The good old NHS managed to provide a topic for my blogpost just as I was searching for inspiration!Read More
Isabel Healthcare Blog
The case of Karissa Cox and Richard Carter in the UK has been widely covered. Their baby (due to legal reasons the baby’s name and gender have not been revealed) was adopted after being taken when they were charged with child abuse. The couple have since had the charges dropped against them.Read More
We are often asked by clinicians whether they would be better or worse off in a malpractice case if there was a record in the medical notes of their full differential diagnosis and the diagnosis missed was in that list. Our view is that it’s always better to have documented what you have done and thought. If you were wrong and had a reasonable explanation for why you did not think the diagnosis missed and on the list was the most likely and the one that you treated for, then it is better to be able to show that you thought about other possibilities. At the very least you show yourself to be a concerned and caring clinician rather than one that couldn’t be bothered.
Over 45 years ago, in 1968 Dr Lawrence Weed published an article on Medical Records that Guide and Teach which described the problem-orientated medical record (POMR) where organized problem lists and medical records are critical to clear decision making. The POMR was implemented worldwide and became a standard for medical documentation.
Yesterday the Daily Mail ran an article entitled “How to avoid misdiagnosis: The online ‘doctor’ even GPs swear by”
DDX tools could help to avoid diagnosis errors in the ICU
The idea for the Isabel diagnosis support tool first came to us while sitting in the ICU. A decade ago, my family and I were spending long hours in the ICU caring for our toddler, Isabel Maude, after she was diagnosed late with necrotising fasciitis. We realized the ICU doctors often can see the long perspective of what happened to a patient, as they see how the patient got there and what mistakes were made along the way. With the luxury of hindsight they can see, for example, that if only a clinician had, metaphorically, turned left instead of right then the patient would not have ended up in ICU.
Isabel Healthcare and BMJ Group Introduce “Isabel with Best Practice”- the Next Generation Medical Knowledge System
Evidence-based diagnostic and treatment decision aid enables faster, safer and more accurate diagnoses and treatment at the point of care
As we start the new year, we resolve to achieve improvements in all we do, including our medical practices and patient diagnosis efforts.