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Search results for "United Kingdom"
Journal Article > Study
Influence of doctor–patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study.
Amelung D, Whitaker KL, Lennard D, et al. BMJ Qual Saf. 2019 Jul 20; [Epub ahead of print].
Despite many advances in cancer treatment, delays in cancer diagnosis cause substantial morbidity and mortality. System factors like difficulty obtaining appointments contribute to late cancer diagnoses. Timely cancer diagnosis also requires that patients and physicians communicate effectively about next steps in the workup of symptoms. This qualitative study recorded videos of patient–physician interactions and found that 31% of the time, doctors and patients did not align in their perception of the seriousness of a given symptom. The authors theorized that misalignment leads to missed follow-up testing and deterioration in patient–physician trust. A WebM&M commentary described how the cost of a diagnostic test led to a late diagnosis of colon cancer.
O'Loughlin E. New York Times. April 30, 2018.
Large-scale adverse events should lead to system examination and improvement. This newspaper article reports on misread cervical cancer tests that resulted in 208 women receiving false negative results over a 4-year period from a publicly funded smear test program in Ireland and the government inquiry launched in response to this large-scale failure.
Journal Article > Study
Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions.
Car LT, Papachristou N, Urch C, et al. J Glob Health. 2017;7:011001.
Patients with cancer are at increased risk of medication errors in both the inpatient and outpatient settings. In this study, investigators solicited input from cancer care clinicians regarding their perception of causes and potential solutions for medication errors. Clinicians identified limited health literacy and inadequate information sharing among clinicians as barriers to providing safe care and they suggested increased patient engagement as one potential approach to improving safety.
Journal Article > Commentary
Lyratzopoulos G, Wardle J, Rubin G. BMJ. 2014;349:g7400.
Past studies have found that delays in cancer diagnosis are common and harmful. Suggesting that such delays are not always due to error, this commentary reviews how diagnostic difficulty can lead to multiple consultations and hinder timely diagnosis of cancer in primary care.
Breast Cancer Services in Trafford and North Manchester. An Investigation Into The Circumstances Surrounding A Serious Clinical Incident In Symptomatic Breast Services – The Baker Report.
Baker M. Manchester, England: NHS North West; February 2007.
This report shares findings from an investigation into individual and system failures that contributed to a radiologist misreading mammograms for a 2-year period.