We want to develop here real clinical situations with a patient, enhancing the importante of the cognitive and systemic aspects involved in a clinical decision. We believe this way is the best to teach clinical practice.
The storyteller
We left Dr. Adolf very worried about a clinical decision: he switched fosfomycin and gentamicin to a cephalosporin in a patient with a urinary infection and an allergy to penicillin. He was out of the hospital trying to reach the intern or the nurses in charge of the patient, but without any answer. Continue reading Dr. Adolf and the case of allergy to penicillin. Chapter 2.
During the morning, Adolf,the doctor, was attending to a patient with an urinary infection in relation to Escherichia coli. The patient was allergic to penicillins and the culture showed sensitivity to Gentamicin, Fosfomycin and Cephalosporin. The treatment for the Continue reading Dr.Adolf and the case of allergy to penicillin. Chapter 1.
We want to expose the analysis of real clinical cases in a different way, enhancing the experience and contribution of every “actor” in a clinical encounter, following the principles of a “Case Analysis” under the concepts of Patient Safety and Diagnostic Improvement.
Actors
THE HISTORY
The storyteller
A 52-year-old woman had a diagnosis of a localized non-small cell lung cancer in her right lung. She had a right pneumonectomy four months before the actual visit. After a recovery period she started Continue reading Hydropneumothorax: The Case for Mrs. Dolly
To show the importance of the communication between physicians in a particular clinical case, together with the contribution of some systemic factors in a case of diagnostic error.
The replacement of a biliary catheter and the Boeing 737 Max:: An example of a system failure?
A 60-years-old woman had a diagnosis of colon cancer with liver metastases. During her follow-up the bilirrubin level increased and a sonogram showed a common bile duct obstruction. At this point she Continue reading The replacement of a biliary catheter and the Boeing 737 Max: An example of a system failure?