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Record Nr. |
UNINA9910624308903321 |
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Titolo |
When things go wrong in urology : reflections to improve practice / / edited by Faiz Motiwala, Hanif Motiwala, Sanchia S. Goonewardene |
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Pubbl/distr/stampa |
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Cham, Switzerland : , : Springer, , [2022] |
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©2022 |
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ISBN |
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Descrizione fisica |
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1 online resource (143 pages) |
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Disciplina |
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Soggetti |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Nota di bibliografia |
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Includes bibliographical references and index. |
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Nota di contenuto |
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Intro -- Preface -- Acknowledgements -- Contents -- About the Editors -- Abbreviations -- 1: Introduction to Medical Law -- 1.1 A Practical Approach to Medicolegal Law -- 1.2 Legal Terms and Meanings -- 1.2.1 Medical Laws -- 1.2.2 The Common Law -- 1.2.3 Quasi-Law -- References -- 2: Clinical Negligence and Malpractice -- 2.1 Litigation in Urology -- 2.2 Professionalism -- 2.3 Patient Rights -- References -- 3: Medicolegal Pitfalls -- 3.1 An Approach to the Ethical Problem -- 3.2 The Patient Pathway -- 3.2.1 History Taking and Examination -- 3.2.2 Chaperones -- 3.2.3 Diagnostics -- 3.2.4 The Multi-disciplinary Meeting -- 3.2.5 The Operation -- 3.2.6 The Post-operative Period -- References -- 4: Communication in Healthcare -- 4.1 Discussions with Patients -- 4.2 The Angry Patient -- 4.3 Managing Patient Expectations -- 4.3.1 Information -- 4.3.2 Time Pressures -- 4.3.3 Patient Anxiety or Depression -- 4.4 Communicating with Staff -- References -- 5: When Communication Goes Wrong in Medicine -- 5.1 Between the Doctor and Patient -- 5.2 Between Healthcare Professionals -- 5.3 Between Healthcare Professionals and Family Members -- 5.4 Communication Teaching -- 5.5 Future of Communication -- References -- 6: Communication Between Different Levels Within a Team -- 6.1 Tools Available for Communication -- 6.2 Prevention of Medical Errors -- 6.3 Know When You Are Out of Your Depth -- 6.4 Always Maintain Patient Safety -- 6.5 Reactions to Negative External Factors -- 6.6 |
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Work Closely with Your Team -- 6.7 Always Be Accessible -- 6.8 Dealing with Conflict -- 6.9 Why We Need to Have Good Communication Between All Team Members -- 6.10 Managing Juniors in Difficulty -- 7: Communication Within a Theatre Team -- 7.1 Rationale for Effective Communication -- 7.2 Elective Theatres. |
7.3 Confidential Enquiries into Perioperative Deaths (CEPOD) Theatre ('Emergencies') -- 7.4 Pre-operative Communication -- 7.5 Anti-coagulation -- 7.6 'Nil by Mouth' -- 7.7 Assessment -- 7.8 Recommendation -- 7.9 Peri and Intra-operative Communication -- 7.10 "STARTING" -- 7.11 "STOP" -- 7.12 "Closing" -- References -- 8: Digital Communications in Urology During the COVID-19 Pandemic -- 8.1 Introduction -- 8.2 Methods -- 8.3 Results -- 8.4 Discussion -- 9: Legal Records and Documentation -- 9.1 Operation Notes -- 9.2 Delayed Presentations and the Importance of Documentation -- References -- 10: Consent -- 10.1 Consent Post-Montgomery -- 10.2 Case 1: Informed Consent-Chronic Scrotal Pain Post-vasectomy -- 10.2.1 Chaperones and Documentation -- 10.3 Case 2: Failure of Vasectomy -- 10.3.1 Communication and Pre-operative Counselling -- 10.3.2 Bruising, Scrotal Swelling and Haematospermia -- 10.3.3 Early