> Now, a further question. How would you deal with a junior who missed
My approach is, first to establish whether any harm has occurred to the
patient as a result of the misinterpretation of the radiograph and if
so, to be sensitive to the horror that most good doctors would feel when
the news is broken to them. Some might even go off sick depending on
the clinical consequences of their error, causing immense disruption to
the service. Support is needed. Depending on the harm to the patient
this might be treated as a Serious Untoward Incident, triggering
reporting to the NPSA etc. What is done, in this circumstance, cannot
be undone; therefore the junior needs to learn from it.
I would then review the Clinical Governance structures (see Prof. Robin
Touquet's Ten Commandments) in place - especially, in relation to risk
management - structures for early senior review of radiographs and also
to look at the training and education structures. This incident could
be useful for supporting the case for some or more middle-grade staff.