….mistakes are made by us all, but what causes one man to decide to change the culture of medicine? Tessa Davis speaks with Umesh Prabhu.
Mary Ellen Mannix’s life was turned upside down when her baby, James, died while in the care of a hospital in the US. In this piece, she talks to me frankly and openly about her experience.
Rather than hiding in shame from his mistakes, Bryan Bledsoe went public to tell the world about his error. Here, he tells me about the reasons behind that decision, and the consequences it has had for his career.
The unexpected collides with 4 hour rule in the natural laboratory for error that is the emergency department… Act II and epilogue
Review these chest radiographs of an ICU patient with respiratory deterioration. What has been missed? What cognitive bias contributed to the error?
The unexpected collides with 4 hour rule in the natural laboratory for error that is the emergency department... Act 1: The Existential Installment and Act 2: The Clinical Section...WITH a cliffhanger.
You are handed over a patient by a colleague (that's a 'handoff' to you Yanks)... He says he would usually send a patient like this home, but as the d-dimer is pending he suggests the patient should wait for the result.