NEW ZEALAND MEDICAL JOURNAL最新文献_第3页

Common errors in aged residential care settings contributing to statutory complaints: a review of cases investigated by the Health and Disability Commissioner in New Zealand. 老年住宿护理环境中的常见错误导致法定投诉：对新西兰卫生和残疾事务专员调查的案件的审查。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-09-25 DOI: 10.26635/6965.7455

Rebeca Mowat, Jan Dewar, Marie Chapman, Catherine Cook

{"title":"Common errors in aged residential care settings contributing to statutory complaints: a review of cases investigated by the Health and Disability Commissioner in New Zealand.","authors":"Rebeca Mowat, Jan Dewar, Marie Chapman, Catherine Cook","doi":"10.26635/6965.7455","DOIUrl":"https://doi.org/10.26635/6965.7455","url":null,"abstract":"Aim: Statutory agencies such as the Health and Disability Commissioner (HDC) of New Zealand and the Australian Aged Care Quality and Safety Commission investigate complaints when significant health and safety breaches are identified in aged residential care (ARC). This study aims to identify the human factors that lead to complaints to the HDC in New Zealand ARC. Complaint analysis can identify areas to prioritise to mitigate future complaints and improve quality of care.Method: Yin's multiple-case study design was used to guide the research. Cross-case conclusions were drawn using Braun and Clarke's thematic analysis. Twenty-four HDC complaint cases from 2007 to 2021 were investigated using stratified randomised selection across three large ARC organisations.Results: The analysis showed four themes recurred most frequently in the 24 cases examined: 1) communication flaws; 2) documentation gaps; 3) policy-to-practice inconsistencies; and 4) staffing shortages and skill mix insufficiencies.Conclusion: The analysis indicated commonly recurring problems. The investigative system could be more effectively managed by proactively investing in a human factors approach, such as the Systems Engineering Initiative for Patient Safety lens, rather than the current approach, which is more likely to apportion blame to individuals. This shift would mean that organisations could avert many harms by engaging experts to examine their complex system holistically and identify multiple parts of the system that contribute to events that currently come before the HDC.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"139 1642","pages":"21-31"},"PeriodicalIF":1.2,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Response to: "Equity requires visibility: intellectual disability and Aotearoa New Zealand's mental health roadmap". 对“公平需要可见性：智力残疾和新西兰精神卫生路线图”的回应。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-09-25 DOI: 10.26635/6965.7686

Karen Orsborn

引用次数: 0

Correction: The impact of New Zealand's 2018 methamphetamine policy on residential contamination. 更正：新西兰2018年甲基苯丙胺政策对住宅污染的影响。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-09-25 DOI: 10.26635/6965.er1642

引用次数: 0

Beyond treatment volumes: improving equity, outcomes and quality of life in lung cancer care. 超越治疗量：改善肺癌治疗的公平性、结果和生活质量。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-09-25 DOI: 10.26635/6965.7742

Ross Lawrenson

引用次数: 0

Prophylactic tracheostomy to facilitate repeat biopsy and initiation of treatment in a patient with laryngeal tuberculosis causing critical supraglottic stenosis. 预防性气管造口术，以促进重复活检和开始治疗的病人喉结核引起严重声门上狭窄。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-09-25 DOI: 10.26635/6965.7474

Joseph Nm Luna, Thomas R Bowhay, Rebecca Field, Mark Stuart, Claire Salter, Avnish D Goyani, Thomas Oliver, Nicholas M Douglas

引用次数: 0

Measuring toxicity following systemic therapy for lung cancer in Aotearoa New Zealand using a cancer-specific framework and national collections data. 使用癌症特异性框架和国家收集数据测量新西兰奥特罗阿肺癌全身治疗后的毒性。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-09-25 DOI: 10.26635/6965.7446

Jasmine Appleton, James Stanley, Anna Davies, Laird Cameron, Paul Dawkins, Christopher Gca Jackson, Ajay Aggarwal, Jemma Boyle, Kate Walker, Jason Gurney

