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Avoiding Errors in General Practice

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ISBN-10: 0470673575

ISBN-13: 9780470673577

Edition: 2013

Authors: Kevin Barraclough, Jenny du Toit, Jeremy Budd, Joseph E. Raine, Kate Williams

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Description:

For Junior Doctors, GP Trainees, and all those involved in practice governance, this book offers the ultimate real–life guide to help tackle the professional and emotional challenges of life as a GP. Unlike other clinical management titles, this book identifies and explains the most common and important medical errors. If things do go wrong, the medico–legal author team provides advice on how best to deal with a complaint and all that may follow. Using a memorable and engaging case–based structure, this volume is valuable as a reference from the foundation years and beyond.
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Book details

Copyright year: 2013
Publisher: John Wiley & Sons, Limited
Publication date: 1/25/2013
Binding: Paperback
Pages: 208
Size: 6.80" wide x 9.60" long x 0.36" tall
Weight: 0.836
Language: English

#60;b#62;Joseph E. Raine#60;/b#62;, MD, FRCPCH, DCH, Consultant Paediatrician, Whittington Hospital, London, UK#60;br#62;#60;p#62;#60;b#62;Malcolm D. C. Donaldson#60;/b#62;, MD, FRCP, DCH, Senior Lecturer in Child Health and Honorary Consultant Paediatric Endocrinologist, Royal Hospital for Sick Children, Glasgow, UK#60;br#62;#60;p#62;#60;b#62;John W. Gregory,#60;/b#62; MBChB, MD, FRCP, DCH, FRCPCH, Professor of Paediatric Endocrinology, Cardiff University, Cardiff, UK#60;br#62;#60;p#62;#60;b#62;Guy Van Vliet#60;/b#62;, Professor of Paediatrics and Chief of Endocrinology, Sainte-Justine Hospital, Montreal, Canada

Contributors
Preface
Abbreviations
Introduction
The legal structure of negligence
A few words about error
Medical negligence
Learning from system failures - the vincristine example
Reference
Causes of diagnostic errors in general practice and how they can be avoided
How do general practitioners reach diagnoses?
Where do errors occur in diagnosis?
How can we minimize the risks of these errors?
References and further reading
Bayesian reasoning and avoiding diagnostic errors
References and further reading
A potpourri of advice on avoiding errors
History and examination
The telephone consultation
Communication problems
When lack of knowledge plays a part
The unexpectedly abnormal result
The standard of notes
Drug errors or prescribing errors
Consent
Confidentiality
Conditions that are 'frequent flyers' in negligence cases
Safety netting
References and further reading
Clinical cases
Introduction
A man with iron deficiency
When is a headache abrupt?
A woman with chest pain
A dizzy man
Rectal bleeding in a pregnant woman
A pulled calf muscle
A woman with hemiplegic migraine
Irritable bowel syndrome after sickness in Goa
A young man with back pain
Irregular intermenstrual bleeding in a woman on the pill
A boy with a limp
A runner with a cough
A woman with classical migraine
A young woman with diarrhoea and vomiting
Ill-fitting dentures in an elderly man
Back pain in a middle-aged woman
Cellulitis in a man's foot
A flare-up of ulcerative colitis
A woman with a skin lump on her leg
A woman with microscopic haematuria
A limping young girl
A builder tripping over his feet
An anxious young woman with hyperventilation
A slightly raised AST in an Asian woman
Cough and fever in a 42-year-old accountant
Lost prescription: Benzodiazepine addiction
A febrile baby
A limping elderly woman after a fall
Indigestion in a stressed executive
A hoped-for pregnancy
A breast lump that disappears
Fever and cough after an ankle fusion
Urinary problem in a welder
A hypertensive 38-year-old woman
A swollen lip in a 56-year-old man
A woman with fatigue and weight gain
A woman told off for ignoring her friends
A man with a headache: Swine flu or meningitis?
A woman suffering dizziness
A middle-aged man with an ankle injury
Investigating and dealing with errors
Introduction
How errors and their recurrence are prevented in primary care
The role of the primary care trusts
Other investigations
Legal advice - where to get it and how to pay
External inquiries
The role of the doctor
Emotional repercussions
Conclusion
Reference
Index