Recanalisation -- 10.3.4 Late/Delayed Failure Causing Pregnancy -- 10.3.5 Surgical Technique -- 10.4 Case 3: A Nephrectomy Performed Without Consent -- 10.4.1 Communication and Selection of Management -- 10.5 Case 4: Failure to Inform About Outcomes and Alternative Treatments for Treatment of Bladder Outflow Obstruction -- 10.5.1 Inadequate Investigation, Discussion of Treatment Options and Consent -- 10.6 A Word on Circumcision and 'Minor Operations' -- 10.7 Summary -- References -- 11: Administrative Problems -- 11.1 The Referral -- 11.2 The Clinic Appointment -- 11.3 Requests and Investigation Results -- 11.4 Discharge Plan -- References -- 12: Prescribing -- References -- 13: Diagnostics -- 13.1 Case 1: An Unnecessary Operation -- 13.1.1 Appropriate Investigation and Follow Up of Results -- 13.2 Case 2: Missed Prostate Cancer -- 13.2.1 Appropriate Follow Up of Patients and Handover Between Clinicians. |
13.3 Case 3: A Missed Testicular Torsion -- 13.3.1 Diagnostic Evaluation with Ultrasound -- 13.3.2 Clinical Suspicion and Surgical Experience -- References -- 14: Operating Theatre Issues -- 14.1 Intra-operative Equipment -- 14.2 Intra-operative Communication -- 14.3 Perioperative Complications -- 14.4 Theatre Organisation -- 14.5 Surgical Emergencies -- References -- 15: Human Factors in Healthcare -- References -- 16: Managing Difficult Seniors -- 16.1 Managing Direct Conflict -- 16.2 Being a Female in Medicine -- 16.3 Fixed and Growth Mindsets in Medicine -- 16.4 What to Do when Training Fails -- 17: Leadership in Medicine -- 17.1 Development of Leadership Under Pressure -- 17.2 Leadership Styles in Medicine -- 17.3 Coaching and Mentoring as Part of Leadership -- 17.4 A Supportive Leader Can also Be a Supportive Team Player -- 17.5 Good Leadership Is Built on Trust -- 18: Managing a Complaint -- 18.1 The Complaints Procedure in the NHS -- 18.2 Responding to the Complaint -- References -- 19: The Anatomy of Failure and How to Avoid It -- 19.1 An Introduction to Failure -- 19.2 Creating the Case for Change -- 19.2.1 Do I Have Clear Goals? -- 19.2.2 Am I Sufficiently Focused? -- 19.2.3 Do I Have a Clear Action Plan? -- 19.3 Have I Overcome My Mental Barriers? -- 19.4 Plotting a Course for Success -- 19.5 What Is Coaching and Mentoring? -- 19.6 Coaching -- 19.7 European Mentoring and Coaching Council (EMCC) Definition of Coaching -- 19.8 Mentoring -- 19.9 European Mentoring and Coaching Council (EMCC) Definition of Mentoring -- 19.10 Roles and Responsibilities within |
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the Coaching and Mentoring Process -- 19.11 The Benefits of Having a Coach in Your Life -- References -- 20: Raising a Concern in Training -- 20.1 General Medical Council Duties of a Doctor -- 20.2 Raising a Concern in Training -- 20.3 Reporting. |
21: The GMC Investigation -- 21.1 The Provisional Enquiry -- 21.2 The Investigation -- References -- 22: Approach to GMC Investigations, How to Handle Them and What to Do -- 22.1 Initial Consideration and Referral Allegation -- 22.2 Before the Hearing -- 22.3 The Hearing -- 22.4 Dishonesty-Forging Patient Notes -- 22.5 Misconduct -- Falling Short of Standards -- 22.6 Sexual Relations with Patients -- 22.7 Sanctions -- 22.8 Race and the GMC -- 22.9 Mr. Omer Karim's Case -- 22.10 Implications of the Case -- 22.11 DEI/Diversity, Equity and Inclusion and the GMC -- References -- 23: Burn Out in Medicine -- 23.1 Definition of Burn Out -- 23.2 Contributing Factors to Burn Out -- 23.3 Recognition of Burnout -- 23.4 Mindfulness -- References -- 24: NHS Whistleblowing -- 24.1 Is it Safe to Raise Concern and Be Whistle Blower? -- 24.2 Current UK Law to Protect Public Interest -- 24.3 Doctors in Training and their Whistleblowing Protection -- 24.4 GMC and Whistleblowing -- 24.5 Duty of Candour and Harm -- 24.6 My Summary and Conclusion -- References -- Index. |
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