Case report 26/10/2017 Paediatric brain injury Preview Article Paediatric brain injury Time to read article: 2 mins Close Preview Surgery for an arachnoid cyst is complicated by an intracranial bleed. Read more Article contains Text Tagged in... Paediatrics Neurology & Neurosurgery Casebook Casebook Scotland
Case report 26/10/2017 A risk of harm Preview Article A risk of harm Time to read article: 3 mins Close Preview A psychiatric patient is placed under close observation Read more Article contains Text Tagged in... Casebook Scotland Psychiatry Casebook
Case report 26/10/2017 An unlucky tummy tuck Preview Article An unlucky tummy tuck Time to read article: 3 mins Close Preview A patient is unhappy with the outcome of cosmetic surgery Read more Article contains Text Tagged in... Casebook Scotland Casebook
Case report 26/10/2017 Tunnel vision Preview Article Tunnel vision Time to read article: 2 mins Close Preview A patient presents several times with a worrying vaginal discharge Read more Article contains Text Tagged in... Casebook Scotland Casebook
Case report 26/10/2017 Tripped up Preview Article Tripped up Time to read article: 3 mins Close Preview A child is unable to weight bear after a fall Read more Article contains Text Tagged in... Casebook Scotland Casebook
Case report 26/10/2017 Turning a blind eye Preview Article Turning a blind eye Time to read article: 2 mins Close Preview A delay in sharing an urgent result with a patient results in a loss of vision Read more Article contains Text Tagged in... Casebook Casebook Scotland
Case report 26/10/2017 Diathermy Drama Preview Article Diathermy Drama Time to read article: 2 mins Close Preview Minor surgery to remove a skin tag is complicated by an unexpected event Read more Article contains Text Tagged in... Casebook Casebook Scotland
Case report 26/10/2017 A hidden problem Preview Article A hidden problem Time to read article: 2 mins Close Preview Mr T, a 40-year-old accountant, attended a private health check under his employer’s healthcare scheme. Blood and protein were noted on urinalysis and his eGFR was found to be 45 ml/min/1.73 m2. He was asked to make an appointment with his GP and was given a letter highlighting the abnormal results to take with him. Read more Article contains Text Tagged in... Casebook Casebook Scotland
Case report 26/10/2017 A friend in need Preview Article A friend in need Time to read article: 2 mins Close Preview Ms N, a 33-year-old female accountant, presented to Mr X, a consultant orthopaedic surgeon, with severe lower back pain radiating to both legs. Read more Article contains Text Tagged in... Casebook Casebook Scotland
Case report 26/10/2017 A complicated claim Preview Article A complicated claim Time to read article: 3 mins Close Preview Mr A, an orthopaedic surgeon, was approached by a claimant’s solicitors to provide an expert report on behalf of their client. Read more Article contains Text Tagged in... Casebook Scotland Orthopaedics Casebook Negligence
Case report 26/10/2017 No news is not always good news Preview Article No news is not always good news Time to read article: 3 mins Close Preview Child J, a one-week-old baby girl, was noticed to have a clicking right hip when she was seen by the community midwife. A referral to the orthopaedic clinic was requested and Child J was reviewed by orthopaedic junior doctor, Dr M, three weeks later. Dr M confirmed that there was no relevant family history and examined Child J. Read more Article contains Text Tagged in... Casebook Radiology Casebook Scotland
Case report 26/10/2017 Reported abuse Preview Article Reported abuse Time to read article: 2 mins Close Preview Mrs X asked her GP to refer her eightyear-old daughter, Child F, to be assessed by a consultant psychiatrist in child and adolescent mental health. The GP referral letter stated that Child F had reported to her teacher that her father frequently touched her genitalia. Read more Article contains Text Tagged in... Casebook Casebook Scotland Psychiatry
Case report 26/10/2017 Back to basics Preview Article Back to basics Time to read article: 3 mins Close Preview Mr B, a 42-year-old builder, attended his GP, Dr S, with a three-week history of back pain and left sided sciatica. Dr S found nothing of concern on further questioning or examination, so made a referral for physiotherapy and recommended ibuprofen. Read more Article contains Text Tagged in... Casebook Scotland Casebook
