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.
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.