Some of the most important and best lessons in a doctor's career are learnt from mistakes. However, an awareness of the common causes of medical errors and developing positive behaviours can reduce the risk of mistakes and litigation. Written for junior paediatric staff and consultants, and unlike any other paediatric clinical management title available, Avoiding Errors in Paediatrics identifies and explains the most common errors likely to occur in a paediatric setting - so that you won't make them. The first section in this brand new guide discusses the causes of errors in paediatrics.…mehr
Some of the most important and best lessons in a doctor's career are learnt from mistakes. However, an awareness of the common causes of medical errors and developing positive behaviours can reduce the risk of mistakes and litigation.
Written for junior paediatric staff and consultants, and unlike any other paediatric clinical management title available, Avoiding Errors in Paediatrics identifies and explains the most common errors likely to occur in a paediatric setting - so that you won't make them. The first section in this brand new guide discusses the causes of errors in paediatrics. The second and largest section consists of case scenarios and includes expert and legal comment as well as clinical teaching points and strategies to help you engage in safer practice throughout your career. The final section discusses how to deal with complaints and the subsequent potential medico-legal consequences, helping to reduce your anxiety when dealing with the consequences of an error.
Invaluable during the Foundation Years, Specialty Training and for Consultants, Avoiding Errors in Paediatrics is the perfect guide to help tackle the professional and emotional challenges of life as a paediatrician.
Joseph E. Raine is Consultant Paediatrician, Whittington Hospital, London Kate Williams is Partner, RadcliffesLeBrasseur Solicitors, Leeds Jonathan Bonser is Consultant in the Healthcare Department of Fishburns LLP, Solicitors, London, and former Head of the Claims and Legal Services, Department of the Leeds office of the Medical Protection Society
Inhaltsangabe
Contributors viii Foreword ix Abbreviations xi Introduction xiii Part 1 Section 1: Errors and their causes A few words about error 1 Learning from system failures - the vincristine case 1 Person-centred paediatric errors and their causes 8 The patient consultation 10 Failure to identify a sick child 12 Inability to perform practical procedures competently 13 Failure to check test results or act on abnormal findings 15 Prescribing errors 16 Failures in resuscitation 17 Sources of error in child protection cases 19 References and further reading 22 Section 2: Medico-legal aspects Error in a legal context 25 Negligence 25 Medical negligence 26 Issues around consent 29 Confidentiality 34 References and further reading 37 Part 2 Clinical cases Introduction 39 Case 1 A boy with a limp 40 Case 2 A fitting infant 43 Case 3 A persistent fever 45 Case 4 A biking injury 48 Case 5 A teenager with abdominal pain 51 Case 6 A young girl with a vaginal discharge 54 Case 7 An iatrogenic problem 57 Case 8 An infant with a large head 59 Case 9 An infant with bloody diarrhoea 62 Case 10 An infant with persistent jaundice 64 Case 11 A child with leukaemia and tummy ache 66 Case 12 A boy with fever and rigors 68 Case 13 A stiff hand 70 Case 14 A serious feeding problem 72 Case 15 Fits faints and funny turns 74 Case 16 A hospital acquired infection 76 Case 17 Recurrent wheeze 79 Case 18 A jaundiced neonate 82 Case 19 A febrile boy with a limp 85 Case 20 A febrile neonate 87 Case 21 A neonate with abnormal movements 89 Case 22 A teenager with scrotal pain 91 Case 23 A boy with nonspecific symptoms 93 Case 24 A delayed walker 96 Case 25 A diabetic girl with a headache 98 Case 26 A boy with sickle cell disease and a fever 101 Case 27 Negative test results 104 Case 28 A bad case of 'flu 107 Case 29 A difficult transfer 110 Case 30 Treatment for tonsillitis 112 Case 31 Increasing respiratory distress 114 Case 32 A feverish girl with poor feeding 116 Case 33 An infant with a swollen face 118 Case 34 Starting a new treatment 121 Case 35 The importance of interpretation 124 Case 36 A febrile boy with a scald 126 Part 3 Investigating and dealing with errors 1 Introduction 129 2 How hospitals try to prevent errors and their recurrence 129 3 The role of hospital staff 134 4 External investigators 136 5 Hospital investigations 138 6 Legal advice - where to get it and how to pay 143 7 External inquiries 146 8 The role of the doctor 165 9 Emotional repercussions 167 10 Conclusion 169 References and further reading 169 Index 171
Contributors viii Foreword ix Abbreviations xi Introduction xiii Part 1 Section 1: Errors and their causes A few words about error 1 Learning from system failures - the vincristine case 1 Person-centred paediatric errors and their causes 8 The patient consultation 10 Failure to identify a sick child 12 Inability to perform practical procedures competently 13 Failure to check test results or act on abnormal findings 15 Prescribing errors 16 Failures in resuscitation 17 Sources of error in child protection cases 19 References and further reading 22 Section 2: Medico-legal aspects Error in a legal context 25 Negligence 25 Medical negligence 26 Issues around consent 29 Confidentiality 34 References and further reading 37 Part 2 Clinical cases Introduction 39 Case 1 A boy with a limp 40 Case 2 A fitting infant 43 Case 3 A persistent fever 45 Case 4 A biking injury 48 Case 5 A teenager with abdominal pain 51 Case 6 A young girl with a vaginal discharge 54 Case 7 An iatrogenic problem 57 Case 8 An infant with a large head 59 Case 9 An infant with bloody diarrhoea 62 Case 10 An infant with persistent jaundice 64 Case 11 A child with leukaemia and tummy ache 66 Case 12 A boy with fever and rigors 68 Case 13 A stiff hand 70 Case 14 A serious feeding problem 72 Case 15 Fits faints and funny turns 74 Case 16 A hospital acquired infection 76 Case 17 Recurrent wheeze 79 Case 18 A jaundiced neonate 82 Case 19 A febrile boy with a limp 85 Case 20 A febrile neonate 87 Case 21 A neonate with abnormal movements 89 Case 22 A teenager with scrotal pain 91 Case 23 A boy with nonspecific symptoms 93 Case 24 A delayed walker 96 Case 25 A diabetic girl with a headache 98 Case 26 A boy with sickle cell disease and a fever 101 Case 27 Negative test results 104 Case 28 A bad case of 'flu 107 Case 29 A difficult transfer 110 Case 30 Treatment for tonsillitis 112 Case 31 Increasing respiratory distress 114 Case 32 A feverish girl with poor feeding 116 Case 33 An infant with a swollen face 118 Case 34 Starting a new treatment 121 Case 35 The importance of interpretation 124 Case 36 A febrile boy with a scald 126 Part 3 Investigating and dealing with errors 1 Introduction 129 2 How hospitals try to prevent errors and their recurrence 129 3 The role of hospital staff 134 4 External investigators 136 5 Hospital investigations 138 6 Legal advice - where to get it and how to pay 143 7 External inquiries 146 8 The role of the doctor 165 9 Emotional repercussions 167 10 Conclusion 169 References and further reading 169 Index 171
Es gelten unsere Allgemeinen Geschäftsbedingungen: www.buecher.de/agb
Impressum
www.buecher.de ist ein Shop der buecher.de GmbH & Co. KG Bürgermeister-Wegele-Str. 12, 86167 Augsburg Amtsgericht Augsburg HRA 13309