Insight Primary Q4 2022
In this issue:
- Pitfalls: Sepsis in adults
- Accessing patient records – when is it ok? When is it not?
- Probity – the hidden pitfalls
- Practice management: Managing poor performance
- Adding “violence warning markers” to patient records
- Call log
- Case file: Patient demanding diclofenac
- Case file: Gut pain
- Case file: Missed sepsis
- Ethics: Hard choices – on difficult decisions
- Feature: The surprising history of medical defence
- Risk: Don't get caught out on indemnity
- Innovation: Real-time TB diagnosis on the street
- Viewpoint: A place of acceptance
- Vignette: Jane Elizabeth Waterston (1843-1932)
Insight Primary Q3 2022
In this issue:
- Advice: Unwanted advances
- Practice management: Dealing with long Covid as a disability
- Patients having treatment abroad
- Call log
- Ethics: Out of office – the ethics of taking a break
- Preparing for online patient access to records
- Case file: Disputed drinking
- Case file: Delayed liver disease diagnosis
- Case file: Father restricted from accessing records
- First person: A long road
- Professionalism: Pitfalls in social media use
- Data protection: Recording telephone consultations with patients
- Wellbeing: Did I sign up for this?
- Viewpoint: End the silence
- Book choice: Am I normal?
- Vignette: John Boyd Orr (1880-1971)
Insight Primary Q2 2022
In this issue:
- Viewpoint: A lifetime perspective
- Call log
- Practice management: One of my employees is pregnant – what do we both need to do?
- Advice: Redacting sensitive information from health records
- Conflict with colleagues – nipping issues in the bud
- Informal advice or crossing a line?
- Professionalism in action: tackling the waiting lists
- Responding to online practice criticism
- How the physician to the gladiators became the father of modern medicine
- Wellbeing: No healthcare without self care
- Medical case study: Vaccine error
- Case study: Inappropriate DNACPR request
- Case study: Persistent swelling
- Dilemma: Off label request
- Ethics: A girl I used to know - on Derry Girls and ethical development
- Book choice: Hybrid Humans - Dispatches from the frontiers of man and machine
- Vignette: John T Shepherd (1919-2011)
Insight Primary Q1 2022
In this issue:
- Viewpoint: Mental health - leading by example
- Call log
- Practice management: Dressing the part
- Advice: Need a dentist, then why ask a doctor?
- Best practice: Ensuring safe handovers between primary and secondary care
- Practice matters: Keep complaint records separate
- Pitfalls in spotting cauda equina syndrome
- Resilient practice – addressing human factors
- A time of constant change - two years of Covid
- No man’s land - the pioneering women of WW1
- Case study: An inconvenient “mole”
- Case study: Back pain
- Case study: Long-term diazepam prescription
- Dilemma: Covert recording made public
- Ethics: Lessons learned - ethical and educational
- Book choice: Recovery – The Lost Art of Convalescence
- Vignette: Elsie Widdowson (1906-2000)
Insight Primary Q4 2021
In this issue:
- Viewpoint: Mental health - leading by example
- Call log
- Risk: Providing incident statements and reports
- Practice management: Menopause and the workplace
- Finding PPE that's fit for all
- Pitfalls in assessing fever in children
- Lowering the temperature in hostile patient encounters
- Innovation: Getting at healthcare data "locked" in NHS records
- The defiant doctor - the case of Dr Bonham
- Case study: Earache assessed remotely
- Case study: Mind your language
- Case study: Missed meningitis
- Dilemma: Alleged prescription fraud
- Ethics: On broken teapots and “holding” to account
- Book choice: Many different kinds of love - A story of life, death and the NHS
- Vignette: Innes Hope Pearse (1889-1978)
Insight Primary Q3 2021
In this issue:
- Viewpoint: Looking after our own
- Call log
- Risk: What's up with WhatsApp?
- Practice management: Sexual harassment in the workplace
- Regulatory matters: Working without professional registration
- Advice: Safety netting
- Complaints handling: Proactive response to patient complaints
- Innovation: Smartphone technology in chronic disease management
- Improving self awareness to reduce risk
- A difficult decision - the case of Anthony Bland
- Case study: Consent to vaccinate
- Case study: Misinterpreted result
- Case study: Wrist injury
- Dilemma: Making yourself your first concern
- Ethics: On meeting ethical distress
- Book choice: The Sleeping Beauties - And Other Stories of Mystery Illness
- Vignette: Pat O'Callaghan (1906-1991)
Insight Primary Q2 2021
In this issue:
- Viewpoint: Doctors need time to rest, reflect and recover
- Call log
- Practice matters: Respecting religious practice
- Risk: Treating colleagues
- Parental responsibility - getting it right
- Making decisions about CPR
- Profile: On the inside: Covid-19
- DISCover how to transform your communication
- Human factors: Civility saves lives
- Case study: Missed melanoma
- Case study: Frequent attender
- Case study: Ear discharge
- Risk: Training for admin and reception teams
- Ethics: On hypocrisy
- Book choice: The Doctor Who Fooled the World
- Vignette: Lilian Lindsay (1871 - 1960)
Insight Primary Q1 2021
In this issue:
- Viewpoint: Fine balance needed with remote consultations
- Call log
- Staff refusing Covid-19 vaccination
- Covert recording in a time of Covid
- Domestic abuse and remote consulting
- Social media risks
- Nothing but the truth
- Volunteer vaccinator
- “A responsible body of medical men”
- Case study: RTA disclosure
- Case study: Dizzy episodes
- Case study Patient warning letter
- Reflective practice
- Ethics: On moral distress
- Book choice: Intensive care
- Vignette: Baldev Kaushal (1906-1992)
Insight Primary Q4 2020
In this issue:
- Covid-19 has caused regulatory corners to be cut
- Call log
- Domestic abuse and remote consulting
- Alcohol and the workplace
- Patient confidentiality after death
- Consent - six common pitfalls
- Surviving the 'coronacoaster'
- The story of a vaccination
- Investigating a death - giving evidence
- Case study: Nose lesion
- Case study: No reply
- Case study: Accidental overdose
- Wellbeing: Lockdown self care
- Ethics: The "round hole" problem
- Book choice: Duty of care
- Vignette: William Price (1800-1893)
Insight Primary Q3 2020
In this issue:
- The exceptional circumstances of dealing with COVID-19 must not be forgotten
- Call log
- Practice matters: Holiday quarantine
- Advice: How safe is your telephone triage system?
- Practice profile: Highland lockdown
- Ten behaviours that reduce team risk
- Riding the planet
- Investigating a death
- Beyond blame
- Case study: Head lump
- Case study: Earwax troubles
- Case study: Repeating risk
- Wellbeing: You are not alone
- Ethics: "Know your place"
- Book choice: Dear NHS 100 - Stories to Say Thank You
- Vignette: Frances Hoggan (1843-1927)