Letters reveal how medics argued about disclosing error
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canada goose black friday sale New canada goose black friday sale records show canada goose clearance sale that for more than 15 months, debate about open disclosure for patients and who should deliver that open disclosure batted back and canadian goose jacket forth between Ireland’s most senior clinicians. By last August, the Canada Goose sale row had escalated up the chain to Dr Henry, to whom Mr Harris’s hit team will report. canada goose black friday sale
buy canada goose jacket They start on July 21, 2016, when CervicalCheck contacted her consultant gynaecologist, Kevin Hickey, to tell him that https://www.canadagooseisverige.com his patient’s smear test had been reviewed, abnormalities had been detected, and left it Canada Goose online up to Mr Hickey to tell Mrs Phelan “if open disclosure is indicated”. buy canada goose jacket
canada goose deals However, Mr Hickey believed this was not his responsibility. In a letter to Dr Grainne Flannelly, CervicalCheck’s clinical director, he mentioned several “ladies” who were diagnosed with either invasive disease or in situ carcinoma, who were all “thankfully” alive and well, Canada Goose Online and undergoing follow up. canada goose deals
canada goose “We feel it is inappropriate to contact them at this point to tell them that canada goose outlet original smears have now been re reported as showing different findings. We think this would only heighten their anxiety levels and not confer any advantage to them now in their clinical course, as they have all been managed appropriately,” Mr Hickey wrote. canada goose
canada goose clearance He told Dr Flannelly that it was the “responsibility of CervicalCheck to judge for themselves as to whether they have a responsibility to these ladies and acknowledge the canada goose alteration of their original smears after review”. canada goose clearance
Canada Goose online Dr Flannelly replied on August 5, 2016, writing: “There is a balance in terms of communicating the results of an audit, particularly where women are unaware of its existence.” This balance was “best judged by the clinician, who knows the patients and has been looking after canada goose coats on sale the women”. Canada Goose online
cheap Canada Goose The dispute rumbled on until June 2017, when Mr Hickey escalated the issue to the group chief executive of UL Hospitals Group and copied in a number of senior medical staff there. He complained that he canada goose clearance had passed the women’s files to Dr Flannelly and “requested her to deal with the matter as I felt it was the responsibility of canada goose store the Cervical Screening Programme”. But that did not turn out to be the case. cheap Canada Goose
Canada Goose Parka The following month, Dr Flannelly selected just three women from those charts whose smear tests had been audited for review who she felt should have “disclosure”. Canada Goose Parka
Canada Goose sale Mr Hickey wrote back: “There were other ladies where the review process has altered the original findings on the smear audit review and it looks from your notes that uk canada goose you have felt Canada Goose Parka that these should be filed in the patient’s notes and that no review is necessary. I just wanted to confirm that you are happy with this whole process centrally.” Canada Goose sale
canada goose coats on sale She replied by email on July 7, writing: “Yes a balance needs to be struck in deciding who needs a formal communication of the outcome of the audit. The possibility of resultant harm is crucial.” canada goose coats on sale
buy canada goose jacket cheap Mr Hickey again challenged Dr Flannelly, pointing out one woman whose initial smear was “atypical squamous cells of unknown significance” which canada goose uk shop changed to a high grade lesion in an audit review. “Could you further review the other cases to ensure there is not any other discrepancy that arises?” buy canada goose jacket cheap
Canada Goose Outlet Dr Flannelly replied that canada goose coats she was going canada goose uk outlet on limited information. “Any discrepancies you point out only underscore the value of local decision making in this regard.” Canada Goose Outlet
canada goose coats By August last year, Dr Henry, national director and uk canada goose outlet clinical lead for acute hospitals, was informed of the dispute. He canada goose uk black friday wrote to Dr Flannelly. She replied by outlining how CervicalCheck had “engaged” with the HSE’s open disclosure and patient safety, and how the process of communicating the outcome of reviews was updated. canada goose coats
canada goose store “If doubt exists that her disease buy canada goose jacket might have canada goose factory sale otherwise been detected at an earlier time” or that she might have required more intensive treatment, it was her view that women should be made aware of this. The treating cheap Canada Goose clinician was best placed to buy canada goose jacket cheap make that judgement call on “possible harm”, she wrote. canada goose store
Canada Goose Jackets The following month, Mr Hickey told Mrs Phelan about the audit. “It is because I feel the women deserve to know the results of the audit process, I have taken it on myself to go through the results of the audit with them as they return for their follow up clinic,” he wrote to Dr Flannelly in August 2017 Canada Goose Jackets.