Case report 26/10/2017 Lost in translation Preview Article Lost in translation Time to read article: 3 mins Close Preview Mrs S, a 27-year-old Romanian woman who lived with her husband in the UK, became pregnant and presented to her local GP surgery to commence antenatal care. Mrs S did not speak English and usually brought a family member with her to interpret. Read more Article contains Text Tagged in... General Surgery Successful Defence Casebook Casebook Scotland
Case report 26/10/2017 We need to talk about death Preview Article We need to talk about death Time to read article: 2 mins Close Preview Mrs S was a 36-year-old patient diagnosed with a benign giant cell tumour of the sacrum. She was seen by Mr A, consultant in orthopaedic oncology, and listed for resection of the lesion. Read more Article contains Text Tagged in... Casebook Scotland Consent Casebook Consent & capacity
Case report 26/10/2017 Repeating the risk Preview Article Repeating the risk Time to read article: 3 mins Close Preview Mrs L, a teacher, was first prescribed the oral contraceptive pill microgynon by her GP, Dr G, when she was 17. Her blood pressure was taken and recorded as normal. At this time, no other mention was made in the records of her risk profile or family history. Read more Article contains Text Tagged in... Casebook Prescribing General practice Casebook Scotland
Case report 26/10/2017 Poor notes, fatal consequences Preview Article Poor notes, fatal consequences Time to read article: 2 mins Close Preview Mrs Y, a 39-year-old chef, opted to M see consultant obstetrician Mr B for private antenatal care. It was her first pregnancy and other than a BMI of 30 she had no pre-existing medical problems. Read more Article contains Text Tagged in... Casebook Casebook Scotland Record keeping Obstetrics & Gynaecology
Case report 26/10/2017 Elbow Arthroscopy radial nerve injury Preview Article Elbow Arthroscopy radial nerve injury Time to read article: 2 mins Close Preview Mr P, a right-handed project manager, developed a stiff right elbow following a previous injury, and had reached the limit of his progress with physiotherapy. X-rays showed degenerative changes and he was referred to an orthopaedic consultant, Mr A, who diagnosed osteoarthritis of his elbow. Read more Article contains Text Tagged in... Casebook Casebook Scotland
Case report 26/10/2017 Failing to act on tonsillar cancer Preview Article Failing to act on tonsillar cancer Time to read article: 3 mins Close Preview Mr K was a 36-year-old man who ran a pub. Mr K smoked and drank heavily. Mr K’s dentist had noticed a painless swelling on the right side of his neck during a routine check-up and asked him to see his GP. Read more Article contains Text Tagged in... Casebook Scotland Casebook
Case report 26/10/2017 Death by Diarrhoea Preview Article Death by Diarrhoea Time to read article: 3 mins Close Preview Mrs B was a 27-year-old secretary with a ten-year-old daughter. She had just enjoyed a trip to Pakistan where she had been visiting relations. Three days after her return she developed profuse, watery diarrhoea. Read more Article contains Text Tagged in... Casebook Scotland Casebook
Workshop Achieving safer and reliable practice Preview Article Location: Various (Read more for further details) Close Preview Achieving safer and reliable practice This workshop will give you a firm grounding in ways to improve reliability, which can result in reduced risk for yourself and your patients. With patient expectations increasing, this is a great opportunity to embrace quality of care improvements. The workshop also discusses the complex relationship between innovation and reliability, as well as the role played by human error. Read more Article contains Text Tagged in... Practice Matters Training & cpd
21/09/2017 Striking a balance Preview Article Striking a balance Time to read article: 2 mins Close Preview The cost of clinical negligence claims is becoming unsustainable. MPS is leading a campaign to strike a balance between reasonable and affordable compensation. Read more Article contains Text
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... Consent & capacity Managing clinical risk
Learning From Events Preview Article Location: Your premises (Read more for further details) Time to read article: 1 mins Close Preview Learning From Events With more than 300 million patients consulting with primary care teams annually it’s unfortunately inevitable that a proportion will suffer some form of unintentional harm, mostly of low to moderate severity. Research has suggested that around 1-2% of consultations in primary care are associated with an adverse event. The cost of harm – to patients, to those working in healthcare, and to productivity – is significant. Read more Article contains Text Tagged in... Professionalism Training & cpd