Limit risks to you and your patient
Nearing the end of a very long shift in the emergency department (ED), Doctor D was extremely tired and in need of a break.
He was treating a patient for a severe laceration to his thumb. The patient was a labourer who apparently received the injury at work. His English was limited and he was not able to convey clearly what happened and the doctor had great difficulty in communicating with him. Doctor D became very impatient. As a result a wash out occurred, some stitches were applied but apart from that there were no further investigations or instructions and the patient was sent away.
After five days the patient returned to the ED where clear signs of infection were apparent. An interpreter was called whereby further investigations took place which also revealed some nerve damage. The patient lodged a complaint against the hospital.
MIPS assisted the member with responding to the complaint and the investigation undertaken by the hospital. The response was apologetic with an empathetic tone. It conveyed what improvements were to be made to ensure the same circumstances did not occur to another patient for example the need for interpreters and the need for clear instructions and follow up.
Whilst the hospital managed the claim component of the complaint, since it was vicariously liable as the employer, given the response of our member no action was taken against him personally.
Tips
Ensure the lines of communication are clear and employ translators where necessary
Ensure a ongoing management plan is in place
Providing an apology and expressing empathy can mitigate complaint outcomes
