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Avoiding Errors in Adult Medicine.
Some of the most important and best lessons in a doctor's career are learnt from mistakes. However, an awareness of the common causes of medical errors and developing positive behaviours can reduce the risk of mistakes and litigation. Written for junior medical staff and consultants, and unlike...
| Clasificación: | Libro Electrónico |
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| Autor principal: | |
| Otros Autores: | , , , , |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Hoboken :
Wiley,
2012.
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| Colección: | AVE - Avoiding Errors.
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| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- Avoiding Errors in Adult Medicine; Contents; Contributors; Preface; Abbreviations; Introduction; PART 1; Section 1: Errors and their causes; A few words about error; Learning from system failures
- the vincristine example; Failure to follow protocols (see Cases 2, 11 and 14); Inadequate communication (see Cases 2, 3 and 34); Poor and inadequate record-keeping (see Cases 9 and 31); Lack of knowledge and not knowing one's limitations (see Case 11); Poor supervision and delegation (see Case 1); Poor prioritization; Tiredness and stress: lack of resources; Psychological factors.
- Conflicts between system issues and personal responsibility: a healthy work environmentEvidence from the NHSLA database; The patient consultation; Failure to identify a sick patient; Inability to competently perform practical procedures; Failure to check test results or act on abnormal findings; Prescribing errors; Sources of error in the case of vulnerable adults; Failure to recognize vulnerability and abuse; Failure to act; Failure to document; Common pitfalls; References and further reading; Section 2: Medico-legal aspects; Error in a legal context; Negligence; Clinical negligence.
- Has there been a breach of duty?Causation; Damages; The limitation period; Jurisdictions; Issues around consent; Validity of consent; Capacity; Devolving responsibility for consent to another; Mental Capacity Act and Lasting Power of Attorney; Respecting patient autonomy; An attorney refusing treatment; A patient without capacity refusing treatment; Emergency treatment; Information to be provided; Deprivation of Liberty Safeguards; Confidentiality; Disclosure without consent; Caldicott Guardians; Data Protection Act 1998; Access to Health Records Act 1990; The Human Rights Act 1998; PART 2.
- Clinical casesSection 1: Civil liability, negligence and compensation; Case 1 A shaky excuse; What is your initial management?; What would you do now?; What is your diagnosis?; Expert opinion; Legal comment; References and further reading; Case 2 Making matters worse; What therapeutic options were available to Mrs Turnbull's physician six years ago?; What treatment should Dr Wagstaff institute?; How should Dr Wagstaff reply?; Expert opinion; Legal comment; Case 3 Chase the bloods; What other diagnoses should be considered at this stage?; Was this a reasonable assumption?
- What should Dr Briggs have done?If it is believed an error has been made, is it reasonable to simply repeat the test?; Expert opinion; Legal comment; Case 4 Falling asleep en-route; What other information do you want to know?; What course of action would you advocate at this point in time?; What would you do now?; What are your thoughts about Mr Aziz's overall management? How should the hospital review his care? What should his wife be told?; Expert opinion; Legal comment; Case 5 Bad luck or bad judgement; How should Dr Wilde manage Mrs Hardcastle?