Articles and features 24/11/2017 Robust regulation – not penny pinching Preview Article Robust regulation – not penny pinching Time to read article: 2 mins Close Preview Proposed merger of nine regulators should focus on fairness and accountability, not cost-cutting, says Medical Protection Senior Medicolegal Adviser Dr Pallavi Bradshaw Read more Article contains Text Tagged in... Practice management Reputation management
Case report 14/11/2017 A limping child Preview Article A limping child Time to read article: 3 mins Close Preview Three-year-old Matthew was brought to the local A&E department by his mum, Mrs U. She told Dr M, the attending doctor, that Matthew had fallen from a chair three days ago and, although he seemed unharmed at the time, he was now refusing to walk. Read more Article contains Text Tagged in... Orthopaedics Paediatrics
Case report 14/11/2017 The importance of living wills Preview Article The importance of living wills Time to read article: 1 mins Close Preview Patient B, a 70-year-old female, with a history of dementia, stroke and pneumonia, was admitted to the emergency room of a private hospital in a coma. She had advanced lung cancer and was well-known to the physician, Dr Y, who was called to see her. Read more Article contains Text Tagged in... Record keeping End of Life Care
Case report 14/11/2017 Dialysis or a right to die? Preview Article Dialysis or a right to die? Time to read article: 1 mins Close Preview Patient A, a 57-year-old male, was admitted to the ICU of a private hospital with kidney and liver failure, and in a coma. There was no living will and family members gave a history of long-standing alcohol abuse. Read more Article contains Text Tagged in... Professionalism Emergency Medicine End of Life Care Listen
Case report 25/10/2017 Living up to expectations Preview Article Living up to expectations Time to read article: 2 mins Close Preview Mr G was a 62-year-old office worker; he was overweight (BMI 29) and suffered from exercise-related angina. Mr G had several risk factors for ischaemic heart disease including smoking, diabetes mellitus and hypercholesterolaemia. Following a positive exercise test, a coronary angiography confirmed triple vessel coronary artery disease with a left ventricular ejection fraction of 45%. He was referred to Mr F, a consultant cardiothoracic surgeon, for consideration of coronary artery bypass graft (CABG) surgery. Read more Article contains Text Tagged in... Casebook Scotland Casebook Managing clinical risk
Case report 20/10/2017 Complications of nitrofurantoin Preview Article Complications of nitrofurantoin Time to read article: 2 mins Close Preview A patient on long-term medication begins to feel short of breath Read more Article contains Text Tagged in... Casebook Casebook Scotland
Case report 20/10/2017 Chain Reaction Preview Article Chain Reaction Time to read article: 3 mins Close Preview A patient presents with a sore wrist after a fall. This was followed by a complaint against the doctor. Read more Article contains Text Tagged in... Casebook Scotland Casebook
Workshop Mastering difficult interactions with patients Preview Article Location: Various (Read more for further details) Close Preview Mastering difficult interactions with patients This workshop helps you identify and utilise a range of different skills in difficult clinical interactions with patients. These skills can help you and your patients reach a more favourable outcome and still preserve the integrity of the important doctor-patient relationship. Read more Article contains Text Tagged in... Professionalism
20/09/2017 An essential guide to consent - Voluntariness Preview Article An essential guide to consent - Voluntariness Time to read article: 11 mins Close Preview 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. Read more Article contains Text Tagged in... Managing clinical risk Consent & capacity
Workshop Mastering your risk Preview Article Location: Various (Read more for further details) Time to read article: 1 mins Close Preview Mastering your risk This workshop gives you a thorough grounding in the issues surrounding managing risk through communication. It introduces proven preventative skills and techniques you can implement immediately to reduce your exposure to litigation and complaints, improving patient safety. Read more Article contains Text Tagged in... Managing clinical risk Training & cpd
07/09/2017 Championing change Preview Article Championing change Time to read article: 1 mins Close Preview Whether it’s a revised piece of GMC guidance, or a Bill going through the Scottish Parliament, we use our expertise to inform debates about changes that could affect your practice. Read more Article contains Text Tagged in... Managing clinical risk Scotland Professionalism Compliance
