Factsheet 01/10/2014 Controlled drugs - Scotland Preview Article Controlled drugs - Scotland Time to read article: 4 mins () ★ Close Preview Under the Misuse of Drugs Act (1971) and the Misuse of Drugs Regulations (2001), GPs have a responsibility for controlled drugs (CDs) within their practice. This factsheet highlights what you should be aware of when carrying, storing and recording controlled drugs. Read more Article contains Text Tagged in... Managing clinical risk Generic Medicine Scotland Prescribing
Articles and features 02/04/2014 Top five medicolegal hazards for junior doctors Preview Article Top five medicolegal hazards for junior doctors Time to read article: 4 mins () ★ Close Preview Good doctors apply clinical knowledge in a way that is legally and ethically correct – but all doctors can slip up. Here are survival tips for the top five medicolegal risks for junior doctors, writes Charlotte Hudson Read more Article contains Text Tagged in... Confidentiality Managing clinical risk Consent Probity Prescribing New Doctor
Factsheet 01/04/2014 Controlled drugs - Northern Ireland Preview Article Controlled drugs - Northern Ireland Time to read article: 5 mins () ★ Close Preview In Northern Ireland, unlike England and Wales, out-of-hours (OOH) organisations may expect GPs to carry and use controlled drugs (CDs) from their own stock. This factsheet highlights what you should be aware of when carrying, storing and recording controlled drugs. Read more Article contains Text Tagged in... Generic Medicine Prescribing Use Guidelines Northern Ireland
Articles and features 01/02/2014 Case study - an unfortunate prescription Preview Article Case study - an unfortunate prescription Time to read article: 4 mins () ★ Close Preview Mrs H was a 35-year-old teaching assistant who also had two school-aged children. She was obese with a BMI of 40. In 2006, she had seen Dr G with left knee pain. Dr G recorded that on examination her knee was tender over her medial joint line but was otherwise stable. He initially prescribed diclofenac and advised her to lose weight. Read more Article contains Text Tagged in... Practice Matters GP locum Prescribing
Casebook 25/01/2014 The perils of prescribing Preview Article The perils of prescribing Time to read article: 8 mins () ★ Close Preview Doctors face a number of challenges when prescribing: Sara Dawson explores some risk strategies and looks at a classic case of a drug name mix-up Read more Article contains Text Tagged in... Generic Medicine Managing clinical risk Casebook Prescribing
Articles and features 01/09/2013 Risk alert: Repeat prescribing Preview Article Risk alert: Repeat prescribing Time to read article: 4 mins () ★ Close Preview Julie Price, Clinical Risk Programme Manager, shares a repeat prescribing journey to safeguard your practice. Read more Article contains Text Tagged in... Managing clinical risk Prescribing Practice Matters General practice
Articles and features 08/08/2013 The medical law and ethics that pertain to safe prescribing Preview Article The medical law and ethics that pertain to safe prescribing Time to read article: 2 mins () ★ Close Preview Dr Stephanie Bowm, MPS Director of Policy and Communications, provides a reminder of the importance of following GMC guidance when prescribing medication. Read more Article contains Text Tagged in... Prescribing Managing clinical risk
Factsheet 01/03/2013 Controlled drugs - Wales Preview Article Controlled drugs - Wales Time to read article: 3 mins () ★ Close Preview Under the Misuse of Drugs Act (1971) and the Misuse of Drugs Regulations (2001), GPs have a responsibility for controlled drugs (CDs) within their practice. This factsheet highlights what you should be aware of when carrying, storing and recording controlled drugs. Read more Article contains Text Tagged in... Managing clinical risk Issues & conflict management GP locum General practice Prescribing CQC compliance
Case report 01/05/2011 A dosing disaster Preview Article A dosing disaster Time to read article: 2 mins () ★ Close Preview Mrs E, a 29-year-old solicitor, who was 35 weeks pregnant, was admitted to hospital for antihypertensive treatment as she had developed pre-eclampsia. She had a history of epilepsy, which was well controlled by treatment with phenytoin and phenobarbitone. She had been prescribed these medications since her teenage years and had decided to continue with them throughout her pregnancy after appropriate advice and counselling. Read more Article contains Text Tagged in... Psychiatry Managing clinical risk Prescribing Generic Medicine Obstetrics & Gynaecology
Case report 01/01/2011 Repeat offender Preview Article Repeat offender Time to read article: 3 mins () ★ Close Preview Mrs B was a 49-year-old deputy headteacher who, for 18 months, had been increasingly troubled by heavy irregular menstrual bleeding. She was referred to a gynaecologist who carried out a pelvic US and an endomentrial biopsy. In her follow-up appointment with the gynaecologist, Mrs B was told that her investigations had been normal and hormone replacement therapy (HRT) was suggested to regulate her bleeding. The gynaecologist told Mrs B that he would be writing to her GP with his opinion and treatment recommendations. Read more Article contains Text Tagged in... Record keeping Prescribing Managing clinical risk GP locum
Case report 01/05/2010 A false reassurance Preview Article A false reassurance Time to read article: 2 mins () ★ Close Preview Mr P was a 30-year-old high-earning banker, married with three dependants. He had a one-year history of rheumatoid arthritis, for which he took methotrexate. Read more Article contains Text Tagged in... Prescribing Treatment Planning Claims Emergency Medicine Negligence Managing clinical risk
