The World Health Organization has announced the theme for World Patient Safety Day 2024 (September 17) as “Improving diagnosis for patient safety.” World Patient Safety Day is the cornerstone of action to promote global health and safety. It is firmly grounded in the fundamental principle of medicine, “first do no harm.”
To improve diagnostic safety, the main objective for patients and families is to actively engage with health workers and healthcare leaders to improve diagnostic processes.
Here’s what you can do:
Understand and engage in the diagnostic journey.
Ensure you understand the diagnostic process, including the steps that you and your healthcare team will take to determine your diagnosis.
Engage actively with your healthcare team by sharing accurate and comprehensive information about your symptoms and medical history from the start.
Prompt your healthcare team to think comprehensively about alternative diagnoses, such as by asking “What else could it be?”
Ask about the purpose, potential risks, alternatives, and follow-up steps of any recommended diagnostic interventions.
Keep track of your health, symptoms, medical visits, and treatments.
Be informed about the expected progression of your illness, potential danger signs, and how to access care if your condition either does not improve or worsens.
Adhere to prescribed treatment plans and attend follow-up appointments.
Ensure continuity, accuracy, and validity of information.
Ask your healthcare team for information and use reliable medical information sources.
Follow up on the results of your diagnostic tests and proactively ask for the report; no news is not always good news.
Don’t be afraid to seek a second opinion if you have any doubts or uncertainties about the initial diagnosis.
Regularly check your health records to ensure that all information is documented, accurate, and up to date.
Speak up with concerns about your diagnosis and care.
Raise any concerns you may have about your diagnosis or the diagnostic process.
When there is a concerning change in your or your family member’s condition, promptly escalate the issue to your healthcare team.
Contribute to learning and improvement.
Engage in follow-up and provide feedback to your healthcare team about your diagnosis and treatment effectiveness.
Help to improve the wider health system by reporting your experience and suggesting changes.
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Confusion with Use "As Directed” Instructions
Sometimes, your doctor may write or send your prescription to the pharmacy with instructions to take the medicine “as directed.” In these cases, you must remember what the doctor has told you about how to take the medicine correctly. The label on the prescription container will not help you remember because the directions will simply say, “Use as directed.”
When it comes to medicines, you may already know how essential it is to exactly follow the instructions provided by your healthcare provider or directions on over-the-counter (OTC) Drug Facts labels. But you may be overlooking some habits or beliefs that can keep you from getting the full benefit of your medicines or cause you to risk your health and safety. See if any of these common medicine missteps apply to you.
Confusion between the medicines Wakix (pitolisant) and Lasix (furosemide) was reported. Wakix is used to treat adults with narcolepsy (sleep disorder) for excessive daytime sleepiness. Lasix is a diuretic (or “water pill”) which increases the flow of urine to rid the body of excess fluid and salt. Using an online secure messaging system, a man was asking his doctor about a change in his dose of “Wakix” and whether he should get blood tests drawn. The man was also taking Lasix, and the dose had been changed several times over the years. The man had made several spelling errors when typing messages to his doctor. The doctor assumed the man had made a spelling error when typing “Wakix” and was instead talking about Lasix. Further questioning revealed the man actually was asking about Wakix.
On October 14, 2011, The New York Times published a story about a 13- month-old boy who died after swallowing pills from a prescription medicine bottle. His parents had given him the bottle to play with as a rattle, believing he could not open the child-resistant cap.