Medical Negligence Solicitors Dublin-Common Faults with Irish Accident & Emergency Centers in Ireland

Actual Diagnosis

Diagnosis Error

Actual diagnosis is described as, A clinical judgment about changes to health conditions/life processes that exist in an individual or community,e.g.

Diagnosis error is described as a preventable adverse effect of care of a patient, whether it is apparent to the patient or not. This could be an incomplete or inaccurate diagnosis of a patient

Heart attack

Gallstones, indigestion

Meningitis

Viral infection

Brain hemorrhage

Migraine

Dislocated shoulder

Muscle tear

Fractured knee

Knee sprain

 Emergency department and Negligence

  • 10% of errors are technical errors
  • 30% to 55% of errors occur during medical examinations
  • 60% of errors are caused by human error

Severity of error

  • Small (e.g. a fractured toe)
  • Medium (e.g. untreated wound)
  • Life threatening (e.g. missed cancer)

Why mistakes are made

  • Failures in approach
  • Failures in approach to treatments often lead to serious error and can lead to patient being misdiagnosed.
  • Bias
  • Bias is the ability to hold on to an idea or treatment and disregard any other ideas that are equally valid. This happens due to information shortcuts,
  • judgment and memory errors.
  • Failures in perception
  • Perception is the organization, identification, and interpretation of sensory information; Failures in perception include poor organization tools,

 

poor identification techniques and miss interpretation of results

Why the emergency department

  • High decision density

There are a lot of possible decisions that can be made and its the Doctors job to be able to know which symptoms fit which illness.

  • High levels of activity

The emergency department sees the highest levels of activity compared to any other part of the hospital, because of this Serious Illnesses are often over looked.

  • Shift work

Nurses and Doctors are on shift work, it can often be very easy for work to become incomplete or misplaced under the fast pace and high work load of the emergency department.

  • Poor feedback

Poor feedback from treatments can lead to patient mistreatment and can often be very damaging to the patient.

Making sense

Serious illness can take the form of something else in amongst the coming and going of the emergency department and serious errors are often made. Making sense of the symptoms and giving accurate treatments is essential.

Documentation errors

Documentation errors are errors in documents which lead to the mistreatment or delayed treatment of a patient, Documentation errors include:

  • Missing info such as date, time of examination, as well as missing doctors signature/name
  • Poor description of the injury or sequence of events
  • Poor documentation keeping in regards to past family treatment and history.

Examination errors

Examination errors take place during the patients being seen by their physicians, some common errors are:

  • Failure to notice tenderness
  • Failure to examine in a co-ordinate manner
  • Failure to examine above and below injured area

Diagnosis errors

Diagnosis errors are caused by the physicians:

  • Inability to diagnose Diagnoses Delayed
  • Inability to consult with senior doctors
  • Inability to consider alternative diagnosis

Investigation errors

Investigation errors are the errors associated with the doctors:

  • Inability to request proper treatment for patients
  • Inability to request blood tests
  • Inability to request scans and x-rays

These errors can cause discomfort to the patient and are often life threatening.

Treatment errors

These can often be the most severe type of errors as the wrong treatment can in some cases agitate allergies, have no effect on the patient ,cause unnecessary pain and suffering and in some cases death.

  • Misdiagnosed treatments
  • The prescription of the wrong medication
  • Not treating symptoms while waiting on results of tests

Follow up advice errors

The follow up advice can be very poor or non- existent which leads to many patients suffering from mistreatment. Follow up advice should be clear, confidential and helpful.

Negligence

Negligence is the failure to exercise due care and attention that a professional person in the same circumstances would exercise. negligence in the emergency department is were due care and attention is not paid to every patient, either due to poor training or the number of people doctors see a day. Through law if a person can prove they were treated negligence then they can be awarded compensation for the harm caused to that individual.

Liability

Liability is a current obligation of an individual arising from past actions.in other words its the responsibility of an action caused by an individual in the past that has caused grief or harm to a patient.

Reduce errors

  • Training
  • Education


It is possible to reduce errors through proper training, partaking in crisis management and risk assessment courses, train physicians to avoid closed loop communication and fixation errors, ensure each physician is trained by innovative teaching (e.g. clinical case analysis) and root cause analysis in individuals, systems and processes.

Summary

Most causes of error in the emergency department are caused by human factors and are almost always preventable through careful examination, proper investigation and efficient management.

Perception is the organization, identification, and interpretation of sensory information; Failures in perception include poor organization tools, poor identification techniques and miss interpretation of results

 *In contentious business, a solicitor may not calculate fees or other charges as a percentage or proportion of any award or settlement.

(c) Brian Morton & Co. Solicitors. All rights Reserved.



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