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Case report 12/12/2017

An elusive foreign body

An elusive foreign body

Time to read article: 2 mins
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Child H, a three-year-old boy, was brought into the Emergency Department (ED) of a private hospital by his mother, having inhaled or swallowed a little building brick. They brought a similar piece with them. Child H was seen by a doctor, Dr W, who documented that he appeared well, with no signs of respiratory distress and a normal auscultation. Dr W arranged for him to have a chest x-ray, which both Dr W and a radiologist considered normal.

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Articles and features 01/12/2017

Contracts of employment

Contracts of employment

Time to read article: 5 mins
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Expert advisers from Croner, the employment law and HR specialists, answer your questions on contracts of employment and issues you may encounter when working in new care models

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Articles and features 30/11/2017

Medications – A prescription for risk

Medications – A prescription for risk

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Medicines are the most common therapeutic intervention in the NHS, but they can also be a significant cause of unintended harm. We hear from NHS Improvement’s National Reporting and Learning System (NRLS) on these risks, and offer some tips on how to stay safe

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Articles and features 30/11/2017

QA with an MLA

QA with an MLA

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Editor-in-chief and medicolegal adviser (MLA) Dr Rachel Birch answers some recent queries from practices

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Case report 14/11/2017

A limping child

A limping child

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Three-year-old Matthew was brought to the local A&E department by his mum, Mrs U. She told Dr M, the attending doctor, that Matthew had fallen from a chair three days ago and, although he seemed unharmed at the time, he was now refusing to walk.

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Case report 14/11/2017

Balancing risks

Balancing risks

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Miss G was a 36-year-old medical receptionist who worked in a teaching hospital. She was under the care of a haematologist for chronic idiopathic thrombocytopenic purpura, diagnosed when she was 13. She had a BMI of 42 and no other relevant past medical history.

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Case report 14/11/2017

The importance of living wills

The importance of living wills

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Patient B, a 70-year-old female, with a history of dementia, stroke and pneumonia, was admitted to the emergency room of a private hospital in a coma. She had advanced lung cancer and was well-known to the physician, Dr Y, who was called to see her.

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Case report 14/11/2017

HIV diagnosis

HIV diagnosis

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A female patient at a medical centre consulted GP Dr F and was subsequently sent for further treatment at another department within the building.

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Case report 14/11/2017

Claim confusion

Claim confusion

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A man made a claim against his GP for a missed diagnosis. An expert witness was instructed to provide advice on the case...

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Articles and features 08/11/2017

How manage a disruptive patient

How manage a disruptive patient

Time to read article: 4 mins
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Dealing with a disruptive patient can be one of the most challenging aspects of general practice. Senior Medicolegal Adviser Dr Richard Stacey provides advice on the best way to manage such a situation.

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Articles and features 08/11/2017

Protecting patient confidentiality

Protecting patient confidentiality

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Confidentiality is one of the most common risk factors in general practice. Kirsty Plowman looks at how a Medical Protection interactive risk management training session on confidentiality can help members lower their risk.

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Articles and features 08/11/2017

The changing face of primary care

The changing face of primary care

Time to read article: 7 mins
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Sam McCaffrey takes a look at how primary care is changing and the different clinical roles that can help your practice meet increasing patient demand.

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Articles and features 08/11/2017

From the case files: Cauda equina

From the case files: Cauda equina

Time to read article: 3 mins
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Cauda equina is the source of some of the highest value claims against Medical Protection members. This case report highlights how important it is to keep an eye out for the ‘red flags’ associated with the syndrome.

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Articles and features 08/11/2017

FAQs Capability issues

FAQs Capability issues

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Problems arising from an employee’s capability are frequently issues which can hinder the smooth running of any operation. Dealing with such issues in a timely and legally compliant manner can stave off many long term problems. However it can be a tricky area to get right legally with many potential hurdles to overcome. The following are some questions and answers on the topic of capability Croner has received to its advice lines from practice managers.

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Articles and features 08/11/2017

High value general practice claims

High value general practice claims

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Dr Iain Barclay, Medical Protection Head of Underwriting Policy, examines what conditions are responsible for some of the highest claims against members in general practice

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Articles and features 07/11/2017

From the case files: lower back pain

From the case files: lower back pain

Time to read article: 2 mins
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When Mrs C, a keen golfer in her early forties, began to experience constant pain in her lower back, she consulted a GP at her local surgery. Dr P took a history of slow onset of pain with restricted mobility. He did not examine her, but prescribed an NSAID and advised Mrs C to return in two weeks if there was no improvement.

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Articles and features 07/11/2017

End of life care test

End of life care test

Time to read article: 7 mins
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A recent report from the CQC has highlighted where general practice could improve in the provision of end of life care. Dr Rachel Birch, Practice Matters Editor-in-Chief, offers advice on how to put the CQC recommendations into practice.

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Articles and features 07/11/2017

Anticoagulant monitoring and dosing

Anticoagulant monitoring and dosing

Time to read article: 7 mins
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We have teamed up with NHS Improvement for a new series of risk warnings based on data from the National Reporting and Learning System (NRLS), the NHS’s national database of patient safety incidents in England and Wales. Each article will tackle a different risk commonly reported to the NRLS. In this issue we tackle a commonly reported incident type, medication errors associated with anticoagulants.

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Articles and features 06/11/2017

Top 5 social media dilemmas

Top 5 social media dilemmas

Time to read article: 3 mins
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Medicolegal Adviser Dr Gordon McDavid answers some of the most common social media queries we receive from practices

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