Xu Gan's concept of the name and actuality relationship and its philosophical and social background

I first began research on the late Eastern Han (25-220 AD) philosopher Xu Gan (170-217) in 1983. The initial result of this work was an annotated translation of his Zhong lun Discourse That Hits the Mark. Zhong lun is a collection of essays that are predominantly concerned with philosophical questions. As a whole, the text can be best described as an enquiry into the causes of political and social breakdown and the presentation of various ethical and political remedies. Much of Xu Gan’ s argumentation appeals to the authority of traditional Confucian ethics; indeed the work is classified under ru jia in all bibliographical lists of the standard histories, except for that of Song shi, where it is listed among miscellaneous writers. Even though in some of the twenty-two pian that comprise Zhong lun a range of influences may be discerned that derive from non-Confucian sources, for a Han dynasty {206 BC-220 AD) writing it is remarkably free of the overt eclecticism that characterizes many writings of that period..

Lessons from the TAPS study - Management of medical emergencies

The Threats to Australian Patient Safety (TAPS) study collected 648 anonymous reports about threats to patient safety by a representative random sample of Australian general practitioners. These contained any events the GPs felt should not have happened, and would not want to happen again, regardless of who was at fault or the outcome of the event. This series of articles presents clinical lessons resulting from the TAPS study.3 page(s

Lessons from the TAPS study - Errors relating to medical records

The Threats to Australian Patient Safety (TAPS) Study collected 648 anonymous reports about threats to patient safety from a representative random sample of Australian general practitioners. These contained any events the GPs felt should not have happened and would not want to happen again, regardless of who was at fault or the outcome of the event. This series of articles presents clinical lessons resulting from the TAPS study.2 page(s

Lessons from the TAPS study - Managing investigation results - is your practice system safe?

The TAPS study found that errors in the process of providing health care were reported by general practitioners more than twice as often as deficiencies in a clinician's knowledge or skills. Approximately 20% of these process error events concerned investigations. In addition, some reported events that related to investigations included filing system and recall errors, which accounted for a further 10% of reported error events.2 page(s

Qualitative evaluation of a diabetes electronic decision support tool: views of users

BACKGROUND: Quality care of type 2 diabetes is complex and requires systematic use of clinical data to monitor care processes and outcomes. An electronic decision support (EDS) tool for the management of type 2 diabetes in primary care was developed by the Australian Pharmaceutical Alliance. The aim of this qualitative study was to evaluate the uptake and use of the EDS tool as well as to describe the impact of the EDS tool on the primary care consultation for diabetes from the perspectives of general practitioners and practice nurses. METHODS: This was a qualitative study of telephone interviews. General Practitioners and Practice Nurses from four Divisions of General Practice who had used the EDS tool for a minimum of six weeks were invited to participate. Semi-structured interviews were conducted and the interview transcripts were coded and thematically analysed using NVivo 8 software. RESULTS: In total 15 General Practitioners and 2 Practice Nurses completed the interviews. The most commonly used feature of the EDS tool was the summary side bar; its major function was to provide an overview of clinical information and a prompt or reminder to diabetes care. It also assisted communication and served an educational role as a visual aide in the consultation. Some participants thought the tool resulted in longer consultations. There were a range of barriers to use related to the design and functionality of the tool and to the primary care context. CONCLUSIONS: The EDS tool shows promise as a way of summarising information about patients’ diabetes state, reminder of required diabetes care and an aide to patient education

Lessons from the TAPS study - Message handling and appointment systems

The Threats to Australian Patient Safety (TAPS) Study collected 648 anonymous reports about threats to patient safety from a representative random sample of Australian general practitioners. These contained any events the GPs felt should not have happened, and would not want to happen again, regardless of who was at fault or the outcome of the event. This series of articles presents clinical lessons resulting from the TAPS study.2 page(s