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Case report 26/10/2017

Lost in translation

Lost in translation

Time to read article: 3 mins
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Mrs S, a 27-year-old Romanian woman who lived with her husband in the UK, became pregnant and presented to her local GP surgery to commence antenatal care. Mrs S did not speak English and usually brought a family member with her to interpret.

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Case report 26/10/2017

Repeating the risk

Repeating the risk

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Mrs L, a teacher, was first prescribed the oral contraceptive pill microgynon by her GP, Dr G, when she was 17. Her blood pressure was taken and recorded as normal. At this time, no other mention was made in the records of her risk profile or family history.

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Case report 26/10/2017

Elbow Arthroscopy radial nerve injury

Elbow Arthroscopy radial nerve injury

Time to read article: 2 mins
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Mr P, a right-handed project manager, developed a stiff right elbow following a previous injury, and had reached the limit of his progress with physiotherapy. X-rays showed degenerative changes and he was referred to an orthopaedic consultant, Mr A, who diagnosed osteoarthritis of his elbow.

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Case report 26/10/2017

Failing to act on tonsillar cancer

Failing to act on tonsillar cancer

Time to read article: 3 mins
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Mr K was a 36-year-old man who ran a pub. Mr K smoked and drank heavily. Mr K’s dentist had noticed a painless swelling on the right side of his neck during a routine check-up and asked him to see his GP.

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Case report 26/10/2017

Death by Diarrhoea

Death by Diarrhoea

Time to read article: 3 mins
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Mrs B was a 27-year-old secretary with a ten-year-old daughter. She had just enjoyed a trip to Pakistan where she had been visiting relations. Three days after her return she developed profuse, watery diarrhoea.

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Workshop

Achieving safer and reliable practice

Location: Various (Read more for further details)
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Achieving safer and reliable practice

This workshop will give you a firm grounding in ways to improve reliability, which can result in reduced risk for yourself and your patients. With patient expectations increasing, this is a great opportunity to embrace quality of care improvements. The workshop also discusses the complex relationship between innovation and reliability, as well as the role played by human error.

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20/09/2017

An essential guide to consent - Voluntariness

An essential guide to consent - Voluntariness

Time to read article: 11 mins
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Patients overtly coerced into undergoing treatment they do not want can rightly claim that their “consent” was not given freely and is therefore not valid. Cases of overt coercion are rare, but there are circumstances in which patients may feel that they have been covertly pushed into accepting treatment they would prefer not to have had. For example, in some circumstances patients may find it very difficult to say “No” to the proposed treatment, or to challenge the doctor’s assumption that they would have no objections to going ahead.

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Learning From Events

Location: Your premises (Read more for further details)
Time to read article: 1 mins
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Learning From Events

With more than 300 million patients consulting with primary care teams annually it’s unfortunately inevitable that a proportion will suffer some form of unintentional harm, mostly of low to moderate severity. Research has suggested that around 1-2% of consultations in primary care are associated with an adverse event. The cost of harm – to patients, to those working in healthcare, and to productivity – is significant.

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Casebook 30/08/2017

Opinion: Failure to test for HIV infection: A medicolegal question?

Opinion: Failure to test for HIV infection: A medicolegal question?

Time to read article: 5 mins
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Dr Michael Rayment and Dr Ann Sullivan, Department of Sexual Health and HIV Medicine, Chelsea and Westminster NHS Foundation Trust (on behalf of the British Association for Sexual Health and HIV, and the British HIV Association).

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Articles and features 29/08/2017

Rising nurse claims

Rising nurse claims

Time to read article: 4 mins
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MPS has seen a steady rise in the number of claims involving practice nurses, with ‘delay in diagnosis’ being the most common type of claim. Kate Taylor, Clinical Risk Manager, MPS Educational Services, reveals more

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Articles and features 29/08/2017

Getting to grips with fit notes

Getting to grips with fit notes

Time to read article: 6 mins
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A common question in general practice: “Ms P’s fit note runs out on Monday – can you do her another one?” Your answer should be considered carefully as the following case illustrates, explains Dr Rachel Birch, GP and medicolegal adviser at MPS

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Casebook 29/08/2017

The worst of times

The worst of times

Time to read article: 6 mins
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Unemployment reduces wellbeing. Recession raises the demands on healthcare systems and makes it harder to pay for them. Doctors worldwide are having to adapt and change to cope with these additional pressures, says Sarah Whitehouse

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Articles and features 25/08/2017

Day in the life of… Dr Pixie McKenna

Day in the life of… Dr Pixie McKenna

Time to read article: 4 mins
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I wake up bolt upright at 5.30am. I look in the mirror and realise I’ve inadvertently left my false eyelashes on from the previous day’s telly. They hang rather precariously from my upper lids – my mascara is half way down my cheeks and my hair is doing a good impersonation of Jedward. My husband rolls over and states that I look like a drag queen and promptly falls back to sleep.

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Articles and features 25/08/2017

General confidentiality principles as advised by medical defence orga...

General confidentiality principles as advised by medical defence organisations

Time to read article: 2 mins
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All doctors know that maintaining confidentiality is an important part of building up trust with patients. Here, Dr Stephanie Bown examines the medicolegal aspects of confidentiality

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Factsheet 06/07/2017

Duty of candour for GPs and dental practitioners - England

Duty of candour for GPs and dental practitioners - England

Time to read article: 2 mins
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The duty, which was introduced by the government through regulation 20 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, applies to NHS organisations such as trusts and foundation trusts, to secondary care clinicians, and to bodies including GP practices, dental practices and care homes.

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