Tasman Medical Journal

ISSN: 2652-1881

Assessing the accuracy of discharge coding for gout, using the International Classification of Disease, at two tertiary teaching hospitals in Perth

Clinical and epidemiological research is often conducted using data from hospital discharge coding. The authors have studied the accuracy of a discharge coding diagnosis of gout, compared to clinical diagnoses based on ACR/EULAR 2015 gout classification criteria and case note review. The coding diagnosis was not supported by the former in over half the cases, or by the latter in almost one third.

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

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

LATEST ARTICLE

Recent Articles

Re-introduction of biological DMARDs for rheumatoid arthritis during active antibiotic therapy for prosthetic joint infections

The safety of treating active rheumatoid arthritis (RA) with bDMARDS in patients with joint or other infections is uncertain. The authors report and discuss three patients with RA who developed joint infection after orthopaedic surgery and who received biological DMARDS as well as antibiotics. The cases shed light on the safety of this approach to management.

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Impact of ‘Can’t Intubate Can’t Oxygenate’ (CICO) kit ergonomic design on the timed responses of participants in simulated CICO crises: A randomised, crossover pilot study

IntroductionThe ‘Can’t Intubate Can’t Oxygenate’ (CICO) situation is a life-threatening, time-critical airway emergency.1 Although a rare event, it is associated with significant patient morbidity and mortality.1 The 4th National Audit Project by the Royal College of Anaesthetists (RCOA) and Difficult Airway Society (DAS) highlighted multiple factors influencing CICO outcome.2 A major modifiable factor included the availability and accessibility of essential equipment.2 The purported ergonomic utility of pre-packaged CICO equipment into kits has also been recently described in literature.3 However, there

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Outcomes from the first five years of allogeneic haemopoietic progenitor cell transplantation at Fiona Stanley Hospital

INTRODUCTIONAllogeneic haemopoietic progenitor cell transplantation (alloHPCT) involves the infusion of third party-derived haemopoietic precursor cells into a recipient who has undergone sufficient chemotherapy or radiotherapy conditioning treatment to allow engraftment of these cells and eventually full haemopoietic and immunological reconstitution.  The treatment is effective as replacement of haemopoiesis in bone marrow failure syndromes, and allows high doses of chemotherapy as well as life-long immunological surveillance against relapse to treat malignant conditions.  Donors are preferentially siblings who are human leukocyte antigen

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Virtual Fracture Clinic pilot in an orthopaedic tertiary hospital setting: patient characteristics, clinical contact metrics and operational challenges

IntroductionVirtual fracture clinics (VFC) are established in the United Kingdom as a cost-effective conservative management pathway for patients with uncomplicated fractures.1,2  In a VFC, such patients are streamed to clinics staffed with advanced scope physiotherapists (ASP) and experienced nurses working in collaboration with orthopaedic surgeons. Many injuries that can be managed in boots, splints and slings are streamed to discharge with information or telephone follow up clinic.3  The primary rationale of establishing a VFC is to free up surgeons to

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An evaluation of research capacity and culture in a sample of Western Australian Allied Health professionals

Introduction Research should be one of the pillars of a resilient flexible health system,1 and building research capacity is crucial for maintaining or improving quality of care and patient outcomes.  Translational research is an important phase of the research process.  Allied Health professionals (AHP) comprise a significant and vital proportion of the Australian healthcare workforce across several professional categories.  Such personnel are uniquely placed to design, generate, and execute clinically meaningful research, and translate it into practice.2,3 However, the literature

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