-
Tytuł:
-
Safety netting; best practice in the face of uncertainty.
-
Autorzy:
-
Greenhalgh S; Clinical Fellow Department of Health Professions, Manchester Metropolitan University, UK; Bolton NHS FT, UK. Electronic address: .
Finucane LM; Sussex MSK Partnership, Brighton, UK.
Mercer C; Western Sussex Hospitals NHS Trust, Chichester, UK.
Selfe J; Department of Health Professions, Manchester Metropolitan University, UK; Physiotherapy Department, Satakunta University of Applied Sciences, Pori, Finland.
-
Źródło:
-
Musculoskeletal science & practice [Musculoskelet Sci Pract] 2020 Aug; Vol. 48, pp. 102179. Date of Electronic Publication: 2020 May 12.
-
Typ publikacji:
-
Journal Article
-
Język:
-
English
-
Imprint Name(s):
-
Original Publication: Amsterdam : Elsevier, [2017]-
-
MeSH Terms:
-
Betacoronavirus*
Practice Guidelines as Topic*
Coronavirus Infections/*diagnosis
Coronavirus Infections/*therapy
Patient Safety/*standards
Pneumonia, Viral/*diagnosis
Pneumonia, Viral/*therapy
Primary Health Care/*standards
COVID-19 ; Humans ; Pandemics ; Qualitative Research ; SARS-CoV-2
-
References:
-
Br J Gen Pract. 2018 Jul;68(672):e505-e511. (PMID: 29739779)
Eur J Cancer. 2020 Jun;132:98-99. (PMID: 32335477)
BMJ. 2020 Apr 6;369:m1401. (PMID: 32253175)
J Orthop Sports Phys Ther. 2020 May 21;:1-23. (PMID: 32438853)
Br J Gen Pract. 2019 Jan;69(678):e70-e79. (PMID: 30510099)
Prim Health Care Res Dev. 2016 Nov;17(6):559-567. (PMID: 27098202)
Br J Gen Pract. 2009 Nov;59(568):872-4; discussion 874. (PMID: 19861036)
Br J Sports Med. 2018 Apr;52(8):493-496. (PMID: 28923844)
Br J Cancer. 2012 Oct 9;107(8):1220-6. (PMID: 22996611)
Musculoskelet Sci Pract. 2020 Feb;45:102049. (PMID: 31439453)
-
Entry Date(s):
-
Date Created: 20200621 Date Completed: 20200706 Latest Revision: 20201218
-
Update Code:
-
20240105
-
PubMed Central ID:
-
PMC7214294
-
DOI:
-
10.1016/j.msksp.2020.102179
-
PMID:
-
32560875
-
Safety netting is a recognised General Practitioner (GP) diagnostic strategy often used in the face of uncertainty to help ensure that a patient with unresolved or worsening symptoms knows when and how to access further advice. It is an important way of reducing clinical risk. In the context of the COVID-19 pandemic and the rapid move to mainly remote consultations within the musculoskeletal field, safety netting is an important strategy to embed within all consultations. Only those presenting with potentially serious conditions are offered face to face consultations. Screening for Red Flags and any indication of a serious cause of symptoms is always first line in any consultation, however, clinical presentations are not always black and white with patients falling into a clear diagnostic category. With patients minds more focussed on COVID-19 symptoms this can be problematic. With the additional ramifications of public health social restrictions, onward management can be a conundrum. Many people with risk factors of serious pathology are also as a consequence, vulnerable to contracting COVID-19. In situations of uncertain clinical presentations, to avoid unnecessary social contact, safety netting can help to monitor symptoms over time until the clinical context becomes more certain. Embedding safety netting within physiotherapy best practice could be a silver lining in this pandemic black cloud.
Competing Interests: Declaration of competing interest None declared.
(Copyright © 2020. Published by Elsevier Ltd.)
Comment in: Musculoskelet Sci Pract. 2020 Aug;48:102201. (PMID: 32560858)
