Articles and features 12/08/2019 A week in the life of an F2 working in a hospice Preview Article A week in the life of an F2 working in a hospice Time to read article: 4 mins () ★ Close Preview Dr Beatrice Baiden shares her experiences of working in palliative care. Read more Article contains Text Tagged in... Competence Professionalism Training & cpd Career planning Palliative Care New Doctor
Case report 18/07/2019 An early presentation Preview Article An early presentation Time to read article: 2 mins () ★ Close Preview Baby T was eight weeks old when his mother brought him to his GP’s morning surgery. His mother had become increasingly concerned about his general irritability and frequent crying episodes, which lasted up to two hours. These had become apparent over the past three days, not settling with breast feeding. Read more Article contains Text Tagged in... Diagnosis Claims Managing clinical risk General practice GP locum
Case report 18/07/2019 Missed critical limb ischaemia Preview Article Missed critical limb ischaemia Time to read article: 3 mins () ★ Close Preview Mr S was a 60-year-old lorry driver. He was overweight and smoked, and couldn’t walk far because he suffered with pain in his calves. Read more Article contains Text Tagged in... Medical Records General practice Diagnosis Managing clinical risk Casebook GP locum
Case report 18/07/2019 Back again with cauda equina syndrome Preview Article Back again with cauda equina syndrome Time to read article: 2 mins () ★ Close Preview When Mrs C, a keen golfer in her early forties, began to experience constant pain in her lower back, she consulted a GP at her local surgery. Dr P took a history of slow onset of pain with restricted mobility. He did not examine her, but prescribed an NSAID and advised Mrs C to return in two weeks if there was no improvement. Read more Article contains Text Tagged in... General practice GP locum Orthopaedics Managing clinical risk Diagnosis
Articles and features 07/01/2019 When patients miss appointments – should DNA mean Does Need Appointment? Preview Article When patients miss appointments – should DNA mean Does Need Appointment? Time to read article: 1 mins () ★ Close Preview When patients fail to attend an appointment, it can be hugely frustrating for a number of reasons. It is also very costly, according to recent NHS England data that suggests up to 15 million general practice appointments are being wasted each year – at an estimated cost to the NHS of £216 million. Read more Article contains Text Tagged in... General practice Managing clinical risk System Errors
Case report 27/11/2018 Video: Living up to expectations Preview Article Video: Living up to expectations Time to read article: 6 mins () ★ Close Preview Dealing with claims accounts for about 1/5 of the cases we handle. This video examines a claim made against a consultant surgeon because he left out critical information from a patient’s notes. Read more Article contains Video Tagged in... Casebook Casebook Scotland Managing clinical risk
Case report 24/10/2018 Issues arise after leaving a patient in someone else’s care Preview Article Issues arise after leaving a patient in someone else’s care Time to read article: 3 mins () ★ Close Preview Read more Article contains Text Tagged in... Professionalism Obstetrics & Gynaecology Record keeping Managing clinical risk
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 Casebook Scotland Managing clinical risk
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 Casebook Managing clinical risk Medical Records
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... Communicate Generic Medicine Managing clinical risk Handover
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... Investigations Casebook Managing clinical risk
Articles and features 30/08/2017 Consent and young people Preview Article Consent and young people Time to read article: 5 mins () ★ Close Preview Dr Hajra Siraj, GP registrar in London, shares a tricky case around assessing the competence of young people. Read more Article contains Text Tagged in... Confidentiality Issues & conflict management New Doctor Consent Use Guidelines Managing clinical risk
Articles and features 29/08/2017 Rising nurse claims Preview Article Rising nurse claims Time to read article: 4 mins () ★ Close Preview 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 Read more Article contains Text Tagged in... Claims General practice Managing clinical risk Practice Matters
Articles and features 29/08/2017 Update - Revalidation round-up Preview Article Update - Revalidation round-up Time to read article: 2 mins () ★ Close Preview The GMC has begun revalidating all doctors – here’s what you need to know Read more Article contains Text Tagged in... Patients Competence Issues & conflict management New Doctor Managing clinical risk
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. Sara Williams and MPS medicolegal adviser Dr Gordon McDavid explore how to avoid these risks. Read more Article contains Text Tagged in... Competence Equipment 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 Managing clinical risk Issues & conflict management Casebook
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... Decision Making Managing clinical risk Palliative Care Communicate
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 Investigations Managing clinical risk Treatment Planning Casebook
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... Neurology & Neurosurgery Claims Casebook System Errors Managing clinical risk 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... Professionalism Casebook Managing clinical risk Patients
Case report 14/07/2017 A failure to monitor Preview Article A failure to monitor Time to read article: 2 mins () ★ Close Preview Retired engineer Mr S, 77, went to see his GP, Dr J, with symptoms of dizziness. He had returned from a pacemaker check at the hospital that morning and while travelling home on the train he had started to feel off-balance. He managed to get an emergency appointment to see Dr J, by which time the symptoms were resolving. Read more Article contains Text Tagged in... Managing clinical risk Casebook Scotland Casebook
Advice booklet 04/07/2017 An essential guide to clinical management Preview Article An essential guide to clinical management Time to read article: 7 mins () ★ Close Preview This Essential Guide to Clinical Management was produced as a resource for Medical Protection members in the UK. It is intended as general guidance only. Read more Article contains Text Tagged in... Managing clinical risk General practice Generic Medicine Prescribing
Advice booklet 04/07/2017 An essential guide to Consent Preview Article An essential guide to Consent Time to read article: 1 mins () ★ 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... Generic Medicine Managing clinical risk
Advice booklet 04/07/2017 An essential guide to medical records Preview Article An essential guide to medical records Time to read article: 7 mins () ★ Close Preview This Essential Guide was produced as a resource for Medical Protection members in the UK. It is intended as general guidance only. Read more Article contains Text Tagged in... Patients Use Guidelines Managing clinical risk Medical Records Record keeping