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Informationen zum Autor Ian P. Reckless is Consultant Physician and Assistant Medical Director, Oxford University Hospitals NHS TrustD. John M. Reynolds is Consultant Physician and Clinical Pharmacologist, Oxford University Hospitals NHS TrustSally Newman is a Solicitor and Head of Legal Services, Oxford University Hospitals NHS TrustJoseph E. Raine is Consultant Paediatrician, Whittington Hospital, LondonKate Williams is Partner, RadcliffesLeBrasseur Solicitors, LeedsJonathan 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 Klappentext 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. "My experience as an expert witness in clinical negligence cases, MPTS Panel chairman, medical adviser to a Public Inquiry and as a sometimes commissioned independent reporter on adverse incidents tells me that these are excellent books, valuable for all clinicians, not just those in high-risk specialties; and all NHS managers involved in maintaining or improving the quality of care. The case vignettes, alone, are useful source material for teaching medical trainees on what can go wrong and how to deal with it when it does." ( Harvey Marcovitch, Clinical Risk journal ) Zusammenfassung 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. Inhaltsverzeichnis 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 matt...
