
By Richard Notley, John M. Reynard, James Badenoch
The specter of litigation is ever current for modern-day medical professional. in lots of situations it effects from real negligence; in others the general practitioner can have acted with out fault, and but an try to sue is made.
So, how can one stay away from finishing up in courtroom? What different types of instances tend for misdiagnosis or mismanagement? What are the major methods of keeping off litigation? This ebook presents solutions to those questions, utilizing examples of instances during which the authors were in my opinion concerned. in addition to the typical subject matters of malpractice circumstances, the habit features of surgeons that predispose to litigation also are explored, and the big variety of examples mentioned give you the reader, fairly the more youthful one, with a 'cumulative' event that in basic terms the habitually negligent health care provider will event in a life of surgical practice.
While the most objective of this publication is to maintain surgeons out of court docket, it may be noticeable not only in a slim 'defensive' context, yet in a broader one - that of forestalling damage to sufferers. sufferer safeguard is on the middle of fine surgical perform, and it's only via sharing reports of why issues get it wrong that we will be able to hinder blunders from happening sooner or later.
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Sample text
29 report’ and it is a great way for results never to be acted upon, particularly where the test result does not become available until several weeks after the clinic appointment. Some junior doctors use the word ‘we’ in the ‘royal’ sense, assuming that the result will miraculously be followed up and acted upon by someone other than themselves. Encourage your junior to take responsibility for following up the results of investigations they, or indeed others, have requested. This is particularly important where the patient is discharged pending outstanding results.
If you can establish a relationship of friendship and trust at this stage, your patients are going to relax and you will find that they will share surprisingly private and relevant information with you very comfortably. OTHER ASPECTS OF COMMUNICATION Euphemisms Doctors sometimes use a variety of terms to hide what they really mean, often out of a misguided desire not to hurt the patient’s feelings. Bladder cancer is a good example of this. Bladder tumours have been variously described as ‘polyps’, ‘warts’, ‘trouble in the bladder’, ‘growths’, ‘sea anemones’ or ‘mushrooms’, a whole host of alternatives to the simple, but very clear word ‘cancer’.
Regular ward rounds not only help your staff to meet you and learn your little ways, but they also help you to get to know them and assess their competence. The patient’s notes and X-rays must be available on the ward at the time of his or her admission. qxd 38 7/26/2006 9:58 AM Page 38 UROLOGY AND THE LAW decisions are made. Be prepared to postpone those decisions until the necessary records and investigations are produced. Beware of duplicate sets of notes which may not contain all the available information.