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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_3302_Библиотеки_им_академика_М_И_Перельмана
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230 Index
ISCAS functions, 75
learning models, 202
motivational models, 200
poor attitude of, 158
reective models, 200
social theories of learning, 199–200
theories of learning, 198
transformative learning theory, 199
witness of fact, 132–133
Healthcare Safety Investigation
Branch’s (HSIB) Maternity
Investigations Programme, 189
Heneghan, C., 217
Hindsight bias, 211
House of Lords, 10
Humanistic theories, 199
Human memory, 136–137
Human Rights Act 1998, 5
I
Identification, 134
Indemnity cover, 97–98
Indemnity insurance, 7
Independent External Adjudication
(IEA), 75
Independent health care providers
(IHPs), 74
Independent sector complaints
processes, 74–75
Informed consent, 11, 13, 14, 30, 124,
179, 182, 187, 190
ISCAS Code of Practice for
Complaints Management
(ISCAS Code), 74
J
Judge’s perception, 126
Junior doctor, 197
blame for, 56–57
responsibilities of
consent, 51–52
doctor–patient condentiality,
55–56
documentation, 54
drug identication, 54
failure to diagnose, 54
lack of knowledge, 52–53
medication errors, 53–54
miscommunication, 55
wrong treatment to patient, 53
standard expected of, 58–59
K
Known diagnosis, 219
L
Law Reform (Miscellaneous Provisions
Act) 1943/Fatal Accidents
Act, 5
Learn from Patient Safety Events
(LFPSE) service, 156
Learning models, 202
Legal process and lawyer relationship
case conferences, 116
claim, intimation of, 111–112
court proceedings, 114
defence, 114–115
disclosure, 113
expert reports, 115
letter of claim, 113
letter of response, 114
role of counsel, 116
team intraction and honesty,
112–113
trial, 116
witness statements, 115
Local guidelines, 222, 223
Local resolution, 75
Locums
Clinical Negligence Scheme for
Trusts (CNST), 66
pitfalls and diculties of,
66–67
resp on sibil it y, 67
Loss of credibility, 126
https://t.me/med1917
Index 231
M
Medical and Dental Defence Union of
Scotland (MDDUS), 100
Medical defence organisations
indemnity cover, 98–99
MDO options, 99–100
role of, 97–98
support from, 98
Medical defence organisations (MDOs), 7
Medical Defence Union (MDU), 8, 99
Medical negligence
allegations of
delay to surgery, 148–149
failure to consent, 149–151
failure to consider, 145
failure to follow-up, 147–148
safety netting, 147
unacceptable standard
procedures, 14 6–147
unreasonable delay in
diagnosis, 144
wrong diagnosis and delayed
diagnosis, 143–144
breach of duty, 124
causation, 124
clear and credible evidence, 125
communication and documentation,
124–125
compensation, 8
confrontational attitude, 125–126
empathy and professionalism, 125
expertise and knowledge, 123
impartiality and objectivity, 125
only legal remedy, 8
parties to a claim, 7–8
remorse, reection, honesty and
inte grity, 126
standard of care, 123–124
tort of negligence, 5–6
Medical Practitioners Tribunal Service
(MPTS), 23, 33–34
Medical Protection Society (MPS), 8, 100
Mental Capacity Act 2005 (MCA), 10
Mental health, 153
Metacognition, 217
Miscommunication, 163–164
claims/complaints, 163–165
interprofessional and
interdisciplinary
miscommunication, 165–166
Montgomery, 11–12
Motivational models, 200
Murtagh restricted rule-out, 218
N
National Health Service (NHS), 7
NHS Patient Safety Strategy, 155–156
NHS Resolution Annual report, 186
Never events
dened, 152
factors, 154
hospital boards/organisational
leaders, 155
medication, 153
mental health, 153
National Health Service
improvements for, 155–156
surgical, 153
Swiss cheese model, 154
wrong-site surgery, 154
Non-clinical errors, 101
Non-delegable duties, 7, 104
O
Obstetric anaesthesia, 171, 178
Omission bias, 210
Oral evidence, 116, 119 –121, 137
Orthopaedics, 189 –191
Overconfidence bias, 209–210
Oxytocin, use of, 189
P
Parliamentary and Health Service
Ombudsman (PHSO)
complaint investigations, 36–38
obligations of professionals to, 36
https://t.me/med1917
232 Index
Principles of Good Complaint
Handling, 74
role of, 35
Patient Safety Specialists Initiative, 155
Pattern recognition, 218
Penalties, 20
Perinatal Mortality Review Tool
(PMRT), 189
Personal impressions/reactions, 133
Plausibility and inherent
probability, 139
Poor attitude, of doctors and health care
professionals
common grievances, 159–161
DELUDE coping model, 161
good medical practice, 161–162
handling rude and dicult
patients, 161
Poor communication, see
Miscommunication
Premature closure bias, 210–211
Private hospital, 7
Professional obligations and reections, 93
Prudential Regulation Authority, 99
Q
Quality of care, 172
R
Radiology, 191–193
Rapport, with patients, 224
Reective models, 200
Remote consultations and medicolegal
implications
Bolam/Bolitho tests, 61
communication, 63
consent, 63
defence, 63
face-to-face consultation, 64
limitations, 62–63
past documentation, 63
record keeping, 62
safety netting, 63
Representativeness bias, 210
Resident Medical Ocers (RMOs), 101
Restricted rule-outs, 205, 218
Revalidation, 173
Robust consent, 224
Royal College of Surgeons, 52
S
Search-satisfying bias, 210
Second opinion, patient
management, 224
Self-determination theory, 200
Self-labelled diagnoses, 184
Self-labelling, 217
Self-preservation, 93
Self-reection, 93, 217
Specialities
anaesthetics, 177–180
emergency medicine, 180–182
general practice, 182–186
obstetrics and gynaecology,
186 –189
orthopaedics, 189–191
radiology, 191–193
Spot diagnosis, 205, 217
Standard of care, 123–124
Stepwise renement, 218
Strategic Executive Information System
(StEIS), 155
System errors
in administration account, 169
appraisal, 172–173
Bawa-Garba case, 170
clinical negligence claims, 170
continuous system errors, 169
Donna Ockenden report, 170
in health care, 169
lack of coordination, 170
Paterson Inquiry, 172
quality of care, 172–173
revalidation, 173
system conditions/factors, 172
systemic coordination failures, 170
systems-based practice, 172
https://t.me/med1917
Index 233
T
Tests, 219
Transformative learning theory, 199
Triage-cueing bias, 211
Type 1 thinking, 216–217
Type 2 thinking, 216–217
U
Uterine rupture, 188
V
Visceral bias, 211
W
Witness, demeanour and manner
of, 139
Witness credibility, 127, 137
Witness of fact, 132–133
World Health Organization Checklist,
104–105
Written consent, 193
Z
Zebra retreat bias, 211
https://t.me/med1917
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