That takes balls

 

This SAQ is worth 15 marks

You are the director of your Emergency Department. The mother of a 4 year old boy has rung to complain about the treatment her son received in your ED.
The boy was seen in your ED the day prior with abdominal pain and sent home. Due to ongoing pain, he was taken to another hospital where the diagnosis of testicular torsion was made. At surgical exploration, the testis was found to be non-viable.

Question 1.
List 4 points that you would convey to the mother during your conversation (4 marks)


1. __________________________________________________________________________________________________

2. __________________________________________________________________________________________________

3. __________________________________________________________________________________________________

4. __________________________________________________________________________________________________



Question 3.
List 5 important aspects in your management of this situation (5 marks)


1. __________________________________________________________________________________________________

2. __________________________________________________________________________________________________

3. __________________________________________________________________________________________________

4. __________________________________________________________________________________________________

5. __________________________________________________________________________________________________



Question 1.
List 6 possible causes for this situation (6 marks)

1. __________________________________________________________________________________________________

2. __________________________________________________________________________________________________

3. __________________________________________________________________________________________________

4. __________________________________________________________________________________________________

5. __________________________________________________________________________________________________

6. __________________________________________________________________________________________________



 

This SAQ is worth 15 marks

You are the director of your Emergency Department. The mother of a 4 year old boy has rung to complain about the treatment her son received in your ED.
The boy was seen in your ED the day prior with abdominal pain and sent home. Due to ongoing pain, he was taken to another hospital where the diagnosis of testicular torsion was made. At surgical exploration, the testis was found to be non-viable.

Question 1.
List 4 points that you would convey to the mother during your conversation (4 marks)

Accept complaint
Apologize for inconvenience
Undertake to investigate
Assure mother she will get response
(other responses may be acceptable)
Pass 2 of 4


Question 3.
List 5 important aspects in your management of this situation (5 marks)

Recall / review chart
Discuss with treating doctor
Inform medico-legal team institution
Medico-legal for treating practitioner
Identify problems causing missed diagnosis
Implement changes to prevent further similar problems
(quality improvement cycle)
(accept other reasonable responses)

Pass 3 of 5

Question 1.
List 6 possible causes for this situation (6 marks)

  • Pt factors –
    • unusual presentation
  • Staff factors
    • Lack of knowledge
    • Lack of experience
    • Lack of supervision
  • Process factors
    • Understaffed
    • Busy shift
    • Lack of protocols surrounding discharge by junior doctor

(accept other reasonable responses)

Pass 3 of 6

 

Total pass 8 of 15 corrects to 5/10 




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