Tasman Medical Journal

ISSN: 2652-1881



A new open-access general medical journal for Australia and New Zealand

A new open-access general medical journal for Australia and New Zealand


Recent Articles

Accuracy of coded cause of death data: a study based on primary liver cancer

We have investigated the level of agreement for cause of death data in 232 patients who died of primary liver cancer, based on National (Australia Bureau of Statistics) and State (Tasmanian Cancer Registry) data and independent medical practitioners. The agreement between the ABS and TCR was poor but between medical practitioners was strong, and intermediate for comparisons between practitioners and either agency. Overall, cause-specific survival time was similar across the TCR, ABS and medical practitioners; with a small difference observed regarding the type of liver cancer. As liver cancer is a low-survival cancer, such results may be different to cancers with better survival such as breast cancer. Utilisation of specialist clinician oversight might improve data cohesion and fidelity.

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Simulation exercises increase staff confidence, knowledge and skills in managing mass casualty incidents: a pretest-posttest study

Introduction Emergency hospital systems are expected to respond effectively to intentional or accidental mass casualty incidents (MCI). Such incidents are largely unpredictable, and increasing worldwide.1-3  Mitigation of the harms associated with these disasters often requires appropriate high-quality healthcare processes to be enacted rapidly, safely and without duplication or error.4 To prepare clinicians and health systems, effective training and rehearsal using the multi-systems involved in an actual response is necessary. Response frameworks (for example, Homeland Security Exercise and Evaluation Program,5 Disaster

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