SAFER: A mnemonic to improve safety-netting advice in prescribing practice

2019 ◽  
Vol 1 (11) ◽  
pp. 552-555
Author(s):  
Paul Silverston
Keyword(s):  
Patient Safety ◽  
Clinical Assessment ◽  
Correct Diagnosis ◽  
Initial Diagnosis ◽  
Minor Illness ◽  
Prescribing Practice ◽  
A Minor ◽  
The Relationship ◽  
Safety Netting

One of the most fundamental concepts in medicine is that our ability to prescribe the correct medication is based upon our ability to make the correct diagnosis first. However, the relationship between illness, time and clinical assessment often means that the initial diagnosis may either be uncertain or incorrect. In addition, a patient may experience a serious complication of what is normally a minor illness. The dynamic and unpredictable nature of illness needs to be managed safely through the provision of safety-netting advice. However, it is essential that the medical content of that advice covers the specific medical criteria that would require a patient to seek a medical re-assessment of their symptoms and of their diagnosis. This article describes a mnemonic to help facilitate the development of symptom-based, patient safety-focused, safety-netting advice.

SAFER: A mnemonic to improve safety-netting advice

2020 ◽  
Vol 31 (1) ◽  
pp. 26-28 ◽  
Author(s):  
Paul Silverston
Keyword(s):  
Patient Safety ◽  
Correct Diagnosis ◽  
Diagnostic Error ◽  
Diagnostic Uncertainty ◽  
Minor Illness ◽  
Primary Care Patients ◽  
A Minor ◽  
Specific Symptoms ◽  
Safety Netting

Paul Silverston describes a mnemonic to help facilitate the development of symptom-based, patient safety-focused, safety-netting advice In primary care, patients often present during the early stages of an illness, before the findings required to establish the correct diagnosis have developed. This creates the potential for both diagnostic uncertainty and diagnostic error. There is also the possibility that a patient diagnosed with a minor illness may subsequently develop an uncommon but serious complication of that illness. Patients must be made aware of these risks and given advice as to when they should seek a medical re-assessment of their symptoms. This is referred to as safety-netting advice. Patients and relatives need to know the specific symptoms and signs to check for and the criteria that would mandate the need for a re-assessment. It is essential that safety-netting advice is patient-centred and that the medical content of that advice is symptom-based and patient safety-focused. This article describes a mnemonic, SAFER, which can be used to improve the quality of the safety-netting advice given to patients.

Safer consulting in minor illness: Evaluation of an online educational programme for community pharmacists

2019 ◽  
Vol 1 (12) ◽  
pp. 616-620
Author(s):  
Paul Silverston
Keyword(s):  
Patient Safety ◽  
Community Pharmacists ◽  
Educational Programme ◽  
Serious Illness ◽  
Early Stages ◽  
Minor Illness ◽  
Increased Risk ◽  
A Minor

Community pharmacists are playing an increasingly important role in the assessment and management of patients with the symptoms of a minor illness, which may now also include issuing a prescription to the patient. However, it is important to appreciate that these symptoms may also be present during the early stages of a serious illness and that some patients with a minor illness are at increased risk of developing a serious complication of that illness. This article describes an online educational programme for community pharmacists that adopts a symptom-based, patient safety-focused approach to the assessment and management of patients with the symptoms of minor illness. This article also discusses the feedback from the first cohort of participants in the programme. 94% of the participants felt that the programme had improved their practice, and 97% felt that the programme had helped them to decide which patients should be referred for further assessment or treatment.

Penanganan Issu Terkait Keselamatan Pasien di Rumah Sakit

2020 ◽  
Author(s):  
Kristin Natal Riang Gea
Keyword(s):  
Patient Safety ◽  
Health Workers ◽  
Sampling Technique ◽  
Good Health ◽  
Bivariate Analysis ◽  
P Value ◽  
Patient Identification ◽  
Cross Sectional ◽  
The Right ◽  
The Relationship

