Blood gas analysis is the most commonly ordered test in the intensive care unit. Each investigation, however, comes with risks and costs to the patient and healthcare system. Evidence suggests that many tests are performed with no appropriate clinical indication.
Hypertensive disorders of pregnancy (HDP) affect up to 10% of all pregnancies annually and are associated with an increased risk of maternal and fetal morbidity and mortality. This guideline represents an update of the Society of Obstetric Medicine of Australia and New Zealand (SOMANZ) guidelines for [...]
Transvaginal mesh (TVM) surgeries were introduced as an innovative treatment for stress urine incontinency (SUI) and/or pelvic organ prolapse (POP) in 1996. Years after rapid adoption of these surgeries into practice, it emerged that TVM-associated adverse events were uncommon but potentially severe. This initiated global [...]
Transvaginal mesh (TVM) surgeries emerged as an innovative treatment for stress urine incontinency and/or pelvic organ prolapse in 1996. Years after rapid adoption of these surgeries into practice, they are a key example of worldwide failure of healthcare quality and patient safety. The prevalence of [...]
A pressing need exists for hemodialysis resource usage data based on current-day practice and hemodialysis systems. Accordingly, this study aimed to measure and compare the water and energy requirements of hemodialysis equipment in use in 2 Australian satellite hemodialysis units under standard operating conditions. Power [...]
The delivery of modern healthcare is inadvertently exacerbating illness and injury to populations through its own pollution. The global healthcare sector—health services and its medical supply chain—is responsible for approximately 5% of global net greenhouse gas (GHG) emissions (>2 gigatons of carbon dioxide equivalent (CO2e)) [...]
As climate change escalates with increasing health impacts, healthcare must address its carbon footprint. A critical first step is understanding the sources and extent of emissions from commonly utilised clinical care pathways. We used attributional process-based life cycle analysis to quantify CO2 equivalent emissions associated [...]
Climate change threatens human health and increases demand for healthcare. Global temperature is rising in near linear relationship with increasing carbon dioxide (CO2) in Earth’s atmosphere, bringing hotter and more extreme weather. Health consequences include direct injuries, deaths and illness, and indirect effects such as [...]
Occasions of low-value care (LVC) are those that confer little or no benefit to the patient or where harm (including lost treatment opportunity and financial cost) exceeds likely benefit. While it is easy to conceptualise health care as either low or high value, the reality [...]
Compared with placebo (sham) manual therapy, manual therapy may reduce pain and disability at the end of treatment. Longer‐term effects are unknown. Compared with minimal or no treatment, manual therapy, prescribed exercises or both may slightly reduce pain and disability, and result in little to [...]