Ian Reckless, D. John Reynolds, Sally Newman, Joseph E. Raine, Kate Williams, Jonathan Bonser

Avoiding Errors in Adult Medicine

• Broschiertes Buch

Produktbeschreibung

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 any other clinical management title available, Avoiding Errors in Adult Medicine identifies and explains the most common errors likely to occur in an adult medicine setting - so that you won't make them.
The first section in this brand new guide discusses the causes of errors in adult medicine. The second and largest section consists of case scenarios and includes expert and legal comment as well as clinical teaching points and strategies to help you engage in safer practice throughout your career. The final section discusses how to deal with complaints and the subsequent potential medico-legal consequences, helping to reduce your anxiety when dealing with the consequences of an error.

Invaluable during the Foundation Years, Specialty Training and for Consultants, Avoiding Errors in Adult Medicine is the perfect guide to help tackle the professional and emotional challenges of life as a physician.

Produktdetails

• AVE - Avoiding Errors .
• Verlag: Wiley & Sons
• 1. Auflage
• Seitenzahl: 192
• Erscheinungstermin: 4. März 2013
• Englisch
• Abmessung: 244mm x 170mm x 10mm
• Gewicht: 332g
• ISBN-13: 9780470674383
• ISBN-10: 0470674385
• Artikelnr.: 36875557

Autorenporträt

Ian P. Reckless is Consultant Physician and Assistant Medical Director, Oxford University Hospitals NHS Trust D. John M. Reynolds is Consultant Physician and Clinical Pharmacologist, Oxford University Hospitals NHS Trust Sally Newman is a Solicitor and Head of Legal Services, Oxford University Hospitals NHS Trust Joseph E. Raine is Consultant Paediatrician, Whittington Hospital, London Kate Williams is Partner, RadcliffesLeBrasseur Solicitors, Leeds Jonathan Bonser is Consultant in the Healthcare Department of Fishburns LLP, Solicitors, London, and former Head of the Claims and Legal Services, Department of the Leeds office of the Medical Protection Society

Inhaltsangabe

Contributors  viii
Preface  ix
Abbreviations  x
Introduction  XI
Part 1
Section 1: Errors and their causes 1
A few words about error 1
Learning from system failures - the vincristine example  1
Evidence from the NHSLA database 8
The patient consultation 10
Failure to identify a sick patient  12
Inability to competently perform practical procedures 13
Failure to check test results or act on abnormal findings  14
Prescribing errors 14
Sources of error in the case of vulnerable adults 16
References and further reading  18
Section 2: Medico-legal aspects 19
Error in a legal context 19
Negligence  19
Clinical negligence 20
Issues around consent 23
An attorney refusing treatment 27
A patient without capacity refusing treatment 27
Emergency treatment 28
Deprivation of liberty safeguards 29
Part 2 Clinical cases v
Introduction  35
Section 1: Civil liability  negligence and compensation  36
Case 1 A shaky excuse 37
Case 2 Making matters worse 40
Case 3 Chase the bloods  43
Case 4 Falling asleep en-route 45
Case 5 Bad luck or bad judgement 48
Case 6 An opportunity missed  51
Case 7 Better late than never  53
Case 8 Man down  56
Case 9 Cry wolf 58
Case 10 Not a leg to stand on  60
Section 2: Unexpected death: the coronial system and clinical risk
management 62
Case 11 A doubly bad outcome 63
Case 12 Difficulty with diarrhoea  66
Case 13 A flu-like illness  69
Case 14 Falling standards  72
Section 3: An approach to complaints  74
Case 15 A woman with chest pain  75
Case 16 Clumsiness  78
Section 4: Competence 80
Case 17 A change in plan  81
Case 18 Starving to death 85
Case 19 An irregular presentation  88
Case 20 Irrational but not incompetent  90
Section 5: Restraint 92
Case 21 A challenging discharge  93
Case 22 Ruling out the organic 96
Case 23 Endless wandering 99
Case 24 Can you please take these handcuffs off?  101
Case 25 Own worst enemy  103
Section 6: Miscellaneous  105
Case 26 All eggs in one basket  106
Case 27 A major mix-up  108
Case 28 Under the radar  110
Case 29 A cantankerous recluse  113
Case 30 Keep an open mind  115
Case 31 Healthcare acquired infection?  117
Case 32 Backing the wrong horse  120
Case 33 A surprising turn of events  122
Case 34 Funny turn  125
Part 3 Investigating and dealing with errors
1 Introduction  127
2 How hospitals try to prevent adverse errors and their recurrence  127
3 The role of hospital staff  132
4 The role of external agencies  134
5 Hospital investigations  137
6 Legal advice - where to get it and who pays  141
7 External investigation of errors and incidents  143
8 The role of the doctor  160
9 Presenting oral evidence  162
10 Emotional repercussions  164
11 Conclusion  164
References  164
Index  167