Safety-netting in the consultation

Peter J Edwards*, Paul Silverston, Jane Sprackman, Damian Roland

*Corresponding author for this work

Research output: Contribution to journalEditorial (Academic Journal)peer-review

18 Citations (Scopus)
371 Downloads (Pure)

Abstract

Safety-netting has become a widely used term to describe an array of activities both within the consultation and on systems levels. Within the consultation, safety-netting is considered best practice, and often an expected clinical standard, particularly in primary and emergency care. The term was first coined by Roger Neighbour in 1987 as an in-consultation tool for managing clinical uncertainty. Safety-netting advice has since been defined as: “Information shared with a patient or their carer, designed to help them identify the need to seek further medical help if their condition fails to improve, changes, or if they have concerns about their health.” This article outlines the principles and evidence base (box 1) of safety-netting and offers an approach to giving effective safety-netting advice.
Original languageEnglish
Article numbere069094
JournalBMJ
Volume378
Early online date25 Jul 2022
DOIs
Publication statusE-pub ahead of print - 25 Jul 2022

Bibliographical note

Funding Information:
Funding: PJE is a National Institute for Health and Care Research (NIHR)-badged GP academic clinical fellow funded by Health Education England South West / Severn Postgraduate Medical Education (ACF-2018-25-502). This grant was also used to support JS’s time as a patient advisor and the second advisory group meeting. The first advisory group was reimbursed on grant ISSF3: 204813/Z/16/Z.

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