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Quality AND Safety IN Medicine — Written Clinical Reasoning
DCE-style written reasoning for Quality AND Safety IN Medicine.
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Target exams
FRACP DCEMRCP Part 2
Prompt
DCE-style written reasoning for Quality AND Safety IN Medicine.
SAQ 1 — Integrated plan (12 marks)
Prompt: Provide a prioritised problem list and management sequence for this presentation.[2]
Model Answer
1. Frame and red flags (3 marks)[2]
State the working diagnosis/syndrome, acuity, and what would force emergency treatment now.[2]
2. Discriminating assessment (3 marks)[2]
List the key history, examination and investigations that separate dangerous differentials from benign mimics.[2]
3. Treatment sequence (4 marks)[3]
Immediate stabilisation, disease-specific therapy, monitoring, and complications prevention.[2]
4. Follow-up and communication (2 marks)[2]
Disposition, safety-net advice, and who owns follow-up.[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