Skip to main content
MedVellum
QuestionsVideosPricing

MedVellum

Fellowship exam preparation across every specialty: source-verified topics, questions in every format, and videos.

Product

  • Specialties
  • Questions
  • Videos
  • Exam tools
  • Pricing

Verification & policy

  • Verified register
  • Editorial policy
  • Privacy
  • Terms

Account

  • Sign in
  • Create account
  • Dashboard
  • Account & billing

© 2026 MedVellum. For education only — not a substitute for clinical judgement.

llms.txtPsychiatry LLM catalogSitemap

Paeds Casesprofessional-practice-and-evidence

Paeds Cases · professional-practice-and-evidence

Open disclosure after a medication error — OSCE

OSCE on staged open disclosure after a tenfold medication error, addressing acknowledgement, apology, language access and follow-up.

osce open disclosure communication2 min readVerification in progress

Target exams

MRCPCH ClinicalRACP DCERCPSC Pediatrics
On this page
Study tools

Target exams

MRCPCH ClinicalRACP DCERCPSC Pediatrics
Prompt
Parents of a 3-year-old, with limited English, are at the bedside after the child received a tenfold opioid dose from a decimal-point error overnight; the child was given naloxone and is now stable; nothing has yet been said to the family.

Station brief (8–10 minutes)

Conduct the initial open-disclosure conversation with the parents after the tenfold medication error. The child is stable. Acknowledge what happened, apologise, give the known facts, arrange appropriate follow-up, and ensure language access. Do not invent jurisdiction-specific statutory wording or local tribunal procedure. [1] [4]

Paediatrics Fellowship Pro

Continue reading

You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship library.

Sign in to continueSee pricing
References5ShowHide
  1. [1]Iedema RA The National Open Disclosure Pilot: evaluation of a policy implementation initiative. The Medical journal of Australia, 2008.PMID 18393742
  2. [2]Iedema R Patients' and family members' experiences of open disclosure following adverse events. International journal for quality in health care, 2008.PMID 18801752
  3. [4]Jacob H Openness and honesty when things go wrong: the professional duty of candour (GMC guideline). Archives of disease in childhood. Education and practice edition, 2016.PMID 27002114
  4. [5]Inkster T Duty of candour and communication during an infection control incident in a paediatric ward of a Scottish hospital. Journal of medical ethics, 2022.PMID 33593873
  5. [14]New L Second-Victim Phenomenon. Nursing clinics of North America, 2024.PMID 38272580
Paediatrics Fellowship Pro

$29/ monthor $279 / year

The complete Paediatrics Fellowship library, every exam format, one subscription.

  • Complete library for one chosen specialty
  • Timed MCQ mock exams and spaced review
  • Clinical cases & cross-table vivas
See pricingSign in
PreviousNegotiating a parental refusal of a blood transfusion — OSCEprofessional-practice-and-evidenceNextPaediatric consultation with child, young person and family — communication OSCEprofessional-practice-and-evidence