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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Make sure you get the right mix… Ask questions if your medicine is a powder
Some medicines, including many prescribed for children, come in a powder form. Water must be added to the powder so the medicine can be easily measured and taken. The ratio of water to powder must be precise, so that the prescribed amount of the final liquid mixture provides the correct dose of medicine per milliliter (mL). It is best for the pharmacist to add water right before the medicine is picked up. Once mixed, the medicine often needs to be refrigerated to stay potent. But if the pharmacist forgets to add the water, or if the wrong amount of water is added at home, a serious dosing error can occur.
Is it safe to crush pills to make them easier to swallow?
Most pills you need to swallow are available commercially in the dosage strengths commonly prescribed for patients. Or, if need be, a liquid or suspension might be available. But this is not always the case. Occasionally, the exact dose of medication you need is not available commercially, so part of a tablet or capsule may be needed.
In a poison emergency, the first thing to do is not panic. Help is just a phone call away. The national Poison Hotline at 1-800-222-1222 is your best resource to find out what to do in a poison emergency. The Poison Hotline is staffed by nurses and pharmacists experienced in toxicology who are referred to as CSPIs (certified specialists in poison information).