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Case report 26/10/2017

A hidden problem

A hidden problem

Time to read article: 2 mins
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Mr T, a 40-year-old accountant, attended a private health check under his employer’s healthcare scheme. Blood and protein were noted on urinalysis and his eGFR was found to be 45 ml/min/1.73 m2. He was asked to make an appointment with his GP and was given a letter highlighting the abnormal results to take with him.

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Case report 26/10/2017

A friend in need

A friend in need

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Ms N, a 33-year-old female accountant, presented to Mr X, a consultant orthopaedic surgeon, with severe lower back pain radiating to both legs.

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Case report 26/10/2017

No news is not always good news

No news is not always good news

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Child J, a one-week-old baby girl, was noticed to have a clicking right hip when she was seen by the community midwife. A referral to the orthopaedic clinic was requested and Child J was reviewed by orthopaedic junior doctor, Dr M, three weeks later. Dr M confirmed that there was no relevant family history and examined Child J.

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Case report 26/10/2017

Reported abuse

Reported abuse

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Mrs X asked her GP to refer her eightyear-old daughter, Child F, to be assessed by a consultant psychiatrist in child and adolescent mental health. The GP referral letter stated that Child F had reported to her teacher that her father frequently touched her genitalia.

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Case report 26/10/2017

Back to basics

Back to basics

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Mr B, a 42-year-old builder, attended his GP, Dr S, with a three-week history of back pain and left sided sciatica. Dr S found nothing of concern on further questioning or examination, so made a referral for physiotherapy and recommended ibuprofen.

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Case report 26/10/2017

Lost in translation

Lost in translation

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Mrs S, a 27-year-old Romanian woman who lived with her husband in the UK, became pregnant and presented to her local GP surgery to commence antenatal care. Mrs S did not speak English and usually brought a family member with her to interpret.

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Case report 26/10/2017

Repeating the risk

Repeating the risk

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Mrs L, a teacher, was first prescribed the oral contraceptive pill microgynon by her GP, Dr G, when she was 17. Her blood pressure was taken and recorded as normal. At this time, no other mention was made in the records of her risk profile or family history.

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Case report 26/10/2017

Elbow Arthroscopy radial nerve injury

Elbow Arthroscopy radial nerve injury

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Mr P, a right-handed project manager, developed a stiff right elbow following a previous injury, and had reached the limit of his progress with physiotherapy. X-rays showed degenerative changes and he was referred to an orthopaedic consultant, Mr A, who diagnosed osteoarthritis of his elbow.

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Case report 26/10/2017

Failing to act on tonsillar cancer

Failing to act on tonsillar cancer

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Mr K was a 36-year-old man who ran a pub. Mr K smoked and drank heavily. Mr K’s dentist had noticed a painless swelling on the right side of his neck during a routine check-up and asked him to see his GP.

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Case report 26/10/2017

Death by Diarrhoea

Death by Diarrhoea

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Mrs B was a 27-year-old secretary with a ten-year-old daughter. She had just enjoyed a trip to Pakistan where she had been visiting relations. Three days after her return she developed profuse, watery diarrhoea.

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Workshop

Achieving safer and reliable practice

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Achieving safer and reliable practice

This workshop will give you a firm grounding in ways to improve reliability, which can result in reduced risk for yourself and your patients. With patient expectations increasing, this is a great opportunity to embrace quality of care improvements. The workshop also discusses the complex relationship between innovation and reliability, as well as the role played by human error.

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21/09/2017

Striking a balance

Striking a balance

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The cost of clinical negligence claims is becoming unsustainable. MPS is leading a campaign to strike a balance between reasonable and affordable compensation.

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20/09/2017

An essential guide to consent - Voluntariness

An essential guide to consent - Voluntariness

Time to read article: 11 mins
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Patients overtly coerced into undergoing treatment they do not want can rightly claim that their “consent” was not given freely and is therefore not valid. Cases of overt coercion are rare, but there are circumstances in which patients may feel that they have been covertly pushed into accepting treatment they would prefer not to have had. For example, in some circumstances patients may find it very difficult to say “No” to the proposed treatment, or to challenge the doctor’s assumption that they would have no objections to going ahead.

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Learning From Events

Location: Your premises (Read more for further details)
Time to read article: 1 mins
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Learning From Events

With more than 300 million patients consulting with primary care teams annually it’s unfortunately inevitable that a proportion will suffer some form of unintentional harm, mostly of low to moderate severity. Research has suggested that around 1-2% of consultations in primary care are associated with an adverse event. The cost of harm – to patients, to those working in healthcare, and to productivity – is significant.

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