AbstrakKeselamatan pasien merupakan dasar dari pelayanan kesehatan yang baik. Pengetahuan tenaga kesehatan dalam sasaran keselamatan pasien terdiri dari ketepatan identifikasi pasien, peningkatan komunikasi yang efektif, peningkatan keamanan obat yang perlu diwaspadai, kepastian tepat lokasi, prosedur, dan tepat pasien operasi, pengurangan risiko infeksi, pengurangan risiko pasien jatuh. Tujuan penelitian untuk mengetahui hubungan antara pengetahuan dengan penerapan keselamatan pasien pada petugas kesehatan di Puskesmas Kedaung Wetan Kota Tangerang. Metode Penelitian menggunakan deskriptif korelasi menggunakan pendekatan cross sectional. Populasi sebanyak 50 responden. Teknik pengambilan sampel menggunakan total sampling. Instrumen yang digunakan berupa lembar kuesioner. Teknik analisa diatas menggunakan analisa Univariat dan Bivariat. Hasil Penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien pada Petugas Kesehatan, dengan hasil, p value sebesar 0,013 < 0,05 maka dapat disimpulkan bahwa ada Hubungan Pengetahuan dengan Penerapa Keselamatan Pasien pada Petugas Kesehatan. Kesimpulan penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien.. AbstrackPatient safety is the basis of good health services. Knowledge of health personnel in patient safety targets consists of accurate patient identification, increased effective communication, increased safety of the drug that needs to be watched, certainty in the right location, procedure, and precise patient surgery, reduction in risk of infection, reduction in risk of falling patients. The purpose of this study was to determine the relationship between knowledge and the application of patient safety to health workers in the Kedaung Wetan Health Center, Tangerang City. The research method uses descriptive correlation using cross sectional approach. The population is 50 respondents. The sampling technique uses total sampling. The instrument used was a questionnaire sheet. The analysis technique above uses Univariate and Bivariate analysis. The results of the study there is a Relationship of Knowledge with the Implementation of Patient Safety in Health Officers, with the result, p value of 0.013 <0.05, it can be concluded that there is a Relationship between Knowledge and Patient Safety Implementation in Health Officers. The conclusion of the study is the Relationship between Knowledge and the Implementation of Patient Safety.Keywords Knowledge, Patient safety, Health workers

Clinical assessment and prescribing in minor illness

2014 ◽  
Vol 12 (5) ◽  
pp. 243-246 ◽  
Author(s):  
Paul Silverston
Keyword(s):  
Clinical Assessment ◽  
Minor Illness

Oxidation of Olefins Representing Some Structural Units of GR-S

1952 ◽  
Vol 25 (1) ◽  
pp. 21-32 ◽  
Author(s):  
W. C. Warner ◽  
J. Reid Shelton
Keyword(s):  
Phenyl Group ◽  
Kinetic Mechanism ◽  
Oxidation Reactions ◽  
Chain Reaction ◽  
Instantaneous Rate ◽  
Initial Oxygen ◽  
Oxidation Of Olefins ◽  
A Minor ◽  
The Relationship ◽  
Kinetics Of

Abstract Three olefins were oxidized in the liquid phase with molecular oxygen to determine the kinetics of the oxidation reactions and the relationship to oxidation of rubber. The instantaneous rate of oxidation was found to be related to the analytically determined olefin and peroxide concentrations by the equation : Rate=k (unreacted olefin)(peroxide), where rate equals moles of oxygen per mole of original olefin per hour and the parentheses represent molarities. Presence of a phenyl group was found to affect k, but only in a minor way, indicating that the same fundamental kinetic mechanism applies in both aromatic and aliphatic olefins. The data are consistent with the general kinetic mechanism of Bolland involving oxygen attack at the alpha-methylenic group. However, it appears probable that initial oxygen attack can also occur at the double bond, resulting in the formation of a peroxide biradical, which may then react with other olefin molecules, initiating the usual chain reaction mechanism.

HUBUNGAN SIKAP PASIEN TERHADAP HAK DAN KEWAJIBAN RAWAT INAP DI RUMAH SAKIT PEKANBARU MEDICAL CENTER (PMC)

2021 ◽  
Vol 13 (1) ◽  
pp. 17-25
Author(s):  
Nur Maimun ◽  
Arnawilis ◽  
Cindy Feby Fayza ◽  
Nur Asikin
Keyword(s):  
Patient Safety ◽  
Medical Information ◽  
Medical Center ◽  
Patient Treatment ◽  
Patient Attitudes ◽  
Chi Square ◽  
Cross Sectional ◽  
The Right ◽  
Relationship Of ◽  
The Relationship

