Risk

Nurses’ Anxiety Mediates the Relationship between Clinical Tolerance to Uncertainty and Antibiotic Initiation Decisions in Residential Aged-Care Facilities – Saniya Singh et al.

2024-06-03T14:49:32+10:00Ageing, Antibiotics, End of life, Ethical considerations, Overuse, Prescribing, Publications, Risk|

Diagnostic uncertainty, risk perceptions, time constraints, and pressure from resident/family members and nurses have been identified as potential barriers to reducing antibiotic prescribing in residential aged-care facilities. The current study investigated the relationship between nurses’ anxiety, clinical tolerance of uncertainty, and behaviors that favor antimicrobial [...]

What influences antibiotic initiation? Developing a scale to measure nursing behaviour in residential aged-care facilities – Saniya Singh et al.

2024-06-03T14:46:30+10:00Ageing, Antibiotics, Overuse, Prescribing, Publications, Risk|

Prescribers perceive interprofessional tensions and specifically, pressure from nurses to prescribe antibiotics as a significant barrier to reducing overprescribing in RACFs. The primary aim of the current study was to develop a scale that measures nursing behaviours related to antibiotic initiation in RACF. As expected, [...]

How should artificial intelligence be used in Australian health care? Recommendations from a citizens’ jury – Stacy M Carter et al.

2024-06-03T14:44:00+10:00AI, Citizen's juries, Health system, Publications, Risk|

We convened a national citizens’ jury to discuss the question: “Under what circumstances, if any, should artificial intelligence be used in Australian health systems to detect or diagnose disease?”. The aim of deliberative democratic methods, developed in political science and government, is to enhance democracy [...]

Vigilance in infectious disease emergencies: Expanding the concept – Jane Williams et al.

2024-04-12T12:11:18+10:00COVID-19, Health system, Public comprehension, Publications, Risk|

Protecting the health of the public, during a crisis or otherwise, is almost always considered the responsibility of governments. Analyses of institutional responses to the COVID-19 pandemic illustrate that governments play a central role in the suppression and control of public infection through measures that [...]

Hip-specific and generic patient-reported outcome measure scores after primary hip replacement are associated with early revision surgery: a national registry study – Ilana N. Ackerman et al.

2024-04-12T11:50:43+10:00Hip, Knee, Musculoskeletal, Pain, PROMS, Publications, Risk|

The ability to efficiently identify patients at higher risk of poor outcomes after joint replacement would enable limited resources for post-operative follow-up to be directed to those with the greatest clinical need. This is particularly important as joint replacement rates continue to grow internationally, stretching [...]

Establishing a hierarchy of total knee arthroplasty patients’ goals and its congruity to health professionals’ perceptions: a cohort study – Sascha Karunaratne et al.

2024-04-07T16:49:13+10:00Knee, Musculoskeletal, Osteoarthritis, Pain, Publications, Risk, Shared decision making, Surgery, Treatment|

This study established a hierarchy of the goals most important to patients, identifying key goals as improving mobility, reducing pain, and improving daily tasks. Health professionals involved in the recommendation of knee arthroplasty were generally found to be able to identify what patients wanted to [...]

Exploring Different Contexts of Statin Deprescribing: A Vignette-Based Experiment with Older Adults Across Four Countries – Kristie Rebecca Weir et al.

2024-04-07T16:33:55+10:00Ageing, Deprescribing, Polypharmacy, Primary Care, Publications, Risk|

Deprescribing is the process of a healthcare professional reducing or stopping an inappropriate medication. Statins, commonly prescribed to prevent cardiovascular events, pose uncertain benefits and potential harms for older adults, making deprescribing a preference-sensitive decision. Deprescribing studies typically ask general questions about deprescribing preferences; however, [...]

Association of state-level prescription drug monitoring program implementation with opioid prescribing transitions in primary care in Australia – Ting Xia et al.

2024-04-07T14:41:17+10:00Clinical guidelines, Deprescribing, Opioids, Pain, Prescribing, Primary Care, Publications, Risk|

This study aimed to evaluate whether voluntary and mandatory prescription drug monitoring program (PDMP) use in Victoria, Australia, had an impact on prescribing behaviour, focusing on individual patients' prescribed opioid doses and transition to prescribing of nonmonitored medications.

Benefits and harms of prostate specific antigen testing according to Australian guidelines – Michael Caruana et al.

2024-04-07T12:52:52+10:00Cancer, Overdiagnosis, Prostate cancer, Publications, Risk, Screening, Tests|

Guidelines for prostate specific antigen (PSA) testing in Australia recommend that men at average risk of prostate cancer who have been informed of the benefits and harms, and who decide to undergo regular testing, should be offered testing every 2 years from 50 to 69 years. This [...]

Could nudges reduce health literacy disparities in CVD prevention? An experiment using alternative messages for CVD risk assessment screening – Michael Anthony Fajardo et al.

2024-04-05T14:58:38+11:00Cardiovascular disease, General Practice, Health literacy, Publications, Risk, Screening|

This study aimed to test different SMS messages inviting patients for a Heart Health Check with their GP. We also assessed how health literacy moderated these effects, to inform an Australian CVD risk screening program. Specifically, we tested a control message used in a previous [...]

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