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Decisions surrounding adverse drug reaction prescribing : Insights from consumers and implications for decision support

- O'Brien, Michelle, Yearwood, John

Authors: O'Brien, Michelle , Yearwood, John
Date: 2005
Type: Text , Journal article
Relation: Journal of Research and Practice in Information Technology Vol. 37, no. 1 (2005), p. 57-71
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Description: This paper presents findings from case studies of health consumers who each suspect they may have experienced an adverse drug reaction (ADR). These case studies are part of a larger study involving consumer/doctor decisions surrounding suspected adverse drug reactions and prescribing. Decision support to assist with the diagnosis and management of ADRs has, to date, primarily focused on providing in-time information to prescribers about factors that pertain to the consumer and the medications they are taking. Decision support that includes consumers usually targets treatment decisions. The results of this paper indicate the prescriber is only one decision contributor in a rich tapestry of decision contributors and decision types, and consumer decision types are significantly broader than treatment decisions. The results provide guidance for the development of decision support within this domain.
Description: C1
Description: 2003001435

Health managers and health reform

- Briggs, David, Cruickshank, Mary, Paliadelis, Penny

Authors: Briggs, David , Cruickshank, Mary , Paliadelis, Penny
Date: 2012
Type: Text , Journal article
Relation: Journal of Management & Organization Vol. 18, no. 5 (2012), p. 641-658
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Description: This qualitative study was undertaken with a diverse sample of Australian health managers to examine their perceptions regarding the health system and to understand how they learned to become health managers. The findings showed that they viewed the health system as one of constant change, mostly non-adaptive, and a system of parts controlled by bureaucrats and political interests. While the respondents enjoyed their managerial role, they see it as contested between the professions. This study concluded that greater emphasis on the education and training of health managers and their continuing professional development is required if they are to manage increasingly complex, dynamic and changing health systems. In Australia, the health debate continues with the recently announced national health reform agenda. The perceptions of health managers in health reform and change management are important given that they are said to be central to the implementation of health reform and the management of change.

Defining and classifying aggression and violence in health care work

- Hills, Danny

Authors: Hills, Danny
Date: 2018
Type: Text , Journal article
Relation: Collegian Vol. 25, no. 6 (2018), p. 607-612
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Description: Background: There is considerable contention in defining workplace aggression, especially in health care. This can lead to challenges in effectively researching workplace aggression, and ensuring a sound basis for developing strategies to prevent and minimise its likelihood and consequences. Aim: The aim of this discussion paper is to provide a pragmatic definition of workplace aggression, based on a contemporary conceptualisation of human aggression, followed by a discussion on key classifications of workplace aggression. Methods: The argument presented draws on theoretical and applied literature to develop a case for adopting a pragmatic definition of aggression, with key classification components. Findings and Discussion: A highly practical conceptualisation of workplace aggression differentiates two main forms – verbal or written and physical aggression – and two main source groups – internal (co-workers) and external (patients, their relatives or carers and others external to the workplace). Conclusion: Clarity and consensus on defining and classifying workplace aggression, should provide a sound and coherent basis for researchers, policy makers, clinicians and health care organisations to successfully prevent and minimise this challenging and serious work health and safety concern. © 2018 Australian College of Nursing Ltd

What's in a name? Clarifying the nomenclature of virtual simulation

- Cant, Robyn, Cooper, Simon J., Sussex, Roland, Bogossian, Fiona

Authors: Cant, Robyn , Cooper, Simon J. , Sussex, Roland , Bogossian, Fiona
Date: 2019
Type: Text , Journal article
Relation: Clinical Simulation in Nursing Vol. 27, no. (2019), p. 26-30
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Description: Clinical simulation is an essential component of health professional education. Digital technologies can provide students with near-reality, interactive virtual simulation learning experiences on static and mobile appliances. Clarification is needed, however, regarding the various types of virtual simulation and the different program components. We drew on published literature to define virtual simulation modalities and to offer definitive terminology to clarify the nomenclature and composition of virtual simulation. Reporting should include description of ‘Fidelity’ ‘Immersion’ and ‘Patient’ to add clarity and utility to research in the field.

Short-term absenteeism and health care utilization due to lower extremity injuries among novice runners : A prospective cohort study

- Smits, Dirk-Wouter, Huisstede, Bionka, Verhagen, Evert, van der Worp, Henk, Kluitenberg, Bas, van Middelkoop, Marienke, Hartgens, Fred, Backx, Frank

Authors: Smits, Dirk-Wouter , Huisstede, Bionka , Verhagen, Evert , van der Worp, Henk , Kluitenberg, Bas , van Middelkoop, Marienke , Hartgens, Fred , Backx, Frank
Date: 2016
Type: Text , Journal article
Relation: Clinical Journal of Sport Medicine Vol. 26, no. 6 (2016), p. 502-509
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Description: Objective: To describe absenteeism and health care utilization (HCU) within 6 weeks after occurrence of running-related injuries (RRIs) among novice runners and to explore differences relating to injury and personal characteristics. Participants: One thousand six hundred ninety-six novice runners (18-65 years) participating in a 6-week running program ("Start-to-Run"). Main Outcome Measures: Injury characteristics were assessed by weekly training logs and personal characteristics by a baseline questionnaire. Data on absenteeism and HCU were collected using questionnaires at 2 and 6 weeks after the RRI occurred. Results: A total of 185 novice runners (11%) reported an RRI during the 6-week program. Of these injured novice runners, 78% reported absence from sports, whereas only 4% reported absence from work. Fifty-one percent of the injured novice runners visited a health care professional, mostly physical therapists (PTs) rather than physicians. Absenteeism was more common among women than men and was also more common with acute RRIs than gradual-onset RRIs. As regards HCU, both the variety of professionals visited and the number of PT visits were higher among runners with muscle-tendon injuries in the ankle/foot region than among those with other RRIs. Conclusions: Among novice runners sustaining an RRI during a 6-week running program, over three quarters reported short-term absence from sports, whereas absence from work was very limited, and over half used professional health care. Both absence and HCU are associated with injury characteristics.

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