Welcome to the first edition of the Clinical Communiqué for 2019. In this edition, we discuss fixation error, the phenomenon whereby a person or group falls into a pattern of thinking that there is only one possible explanation. This can take on several forms, including task fixation on a procedure, or diagnostic fixation to the exclusion of other possibilities, as unfortunately demonstrated in the two cases presented.
Editions of the Clinical Communiqué
Welcome to the final edition of the Clinical Communiqué for 2018. We finish this year with a double edition, drawing attention to the important lessons covered through the year, and featuring three cases on the theme of doctor-patient communication. We wrap-up our extended edition with a special commentary by a renowned clinician and writer.
This edition is unapologetically different. Looking after our patients and improving the ways in which we keep them safe is only one side of the story. The other side is looking after ourselves. As healthcare professionals, our behaviour is not infallible and our health is not immune to the physical and mental illnesses that afflict those we treat. At times, we are all patients as well.
Welcome to the June 2018 edition of the Clinical Communiqué. In this edition, we present three cases of patients who died shortly after being assessed and discharged from an emergency department. In each case, an evolving abdominal problem was missed, and the symptoms were attributed to other, less critical causes.
Welcome to the first edition of the Clinical Communiqué for 2018. Before we look ahead for the year, it is worth recalling the June 2017 Clinical Communique. In that edition, we focussed on the complex issues surrounding the treatment of pain, and the risks associated with prescribing and combining sedative medications.
Welcome to the December 2017 edition of the Clinical Communiqué. For the final edition of the year, we have chosen to present a selection of cases that demonstrate some of the important non-clinical aspects of coronial investigations and inquest findings.
Welcome to the September edition of the Clinical Communiqué. This edition marks three years and a dozen publications since the launch of our series. Over that time, we have looked at many themes central for improving safe and timely care to patients, including the importance of recognising the deteriorating patient, teamwork and communication, and effective decision-making. Medications represent another area where safety issues such as prescribing practices and modes of medication delivery are critical in many cases of avoidable patient deaths.
Following the discussion on patient-controlled-analgesia (PCA) in our June issue of the Clinical Communiqué, we present a supplementary expert commentary with pertinent clinical advice for our readers on the use of oral opioids with PCAs.
Welcome to the winter 2017 edition of the Clinical Communiqué. Since our last edition, we have seen interest in our publication continue to grow, and we have been heartened by the feedback we continue to receive from our readers about the lessons learned.
The primary aim of this study was to explore whether subscribers reported clinical practice changes as a result of reading the CC. It also compared the characteristics of subscribers who self-reported changes to clinical practice with those who did not, and explores subscribers’ perceptions of the educational value of the CC.