{"title":"Measuring toxicity following systemic therapy for lung cancer in Aotearoa New Zealand using a cancer-specific framework and national collections data.","authors":"Jasmine Appleton, James Stanley, Anna Davies, Laird Cameron, Paul Dawkins, Christopher Gca Jackson, Ajay Aggarwal, Jemma Boyle, Kate Walker, Jason Gurney","doi":"10.26635/6965.7446","DOIUrl":"https://doi.org/10.26635/6965.7446","url":null,"abstract":"Aim: Toxicities are a common side effect of systemic therapy delivered to treat lung cancer. In this study, we have applied a cancer-specific toxicity coding framework and national-level data to describe the number and types of severe acute toxicities experienced by patients receiving systemic therapy for lung cancer in New Zealand.Methods: Participants included all New Zealanders diagnosed with lung cancer between 2012 and 2019 on the New Zealand Cancer Registry (NZCR; N=18,081). NZCR data were linked to a national pharmaceutical dataset to identify receipt of systemic therapy and then to inpatient hospitalisation data to identify toxicities following this treatment. A cancer-specific toxicity coding framework was used to define toxicities. Descriptive analysis and regression modelling were used to describe the toxicity profile of those undergoing systemic therapy for lung cancer, by tumour type.Results: Using our framework and the available data, we observed that four in every five lung cancer patients receiving systemic therapy experience some toxicity during treatment. Around half of our cohort were diagnosed with an infection of some kind, most commonly lung infection. Other common toxicities included constipation, hypotension, cardiac arrhythmia, anaemia, neutropenia and sepsis. Those with small cell lung cancer were more likely to be diagnosed with neutropenia, sepsis and electrolyte disturbances than those with other tumour types.Conclusion: We observed a significant toxicity burden using administrative health records and a cancer-specific toxicity coding framework. With the caveats identified and discussed throughout this paper, this system can be used to identify and better understand this burden in other cancer contexts.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"139 1642","pages":"121-140"},"PeriodicalIF":1.2,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Response C to: "The impact of New Zealand's 2018 methamphetamine policy on residential contamination". 回答C：“新西兰2018年甲基苯丙胺政策对住宅污染的影响”。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-09-25 DOI: 10.26635/6965.7717

Anne Bardsley

引用次数: 0

Response B to: "The impact of New Zealand's 2018 methamphetamine policy on residential contamination". 针对：“新西兰2018年甲基苯丙胺政策对住宅污染的影响”。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-09-25 DOI: 10.26635/6965.7718

Sarah Helm

引用次数: 0

Nurse practitioner practice in Aotearoa New Zealand: national Nurse Practitioner Workforce Survey 2025. 新西兰奥特罗阿的执业护士实践：2025年全国执业护士劳动力调查。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-09-25 DOI: 10.26635/6965.7497

Deborah L Harris, Lisa Woods, Julia Liu, Kathy Holloway, Amy Hina, Pauline Brennan, Diane Williams, Rachael Walker, Nadine Gray

{"title":"Nurse practitioner practice in Aotearoa New Zealand: national Nurse Practitioner Workforce Survey 2025.","authors":"Deborah L Harris, Lisa Woods, Julia Liu, Kathy Holloway, Amy Hina, Pauline Brennan, Diane Williams, Rachael Walker, Nadine Gray","doi":"10.26635/6965.7497","DOIUrl":"10.26635/6965.7497","url":null,"abstract":"Aim: The aim of this study was to describe nurse practitioner (NP) demographics, practice settings and practising conditions, and to establish the Nurse Practitioner Workforce Survey (NPWORKS) as a repeatable national dataset for longitudinal monitoring.Methods: NPWORKS is a biennial, cross-sectional, self-reported survey administered electronically (January-March 2025). Eligible participants were Te Kaunihera Tapuhi o Aotearoa | Nursing Council of New Zealand-registered NPs with a current annual practising certificate. Descriptive statistics were used.Results: From 897 registered NPs at the time of the survey, 545 eligible responses were analysed, representing 61% of the registered NP workforce; 381 respondents (70%) completed ≥95% of the survey. Almost all respondents reported patient- and whānau-facing roles (537/545, 99%). Among solely clinically practising respondents, the most common practice areas were primary healthcare (203/441, 46%) and emergency and trauma (79/441, 18%). Māori respondents reported clear understanding that the NP role contributes to reducing inequities (28/38, 74%), although fewer reported complete support to meet Healthy Futures (Pae Ora) Act 2022 obligations (13/38, 34%). Most respondents practising clinically only reported workplace support to practise safely (372/441, 84%), while fewer reported practising to full scope (322/441, 73%). Self-reported high to severe burnout was more common in rural than urban NPs (25/92, 27% vs 47/346, 14%) and among those planning retirement within 5 years (23/80, 29%).Conclusion: NPWORKS 2025 establishes a national baseline and includes equity enablement measures. It identifies uneven full-scope enablement and sustainability risks, supporting longitudinal monitoring and outcomes-focussed evaluation.","PeriodicalId":48086,"journal":{"name":"NEW ZEALAND MEDICAL JOURNAL","volume":"139 1642","pages":"62-80"},"PeriodicalIF":1.2,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lemierre's syndrome: an uncommon sequel of deep neck space infection. Lemierre综合征：深颈间隙感染的罕见后遗症。

IF 1.2

NEW ZEALAND MEDICAL JOURNAL Pub Date : 2026-09-25 DOI: 10.26635/6965.7532

Prathiba Kishore, Satvinder Singh Bakshi, Soumyajit Das, Seepana Ramesh

引用次数: 0