Case report 05/09/2017 Wrong drug, no negligence Preview Article Wrong drug, no negligence Time to read article: 3 mins Close Preview Mrs M was a 64-year-old care assistant in a retirement home. She visited her GP with a two-month history of blood in her stools, altered bowel habit, and intermittent lower abdominal discomfort. Read more Article contains Text Tagged in... Record keeping Medical Records Casebook Managing clinical risk
Articles and features 30/08/2017 Careers - Core skills series: Communication Preview Article Careers - Core skills series: Communication Time to read article: 4 mins Close Preview In this series we explore the key risk areas in general practice Read more Article contains Text Tagged in... Handover Generic Medicine Managing clinical risk Communication
Casebook 30/08/2017 Opinion: Failure to test for HIV infection: A medicolegal question? Preview Article Opinion: Failure to test for HIV infection: A medicolegal question? Time to read article: 5 mins Close Preview 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). Read more Article contains Text Tagged in... Managing clinical risk Casebook Investigations
Casebook 29/08/2017 Nasogastric tube errors Preview Article Nasogastric tube errors Time to read article: 10 mins Close Preview Nasogastric tubes are widely used in the world’s hospitals, yet in spite of fierce campaigning to expose the dangers, patients are still dying from the complications of wrongful insertion. Read more Article contains Text Tagged in... Equipment Competence Negligence Casebook Managing clinical risk
Casebook 29/08/2017 An inconvenient truth Preview Article An inconvenient truth Time to read article: 5 mins Close Preview Over half of respondents to an MPS survey admitted to regret over their failure to raise concerns in the workplace. Gareth Gillespie looks at how obstacles to whistleblowing can be overcome. Read more Article contains Text Tagged in... Whistleblowing Casebook Issues & conflict management Managing clinical risk
Casebook 29/08/2017 We need to talk about death: Complaints about end of life care Preview Article We need to talk about death: Complaints about end of life care Time to read article: 10 mins Close Preview When treating a patient who has reached the end of life, clear communication and collective decision-making are as important as any clinical intervention, says Sarah Whitehouse Read more Article contains Text Tagged in... Palliative Care Decision Making Managing clinical risk Communication
Casebook 29/08/2017 A dark day for psychiatry? Preview Article A dark day for psychiatry? Time to read article: 7 mins Close Preview Last year a French psychiatrist was charged with manslaughter after failing to recognise the danger posed by her patient. Sara Williams investigates how to balance the interests of risky patients and the public Read more Article contains Text Tagged in... Patients Managing clinical risk Casebook Treatment Planning Investigations
Casebook 29/08/2017 Closing the loop: lessons from surgical cases Preview Article Closing the loop: lessons from surgical cases Time to read article: 8 mins Close Preview Dr Peter Mackenzie, Head of Membership Governance at MPS, looks at the reasons why claims in a range of surgical specialties are settled Read more Article contains Text Tagged in... Urology System Errors Managing clinical risk Neurology & Neurosurgery Orthopaedics Obstetrics & Gynaecology
Casebook 29/08/2017 The worst of times Preview Article The worst of times Time to read article: 6 mins Close Preview 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 Read more Article contains Text Tagged in... Patients Professionalism Casebook Managing clinical risk
25/08/2017 Complaints culture Preview Article Complaints culture Time to read article: 6 mins Close Preview Complaints to the regulator against doctors have hit a record high, rising more sharply than for any other health professional. Is this down to poor practice or a changing complaints culture? Sara Williams investigates Read more Article contains Text Tagged in... Managing clinical risk Complaints Generic Medicine Compliance
25/08/2017 Introduction Preview Article Introduction Close Preview Consent is a fundamental principle of medical law. The basic rule is simple: no-one has the right to touch anyone else without lawful excuse and if doctors do so it may well undermine patients’ trust. Read more Article contains Text Tagged in... Professionalism Managing clinical risk Competence Prescribing General Surgery
Articles and features 25/08/2017 Day in the life of… Dr Pixie McKenna Preview Article Day in the life of… Dr Pixie McKenna Time to read article: 4 mins Close Preview 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. Read more Article contains Video Tagged in... Generic Medicine Professionalism Practice Matters Career planning
Articles and features 25/08/2017 General confidentiality principles as advised by medical defence orga... Preview Article General confidentiality principles as advised by medical defence organisations Time to read article: 2 mins Close Preview 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 Read more Article contains Text Tagged in... Confidentiality Communication Data Protection