at New Zealand health professionals and found that only 35% of therapeutic claims referred to an RCT as supporting evidence. Moreover, in 19% of cases the RCT did not support the claim, and in only 8% of cases was the claim supported by an RCT with a low risk of bias.

SUMMARY

What have five years of the shorter stays in the emergency department health target done to us?

Michael Ardagh, Lynette Drew

This paper reviews the first five years of the Shorter Stays in the Emergency Department national health target - its genesis, implementation and impact. Five years of the target have seen a maturing whole of system collaboration leading to better patient care. However, there is still much to do and demand continues to increase. Assisted by the Quality framework and suite of quality measures for the Emergency Department phase of acute patient care in New Zealand, a good structure and methodology driving improvement, and a patient centred focus, this work must continue.

SUMMARY

Understanding administrative coding of emergency department visits for unspecified acute allergic reactions

Colleen McMilin, Carlos Camargo Jr, Susan Morton, Cameron Grant

In many countries increasing numbers of children are being reported as being affected by food allergy. The most severe allergic reactions to food can be life threatening and can require the child to attend the hospital emergency department. We reviewed paediatric emergency department visits to Auckland City Hospital from 1988 to 2011. We showed that that hospital emergency department presentations for food-related allergic reactions have increased over time in Auckland.

ALL ARTICLES
SUMMARY

3D programme, Sunday August 2, on screening mammography

Ian Campbell

Regulating our emergency care paramedics

Bronwyn Tunnage, Andrew Swain, David Waters

Heerfordt’s syndrome

Alessandro Andreani, Giulio Rossi, Michele Giovannini, Gaia Cappiello

Charge

A snapshot of antimicrobial use in New Zealand hospitals—a comparison to Australian and English data

Eamon Duffy, Sharon Gardiner, Tanya du Plessis, Kristen Bondesio, Brijul Morar

Randomised controlled trials cited in pharmaceutical advertisements targeting New Zealand health professionals: do they support the advertising claims and what is the risk of bias?

Alison Ma, Lianne Parkin

Follow-up of glycemic control and cardiovascular outcomes in type 2 diabetes

Susceptibility to e-cigarette use among never-users: findings from a survey of New Zealand adult smokers and ex-smokers

Judy Li, Rhiannon Newcombe, Darren Walton

Smartphone apps for weight loss and smoking cessation: Quality ranking of 120 apps

Raja Patel, Lucy Sulzberger, Grace Li, Jonny Mair, Hannah Morley, Merryn Ng-Wai Shing, Charlotte OLeary, Asha Prakash, Nicholas Robilliard, Merrin Rutherford, Caitlin Sharpe, Caroline Shie, Logitha Sritharan, Julia Turnbull, Imogen Whyte, Helen Yu, Christine Cleghorn, William Leung, Nick Wilson

What have five years of the shorter stays in the emergency department health target done to us?

Michael Ardagh, Lynette Drew

Understanding administrative coding of emergency department visits for unspecified acute allergic reactions

Colleen McMilin, Carlos Camargo Jr, Susan Morton, Cameron Grant

Chewing the saturated fat: how many more negative studies do we need?

Simon Thornley, George Henderson, Grant Schofield

Response to Briggs, et al

Emma Best, Tony Walls

Partnership and rigor in improving patient care

Alan F. Merry, Richard Hamblin

Post lumbar puncture leg weakness mimicking cauda equina syndrome

Prashanth Hari Dass

Abstracts for the 228th Otago Medical School Research Society Summer Student Speaker Meeting sponsored by the Otago Medical Research Foundation

Feminism following orchidectomy

The art and science of marketing medications

Les Toop, Dee Mangin

Did we have the wrong debate about Elixinol™ and medicinal cannabis?

Marta Rychert, Chris Wilkins

A response to ‘Childhood obesity in New Zealand’ by Steven Kelly, Boyd Swinburn

Richard Flint

SUMMARY

Regulating our emergency care paramedics

Bronwyn Tunnage, Andrew Swain, David Waters

Patients have a right to know that the people who care for them are fully qualified, up to date, and practising safely. In New Zealand the law requires a wide range of healthcare professionals to be registered in order to monitor standards. However, even though ambulance paramedics care for over 450,000 patients each year and perform advanced medical skills, in New Zealand they are not registered healthcare professionals.

SUMMARY

Randomised controlled trials cited in pharmaceutical advertisements targeting New Zealand health professionals: do they support the advertising claims and what is the risk of bias?

Alison Ma, Lianne Parkin

Randomised controlled trials (RCTs) are the best way to determine whether one treatment works better than another (or no treatment) - providing they are done well. Pharmaceutical (drug) advertisements are commonly found in publications which are read by health professionals. Internationally, there is concern that the therapeutic claims made in some advertisements are not supported by good evidence and might have a negative impact on what doctors prescribe. We systematically examined the advertisements in two publications directed at New Zealand health professionals and found that only 35% of therapeutic claims referred to an RCT as supporting evidence. Moreover, in 19% of cases the RCT did not support the claim, and in only 8% of cases was the claim supported by an RCT with a low risk of bias.

SUMMARY

What have five years of the shorter stays in the emergency department health target done to us?

Michael Ardagh, Lynette Drew

This paper reviews the first five years of the Shorter Stays in the Emergency Department national health target - its genesis, implementation and impact. Five years of the target have seen a maturing whole of system collaboration leading to better patient care. However, there is still much to do and demand continues to increase. Assisted by the Quality framework and suite of quality measures for the Emergency Department phase of acute patient care in New Zealand, a good structure and methodology driving improvement, and a patient centred focus, this work must continue.

SUMMARY

Understanding administrative coding of emergency department visits for unspecified acute allergic reactions

Colleen McMilin, Carlos Camargo Jr, Susan Morton, Cameron Grant

In many countries increasing numbers of children are being reported as being affected by food allergy. The most severe allergic reactions to food can be life threatening and can require the child to attend the hospital emergency department. We reviewed paediatric emergency department visits to Auckland City Hospital from 1988 to 2011. We showed that that hospital emergency department presentations for food-related allergic reactions have increased over time in Auckland.

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