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Reducing risk - making yourself available (in more ways than one)
Working on November’s video module – Human factor risks: team communication – had me reflecting on what being available and accessible to the healthcare team actually means for a clinician. Availability and accessibility can be fairly complex issues and a lack of clinician accessibility can influence risk.
Dealing with risk: island and remote practice
In a recent BMJ article (August 14) an A&E specialist worries about deskilling and loss of confidence in carrying out procedures that used to be routine, for instance in advanced airway management because anaesthetists are increasingly called in.
Risk: What do tape measures and chickens have in common?
Psychologists have identified several reasons why as humans, we may make mistakes in our thought processes, even when we possess the knowledge and have the ability to think correctly.
Antibiotic prescribing: risk if you do, risk if you don’t
There has been lots of coverage in the press recently around over-prescription of antibiotics and the major global risk that resistant bacteria presents. It is now commonly cited as one of the greatest crises facing mankind, with a recent study highlighting a 40 per cent increase in antibiotic prescribing in the last 10 years.
Results risks: new technologies in practice
Those of you who have been following our risk blogs will know that MDDUS analysis of GP claims shows that the primary cause of patient harm is related to missed or delayed diagnosis. In general practice a contributory factor is often a missed, or mishandled, result.
Risk Management: Sports Medicine at the Games
With the overwhelming success of the Glasgow 2014 Commonwealth Games still fresh in our minds, now is a good time to mention that the medical services provided at the Games were also heralded as the ‘best ever’ by Dr Jegathesan the Chairman of the Commonwealth Games Federation.
Risk in practice: treating friends and family
It is not unusual for family and friends to ask for medical-related “favours”, often wrapped up with a degree of emotional blackmail, intended or otherwise. Generally doctors are a sympathetic group and can find such requests difficult to refuse, even in the knowledge that treating family and friends is frowned upon.
Errors in diagnosis and why doctors make them
We all know that mistakes can happen in medical practice and thanks to our ‘cause of loss’ analysis we now have a greater insight into the nature of these errors. Our research recently revealed that a whopping 60 per cent of MDDUS negligence claims against GPs are related to a failure to diagnose.
Primary Care Claims: missed diagnosis due to failure to act on results
A recent blog from MDDUS risk adviser, Alan Frame, identified the most common area of claim in primary care as the diagnosis and investigation of presenting symptoms – accounting for 67 per cent of claims.As part of our analysis of these cases, I am currently reviewing a GP claim centering around a missed diagnosis which highlights this all too clearly
How safe is your telephone triage system?
A case spanning primary and secondary care was reported in the news this month involving the avoidable death of a three-year-old child from sepsis.