Doctors self-reports

One study of knowledge among the general public indicated that 2.3% of a randomly selected sample of people in the USA have been told by a physician that they had a TIA, based on self-report in a telephone survey (Johnston et al. 2003). However an additional 3.2% of respondents recalled symptoms consistent with TIA but had not sought medical attention at all and consequently had not been diagnosed by a doctor. Of those with diagnosed TIA, only 64% had seen a doctor within 24-hours of the event Only 8.2% correctly related the definition of TIA, and 8.6% were able to identify a typical symptom. 

Self-reported staff reactions that would potentially be taken after the event may be stated as follows (1) keep the event to oneself, (2) report the event to one s leader or the doctor in charge, (3) report the event to the local reporting system, (4) write in the patient s case-record about the event, (5) inform the patient about the event and future risk, (6) ejq)lain to the patient that the event was eaused by one s mistake and (7) apologise about the event to the patient. 

Hereafter, we will illustrate application of the above-mentioned method through a case study conducted in Japan. In this study, two other fictitious cases - i.e. mild and near-miss cases, which were also adopted from Andersen et al. (2002) - were also used in addition to the above-mentioned severe outcome example. Hospital staff s self-reported reactions were elicited from about 1,000 doctor and 18,000 nurse responses in 84 hospitals. The results are summarised in Table 4.6 in terms of the percentage of respondents who strongly or slightly agreed with each reaction item. There were significant differences between doctors and nurses and between outcome severities for most reactions. 

Table 4.6 Doctors and nurses self-reported reactions related to patient safety after adverse events...

One of the advantages of a self-reporting approach is its applicability to assessment from another party s perspective. For instance, patient views of doctors likehhood to perform safety-related actions can be ehcited as follows patients are asked to what extent they wottld expect a doctor to perform each reaction item, assmning they become a victim of the same fictitions adverse event. Then, comparisons between patient and staff responses allow ns to identify similarities or differences between staff s self-reported attimdes and patient expectations of staff actions. 

Doctors and nurses self-reported reactions related to... 

Riveros C, Dechartres A, Perrodeau E et al (2013) Timing and completeness of trial results posted at QinicalTtials.gov and published in journals. PLoS Med 10 el001566 Rose L, Haslam L, Dale C, Knechtel L, McGillion M (2013) Behavioral pain assessment tool for critically ill adults unable to self-report pain. Am J Crit Care 22 246-255 Roter D, Hall JA (2013) Doctor-patient communication why and how communication contributes to the quality of medical care. In Gellman MD, Turner JR (eds) Encyclopedia of behavioral medicine. Springer, New York, pp 622-627... 

Women should not use oxymetholone, but of course some hard core types did report self administration. Novice steroid users should never use oxymetholone without a doctors supervision. 

From its inception, this book was designed to meet this growing need. Both the first edition, published in 1987, and the expanded, revised 1997 edition have served effectively as companion texts to many of the standard textbooks of biochemistry, particularly at institutions that have retained much of the traditional lecture format. At the same time, experience has shown that the 8- to 14-page chapters that constitute this collection of actual case reports are sufficiently comprehensive and self-contained to stand on their own. As such, the book has been and can be used as the primary resource in biochemistry of disease courses at the advanced undergraduate level or in masters or doctorate graduate programs. 

Monograph manuscripts should be reasonably self-contained and rounded off. Thus they may, and often will, present not only results of the author but also related work by other people. They may be based on specialised lecture courses. Furthermore, the manuscripts should provide sufficient motivation, examples and applications. This clearly distinguishes Lecture Notes from journal articles or technical reports which normally are very concise. Articles intended for a journal but too long to be accepted by most journals, usually do not have this lecture notes character. For similar reasons it is unusual for doctoral theses to be accepted for the Lecture Notes series, though habilitation theses may be appropriate,... 

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