Failure to monitor renal impairment
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Missed spinal arteriovenous malformation
Sciatic nerve injury but no negligence
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Strong record-keeping – strong defence
Ms Q, 58 years old, consulted Dr G, a gastroenterologist, with a history of dyspepsia, early satiety and altered bowel habit. Clinical examination, including digital rectal examination, was recorded as normal...
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Starting GP training? Here are your ten top tips
Deskilled disciplinary proceedings
Mr H was a senior consultant general and breast surgeon who worked in a district general hospital. He was recognised by his colleagues as an expert in breast surgery and an informal arrangement was put in place to transfer all patients with breast problems to Mr H. This arrangement was endorsed by the hospital clinical director but was not formally agreed...
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A pain in the knee
Miss F, an overweight 11-year-old, attended her GP, Dr A, complaining of knee pain and clicking for two months following a twisting injury whilst playing football...
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A case of mistaken haemorrhoids
A patient presents with symptoms of haemorrhoids but is it something more sinister?
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Antibiotic allegations
A patient alleges her GP was negligent for failing to prescribe antibiotics
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Problematic pacemaker placement
Mr U, a 29-year-old teacher, was referred to Dr N, a consultant cardiologist, with a history of several episodes of dizziness, perspiration and palpitations. A 24-hour ECG had shown episodes of tachycardia and bradycardia, and second-degree Mobitz type II heart block was demonstrated when symptomatic.
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How to avoid medication errors
Cosmetic injections and vaccinations: ask the expert
Dr Rachel Birch, Medical Protection medicolegal adviser and Practice Matters editor-in-chief, answers some recent queries on cosmetic injections and vaccination errors.
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From the advice line: documenting aggressive behaviour
Dr Rachel Birch, medicolegal adviser at Medical Protection, shares a recent case on documenting a patient’s aggressive behaviour in his medical record.
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Managing staff sickness
Dealing with staff absence can be a complex and time-consuming task for busy practices. Here employment law specialists Croner Consulting offer advice and guidance.
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Antibiotics: how to manage expectations
Test results: learning from negligence claims
Diane Baylis, clinical risk and education manager at Medical Protection, looks at the common causes of test result errors and offers advice on how to avoid them
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A guide to effective complaints resolution - England
All healthcare providers within the NHS have legal, contractual and professional obligations to provide an accessible and suitably responsive complaints procedure for service users.
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Can I disclose information to the police?
Being approached by the police can pose a dilemma: as a clinician, you have your own professional obligations. Dr Marika Davies, senior medicolegal adviser at Medical Protection, provides some clarity
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Case study - Anatomy of a complaint
Back pain, paraplegia and a series of complaints – how Medical Protection helped at every step.
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Anatomy of a claim
Back pain, paraplegia and a series of complaints – how Medical Protection helped at every step.
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Multiple Jeopardy
A patient dies after amoxicillin reaction – we support GP through criminal investigation, inquest and GMC hearing.
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An elusive foreign body
Child H, a three-year-old boy, was brought into the Emergency Department (ED) of a private hospital by his mother, having inhaled or swallowed a little building brick. They brought a similar piece with them. Child H was seen by a doctor, Dr W, who documented that he appeared well, with no signs of respiratory distress and a normal auscultation. Dr W arranged for him to have a chest x-ray, which both Dr W and a radiologist considered normal.
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