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Articles and features 07/01/2019

When patients miss appointments – should DNA mean Does Need Appointment?

When patients miss appointments – should DNA mean Does Need Appointment?

Time to read article: 1 mins
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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.

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Articles and features 29/08/2018

Artificial intelligence: who’s liable?

Artificial intelligence: who’s liable?

Time to read article: 3 mins
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Advancements in medical technology can bring huge benefits for patients and clinicians alike – but new approaches can also mean new risks. Dr Helen Hartley, Head of Underwriting Policy at Medical Protection, looks at where the liability lies for artificial intelligence.

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Infection Control in Primary Care - in-practice

Location: This workshop is delivered in house. (Read more for further details)
Time to read article: 1 mins
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Infection Control in Primary Care - in-practice

This workshop will give you a clear understanding of the importance of infection control. It will provide you with the skills to manage and reduce infection in your practice and comply with national standards.

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Prescription for Risk – A prescribing workshop for nurses

Prescription for Risk – A prescribing workshop for nurses

Time to read article: 1 mins
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This workshop has been developed to help nurses who are working in specialist roles to increase awareness of the potential for things to go wrong and to practice safely, particularly with regards to prescribing.

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Prescription for Risk – A prescribing workshop for nurses

Prescription for Risk – A prescribing workshop for nurses

Time to read article: 1 mins
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This workshop has been developed to help nurses who are working in specialist roles to increase awareness of the potential for things to go wrong and to practice safely, particularly with regards to prescribing.

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01/10/2015

Chapter 4: Professionalism - What to do when things go wrong

Chapter 4: Professionalism - What to do when things go wrong

Time to read article: 6 mins
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The overwhelming majority of patients receive safe and effective care. However, when things do go wrong, it can be catastrophic for all involved. Part of being professional is having the knowledge and awareness to deal with such situations effectively.

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Case report 15/05/2015

Cumulative errors

Cumulative errors

Time to read article: 3 mins
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Mrs G, 34, presented to the delivery suite at 12pm, 38 weeks into her first pregnancy. Her antenatal care had been uneventful apart from measuring slightly “large for dates”. She was found to have a longitudinal lie with a cephalic presentation, and was experiencing three contractions every ten minutes. The midwife examined her and found her to be 2cm dilated with a fully effaced cervix and “intact membranes”.

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Case report 01/05/2015

Pulled in all directions

Pulled in all directions

Time to read article: 4 mins
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Mrs J was a 32-year-old female patient with a long history of neck pain following a road traffic accident. The pain was localised to the left side of the neck and left shoulder, with only very occasional paraesthesia in her left hand.

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Your repeat prescribing journey

Location: In-house (Read more for further details)
Time to read article: 1 mins
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Your repeat prescribing journey

Repeat prescribing is a complex journey that accounts for 75% of prescriptions issued in general practice. With more than 20 steps from the initial decision to prescribe to the patient finally taking the medication, the opportunity for error is great. Therefore, it is no wonder that errors in repeat prescribing frequently occur.

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01/04/2014

Raising concerns and whistleblowing

Raising concerns and whistleblowing

Time to read article: 3 mins
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One of the most difficult situations faced by any clinician is when you are concerned that a colleague’s behaviour, health or professional performance may be placing patients at risk. This factsheet outlines your duty to raise concerns when patients may be at risk of harm.

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Case report 14/05/2012

Suffer the little children

Suffer the little children

Time to read article: 2 mins
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M had always been a rather sickly child who missed a lot of school through minor illness. Her mother brought her to see the GP frequently with her asthma, eczema and possible food intolerances. Most of the entries in her medical records had remarks about her low weight, small size and generally unhealthy appearance. M’s mother would often request home visits and they were regular users of the surgery.

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Case report 14/05/2012

Where is the consultant?

Where is the consultant?

Time to read article: 2 mins
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A 48-year-old driver, Mr W, was sent to hospital by his GP with a one-week history of unremitting back pain and associated mild shortness of breath. On direct questioning, he also reported non-specific malaise for at least three months with half a stone weight loss but no symptoms of fever. There was no previous history of cardiac problems and no recent dental or other invasive procedures.

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Case report 14/05/2012

Too much bleeding

Too much bleeding

Time to read article: 3 mins
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Mrs C, a 25-year-old mother of two, had an elective caesarean with her first pregnancy as that baby was breech, and she experienced a failed attempt at a VBAC (Vaginal Birth After Caesarean) with her second pregnancy. Her third pregnancy was uneventful and she was booked in for an elective caesarean section at 39 weeks.

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Case report 01/09/2009

Too little, too late

Too little, too late

Time to read article: 2 mins
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Dr M was working as the “duty doctor” and, during her afternoon surgery, she received a phone call from Mrs B. Mrs B was concerned regarding her ten-month-old baby son who had been screaming since early that morning. She described Baby B as hot, floppy and pale.

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Case report 01/05/2009

Too late for contraception

Too late for contraception

Time to read article: 2 mins
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Miss C, a 25-year-old bank clerk, attended an appointment with the practice nurse, Nurse B, at her local surgery. Miss C was in a stable relationship and wished to discuss the options available to her for contraception. Miss C’s medical notes revealed that she had tried the combined oral contraceptive in the past, but had experienced side effects and was not good at remembering to take it daily. Recently she had been using barrier contraception alone.

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Case report 01/01/2009

Weighing up the risks

Weighing up the risks

Time to read article: 2 mins
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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.

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