Respect the past--plan for the future.
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Biomedical subjects
Publications and source records attributed to Daniel Allen.
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We investigated the increasing incidence of pediatric empyema during the 1990s at Primary Children's Medical Center in Salt Lake City. Of 540 children hospitalized with community-acquired bacterial pneumonia (CAP) who were discharged from 1 July 1993 through 1 July 1999, 153 (28.3%) had empyema. The annual population incidence of empyema increased during the study period from 1 to 5 cases per 100,000 population aged <19 years. Streptococcus pneumoniae was identified as the most common cause of CAP with or without empyema; serotype 1 accounted for 50% of the cases of pneumococcal empyema. Patients with empyema were more likely to be >3 years old, to have > or =7 days of fever, to have varicella, and to have received antibiotics and ibuprofen before admission to the hospital, compared with patients without empyema (P<.0001 for each factor). The increasing incidence of empyema was associated with infection due to S. pneumoniae serotype 1, outpatient treatment with certain antibiotics, ibuprofen use, and varicella.
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Remember. Good communication Safe and effective practice Nurse prescribing relies on nursing skills Detailed assessment Non-drug options Check the patient's understanding Reflect and learn.
Remember... Use no drug 'before its time. Think before recommending alternatives to prescription drugs. Conduct a thorough risk/benefit analysis before prescribing. Do not be coerced into prescribing a particular drug. Always pratice in accordance with professional guidelines.
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Remember ... Prescribe within your qualifications. Write clear, legible and complete prescription. You are responsible for your prescription. Good record keeping is essential. Keep prescription pads secure.
Remember... Mistakes happen. Know the common medication errors. Take active steps to avoid them in your practice. Know the procedures for reporting errors and near misses. Reflect and learn from mistakes and near misses. Know about your local compliants procedures.