| Opportunities to learn from medical incidents: a review of published reports from the Health and Disability Commissioner. | |
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MedLine Citation:
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PMID: 20581909 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIMS: To analyse recent published information about the Health and Disability Commissioner's investigations in the context of The New Zealand Medical Council's Domains of Competence and investigate possible relationships. METHODS: Retrospective review of 100 recent Health and Disability Commissioner (HDC) investigations published online (all cases reviewed regardless of the Commissioner's 'verdict'), involving at least one medical practitioner. Breaches and issues raised were categorised according to the Domains of Competence set by the Medical Council of New Zealand. RESULTS: The most common area of competence identified in the HDC investigations was that of Medical Expert, in 92.9% of cases. The second was Communication, identified in 48.7% of cases. Many cases included more than one Domain of Competence, with an average of 1.8 domains per investigation. Further characteristics of the cases were examined and a number of medical practitioner, patient, setting and timing statistics are also presented. CONCLUSIONS: This study finds medical expertise and communication skills to be the key areas of a medical practitioner's role that public complaints address. Beyond this, the limited data available through the Commissioner's published reports make it difficult to draw conclusions which might assist with the improvement of medical practice in New Zealand. We therefore conclude that the data available is useful only at a case-by-case level. More extensive use of published information about incidents involving medical practitioners will have to await changes to provide for the systematic reporting of a much higher proportion of incident investigations. Given New Zealand's current environment for dealing with medical complaints, this may require changes beyond the area of consumer complaint investigations considered here. |
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Authors:
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Sara Temelkovski; Kathleen Callaghan |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2010-05-14 |
Journal Detail:
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Title: The New Zealand medical journal Volume: 123 ISSN: 1175-8716 ISO Abbreviation: N. Z. Med. J. Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-06-28 Completed Date: 2010-07-22 Revised Date: 2010-07-29 |
Medline Journal Info:
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Nlm Unique ID: 0401067 Medline TA: N Z Med J Country: New Zealand |
Other Details:
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Languages: eng Pagination: 18-30 Citation Subset: IM |
Affiliation:
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Bay of Plenty District Health Board, Tauranga Hospital, Tauranga, New Zealand. saratemelkovski@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Ethnic Groups Female Humans Male Malpractice* Medical Errors* Medication Errors* Middle Aged New Zealand Patient Satisfaction Quality of Health Care / organization & administration* Retrospective Studies Safety Management / methods* Young Adult |
| Comments/Corrections | |
Comment In:
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N Z Med J. 2010 Jul;123(1318):103-4
[PMID:
20651877
]
N Z Med J. 2010 May 14;123(1314):12-7 [PMID: 20581908 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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