Case report 01/01/2009 Weighing up the risks Preview Article Weighing up the risks Time to read article: 2 mins () ★ Close Preview Miss F was a 30-year-old bank clerk. She worked very hard and found little time to take exercise. She was obese, weighing 105kg and with a BMI of 45. She went to see Dr Y, asking for contraception as she had a new partner. Read more Article contains Text Tagged in... General Surgery Managing clinical risk System Errors Obstetrics & Gynaecology Prescribing Generic Medicine
Case report 01/09/2008 Problems with eardrops Preview Article Problems with eardrops Time to read article: 2 mins () ★ Close Preview Following a minor respiratory tract infection, Mr Y, a 54-year old postman, developed leftsided hearing loss. Mr Y was referred to a consultant ENT surgeon, Mr A, who confirmed a left-sided middle ear effusion. Read more Article contains Text Tagged in... ENT Managing clinical risk Prescribing
Case report 01/09/2007 Bitter pill Preview Article Bitter pill Time to read article: 2 mins () ★ Close Preview Mrs S was a 29-year-old secretary with two children. She was obese, with a BMI of 35, and smoked 45 cigarettes a day. She went to see Dr D asking for contraception several months after the birth of her second child. Dr D checked her blood pressure, which was normal, and prescribed a combined oral contraceptive pill. Read more Article contains Text Tagged in... Managing clinical risk Prescribing General practice Diagnosis
Case report 01/09/2006 Respiratory depression from postoperative analgesia Preview Article Respiratory depression from postoperative analgesia Time to read article: 2 mins () ★ Close Preview Mr K, a 37-year-old professional, was admitted for an elective anterior resection of the bowel. Dr A, a consultant anaesthetist, performed the anaesthetic, inserting an epidural catheter to manage postoperative pain with a continuous infusion. Read more Article contains Text Tagged in... Negligence Managing clinical risk Prescribing System Errors
Case report 01/05/2006 Mistaken drug abuse diagnosis Preview Article Mistaken drug abuse diagnosis Time to read article: 2 mins () ★ Close Preview Mr F, a 23-year-old unemployed gardener, had been arrested by the police as he’d been found intoxicated on the street. Dr B (a GP and police surgeon) was called to see him. He took a history from Mr F of heroin, crack cocaine and cocaine use for about a year and was told that he had taken ‘loads of beer’ and ‘some heroin’ on the day of his arrest. Read more Article contains Text Tagged in... Managing clinical risk Diagnosis GP locum General practice Prescribing
Case report 01/11/2005 Ultrasound, antibiotic prophylaxis and endocarditis Preview Article Ultrasound, antibiotic prophylaxis and endocarditis Time to read article: 2 mins () ★ Close Preview Mrs N had a complex medical history; in her early twenties she had a splenectomy, chemotherapy and radiotherapy for treatment of Hodgkin’s disease. This caused ovarian failure and she then developed a pelvic abscess which left her fallopian tubes occluded. Read more Article contains Text Tagged in... Claims Managing clinical risk Prescribing Diseases Endocrinology Cardiology & Vascular Medicine
Case report 01/11/2005 Nursing a cat bite Preview Article Nursing a cat bite Time to read article: 2 mins () ★ Close Preview Read more Article contains Text Tagged in... Negligence General practice Managing clinical risk Prescribing
Case report 01/05/2005 Widespread confusion Preview Article Widespread confusion Time to read article: 2 mins () ★ Close Preview A 31-year-old housewife and mother of three, Mrs F had coped with epilepsy for many years, taking carbamazepine and phenytoin to control her condition. Read more Article contains Text Tagged in... Psychiatry Managing clinical risk Obstetrics & Gynaecology Negligence Prescribing
Case report 01/02/2005 Phenytoin toxicity Preview Article Phenytoin toxicity Time to read article: 1 mins () ★ Close Preview Mr O was a young man who had become symptomatic with myotonic dystrophy during the early part of his adolescence. The condition was being managed by Dr J, who had recently received advice from a prominent neurologist that the off-licence prescription of phenytoin would benefit her patient. Read more Article contains Text Tagged in... Managing clinical risk Prescribing GP locum Successful Defence
Case report 01/08/2004 Omitted thromboprophylaxis Preview Article Omitted thromboprophylaxis Time to read article: 2 mins () ★ Close Preview Ms V, a 49-year-old secretary, saw Dr L, a gynaecologist, because of problems with an ovarian cyst. Ms V was listed for hysterectomy and bilateral oophorectomy. During her consultation, Ms V told Dr L that she had a family history of thrombosis. Dr L didn’t record this. Read more Article contains Text Tagged in... Prescribing Managing clinical risk Obstetrics & Gynaecology
Case report 01/11/2003 Monitoring fails; kidney fails Preview Article Monitoring fails; kidney fails Time to read article: 2 mins () ★ Close Preview As a young man, Mr T had bouts of flank pain and haematuria. Repeated dipstick testing of his urine showed evidence of haematuria and proteinuria. This was investigated by a urologist, with no cause being found. A few years later he had episodes of gout, receiving NSAID treatment. Read more Article contains Text Tagged in... Prescribing GP locum Managing clinical risk General practice System Errors