Phys Clinical Cases · general-medicine
Quality AND Safety IN Medicine — DCE Clinical Case
DCE long-case and short-case station for Quality AND Safety IN Medicine.
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Target exams
FRACP DCEMRCP PACES
Prompt
DCE long-case and short-case station for Quality AND Safety IN Medicine.
Quality AND Safety IN Medicine — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Quality AND Safety IN Medicine.[1]
Presenting complaint: Subacute or acute symptoms referable to Quality AND Safety IN Medicine, with enough detail to force prioritisation.[1]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan.[2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue.[2]
Examination: Key positives and critical negatives for dangerous differentials.[3]
Investigations: A small set of results that change management.[1]
Tasks
- Present a prioritised problem list.[1]
- Defend investigations and immediate therapy.[2]
- Provide safety-net and follow-up advice.[2]
Model discussion points
- Working diagnosis and acuity.[3]
- Differentials and discriminators.[1]
- Treatment sequence and monitoring.[1]
- Multimorbidity and communication.[2]
References3ShowHide
- [1]Makary MA, Daniel M Medical error-the third leading cause of death in the US. BMJ, 2016.PMID 27143499
- [2]Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med, 2009.PMID 19144931
- [3]Spanakis SG Disclosure after medical error. Curr Opin Anaesthesiol, 2021.PMID 33577207