Communicable disease surveillance Robert Allard MDCM MSc FRCPC October 2003.
Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.
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Transcript of Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.
![Page 1: Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.](https://reader035.fdocuments.net/reader035/viewer/2022081506/56649daa5503460f94a97b9c/html5/thumbnails/1.jpg)
When Things Go Wrong
Mike Purdon, BSc, BA, MDCM, dip ABFPDirector, Faculty Development, SMP
![Page 2: Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.](https://reader035.fdocuments.net/reader035/viewer/2022081506/56649daa5503460f94a97b9c/html5/thumbnails/2.jpg)
I do not have any financial affiliation with any information presented during this session. No products are endorsed during this session
Disclosure
![Page 3: Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.](https://reader035.fdocuments.net/reader035/viewer/2022081506/56649daa5503460f94a97b9c/html5/thumbnails/3.jpg)
Errors Three cases Frame, then teach Medico-legal aspects
Outline
![Page 4: Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.](https://reader035.fdocuments.net/reader035/viewer/2022081506/56649daa5503460f94a97b9c/html5/thumbnails/4.jpg)
“A medical error is anything that happens in my office that shouldn’t have happened and I absolutely do not want to happen again”
Rare Institute of Medicine, 1999
Errors
![Page 5: Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.](https://reader035.fdocuments.net/reader035/viewer/2022081506/56649daa5503460f94a97b9c/html5/thumbnails/5.jpg)
Case 1: Osteoarthritis of the knee
![Page 6: Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.](https://reader035.fdocuments.net/reader035/viewer/2022081506/56649daa5503460f94a97b9c/html5/thumbnails/6.jpg)
Case 1: osteoarthritis of the knee
![Page 7: Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.](https://reader035.fdocuments.net/reader035/viewer/2022081506/56649daa5503460f94a97b9c/html5/thumbnails/7.jpg)
What is the morbidity?
Technical Normative Knowledge
Individual System
Frame
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Self correcting? Individual actions System actions
◦ …demonstrate an awareness of and responsiveness to the larger context and system of health care and learn to effectively call on system resources to provide care that is of optimal value.
Teaching
![Page 9: Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.](https://reader035.fdocuments.net/reader035/viewer/2022081506/56649daa5503460f94a97b9c/html5/thumbnails/9.jpg)
![Page 10: Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.](https://reader035.fdocuments.net/reader035/viewer/2022081506/56649daa5503460f94a97b9c/html5/thumbnails/10.jpg)
30 year old woman, six months post partum Sertraline 50 mg daily “No sex drive” Wonders about medication side effects Resident advises continued use of
medication
Case 2: Post partum patient
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“Look, my wife and I had crazy sex until we had a kid. We tried everything at least once.”
“I really haven’t had anything that I would call worthwhile sex with her for two years since our son was born.”
“Keep taking your medication and tell your husband not to be a hound dog”
Case 2: Post partum patient
![Page 12: Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.](https://reader035.fdocuments.net/reader035/viewer/2022081506/56649daa5503460f94a97b9c/html5/thumbnails/12.jpg)
What is the morbidity?
Technical Normative Knowledge
Individual Systems
Frame
![Page 13: Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.](https://reader035.fdocuments.net/reader035/viewer/2022081506/56649daa5503460f94a97b9c/html5/thumbnails/13.jpg)
Self correcting? Individual actions System actions
Teaching
![Page 14: Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.](https://reader035.fdocuments.net/reader035/viewer/2022081506/56649daa5503460f94a97b9c/html5/thumbnails/14.jpg)
![Page 15: Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.](https://reader035.fdocuments.net/reader035/viewer/2022081506/56649daa5503460f94a97b9c/html5/thumbnails/15.jpg)
36 year old male Stereotypical facial pain, fevers, headache Travelling to Mexico for honeymoon Wants course of antibiotics
Case 3: Acute sinusitis
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Debate about antimicrobials in treatment of ABRS/AVRS
Sample of moxifloxicin x 14 days
Acute sinusitis
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Patient seen in ER in Mexico with torrential epistaxis
INR 12 Nasal packing, vitamin K
Case 3: Acute sinusitis
![Page 18: Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.](https://reader035.fdocuments.net/reader035/viewer/2022081506/56649daa5503460f94a97b9c/html5/thumbnails/18.jpg)
What is the morbidity?
Technical Normative Knowledge
Individual System
Frame
![Page 19: Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.](https://reader035.fdocuments.net/reader035/viewer/2022081506/56649daa5503460f94a97b9c/html5/thumbnails/19.jpg)
Self correcting? Individual actions System actions
Teaching
![Page 20: Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.](https://reader035.fdocuments.net/reader035/viewer/2022081506/56649daa5503460f94a97b9c/html5/thumbnails/20.jpg)
Disclosure Apology legislation, 2006 Case 1 Case 2 Case 3
Medicolegal Aspects
![Page 21: Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.](https://reader035.fdocuments.net/reader035/viewer/2022081506/56649daa5503460f94a97b9c/html5/thumbnails/21.jpg)
What is the morbidity?
Technical Normative Knowledge
Individual Systems
Frame
![Page 22: Mike Purdon, BSc, BA, MDCM, dip ABFP Director, Faculty Development, SMP.](https://reader035.fdocuments.net/reader035/viewer/2022081506/56649daa5503460f94a97b9c/html5/thumbnails/22.jpg)
Errors Three cases Frame then teach Medico-legal aspects
Outline