Well we all have our own means of quality control and of monitoring that - I
personally use an adaptation of Dr Guly's Diagnostic Error paper that
appeared in the EMJ a few years ago as part of my own CQ - this deals with
diagnostic errors generally, but in reality mainly relates to missed
fractures.
Who's to tell us what is acceptable? - we are the only ones to decide that
for our own department as we are the only ones who know what is reasonable
given our own resources - staffing levels, mix of seniority etc. etc. - so
I'd personally handle it by saying 'here's my figures; I consider them
reasonable (if you do!) given my resources; they could be better if I was
better resourced; they're not getting worse and I therefore know that
things are continuing in an acceptable manner' - or whatever wording /
message conveys your own situation.
I specifically wouldn't let anyone else tell me what's reasonable.
I don't know of any National figures for missed fractures - does anyone? -
but these would be meaningless as each department is resourced differently -
it will be trends in an individual unit that matter.
Just my own opinion.......
-----Original Message-----
From: John PASKINS [mailto:[log in to unmask]]
Sent: 27 November 2003 10:00
To: [log in to unmask]
Subject: Fwd: Missed Fractures in A&E
How would you respond to this request?
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