Patient as service users have right and obligations to be hospitalized and patients also have the right to medical information in receiving medical practice services. This study aims to determine the relationship between patient attitudes towards the rights and obligations of being hospitalized in the hospital Pekanbaru Medical Center (PMC). This research method using observational analytic method with cross sectional design. The total sample used in this study 107 sample were taken as simpel random sampling. Chi square test is used to determine the relationship between variables. The data were processed using SPSS statistical software and analyzed using univariate and bivariate analyzes. Of the result obtained of the study namely the relationship between patient attitude to the rights and obligations of patient with chi-suare obtained pvalue 0.016 (<0,05), the relationship of attitude patients to the rights and obligations of choosing a doctor and class of patient care with chi-square obtained pvalue 0,070 (<0,05), the relationship of patient attitudes to the right and obligations of confidentiality of disease by inpatient medical staff with chi-square obtained pvalue 0,000 (<0,05), the relationship of patient attitudes to the rights and obligations of consent to the patient treatment with chi-square obtained pvalue 0,000 (<0,05), the relationship of patient attitudes to the right and obligation of patient safety with chi-square obtained pvalue 0,000 (<0,05), the relationship between patient attitudes towards the right and obligations of patient safety with chi-square obtained pvalue 0,000 (<0,05). Suggestions in order to protect what has been achieved in this case is his ability as effort of service is getting better in the future Keyword : Attitudes of patient, Rights and Obligations inpatient, Hospital

Vaccination and Associated Adverse Events in Dogs Previously Treated for Primary Immune-Mediated Hemolytic Anemia

2019 ◽  
Vol 55 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Alaina Moon ◽  
Julia Veir
Keyword(s):  
Adverse Events ◽  
Hemolytic Anemia ◽  
Rabies Vaccine ◽  
Initial Diagnosis ◽  
Canine Distemper ◽  
Time Period ◽  
Immune Mediated ◽  
Secondary Objective ◽  
Previously Treated ◽  
The Relationship

ABSTRACT This study described the rate of vaccine reactions in a population of dogs receiving vaccines after diagnosis of primary immune-mediated hemolytic anemia (IMHA). A secondary objective was to describe the time elapsed between vaccination and initial diagnosis of IMHA. A medical record search identified cases meeting criteria for primary IMHA. Owners and referring veterinarians were surveyed regarding vaccination of the dog following diagnosis. Referring veterinarians were surveyed regarding vaccination prior to diagnosis of IMHA. A completed survey was returned in 44 cases. Twenty-two dogs received vaccinations after diagnosis, and 22 dogs did not. The median time elapsed between vaccination and initial diagnosis was 280 days. No dog was vaccinated within 30 days of diagnosis. Two of the following possible reactions were noted out of 22 dogs vaccinated: vomiting and urticarial eruption in a dog administered a rabies and canine distemper vaccine, and recurrent anemia in a dog administered a rabies vaccine. The rate of vaccine reactions was higher than previously reported, although the time period evaluated was longer than in previous studies. The relationship between initial vaccination and development of IMHA, and between vaccination and vaccine reaction, in this population is uncertain and may reflect coincidence or differences in susceptibility.

scholarly journals From Boondoggle to Settlement Colony: Hendrik Witbooi and the Evolution of Germany's Imperial Project in Southwest Africa, 1884–1894

2017 ◽  
Vol 50 (4) ◽  
pp. 449-470
Author(s):  
Adam A. Blackler
Keyword(s):  
Colonial History ◽  
German State ◽  
Imperial Authority ◽  
Military Violence ◽  
Commercial Enterprise ◽  
Important Extension ◽  
A Minor ◽  
The Relationship ◽  
Southwest Africa

AbstractIn the span of ten years, what started as a minor commercial enterprise in a faraway African territory grew into an important extension of the German state. This article reorients our understanding of the relationship between theKaiserreichand its overseas empire, specifically with a focus on Captain Hendrik Witbooi and on how the Witbooi Namaqua he led influenced the evolution of German imperial rule in Southwest Africa between 1884 and 1894. Witbooi's refusal to accept imperial authority compelled colonial officials to confront their administrative limitations in the colony. When the façade of imperial fantasy gave way to colonial reality, German administrators expanded the size and scope of the imperial government to subdue the Namaqua. The article emphasizes the appointments ofLandeshauptmannCurt von François and Governor Theodor Leutwein as critical examples of Witbooi's impact on imperial policy, as well as the colonial administration's embrace of military violence to attain German supremacy in Southwest Africa. An emphasis on the Witbooi Namaqua illustrates the prominent role of Africans in German colonial history and exposes how peoples in distant places like Windhoek and Otjimbingwe manipulated official efforts to control and exploit the colony.

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