dr. diarmuid quinlan, mps gp glanmire

Medical Protection Society .

‘Clinical Risk Self Assessment

.

- Its role in General Practice’

National Primary Care Conference 2013Dr Diarmuid Quinlan

“Primum non nocere”.

.

.

“Medication errors kill more

people than motor vehicle

collisions1”

1.Increase in US Medication-Error Deaths between 1983 and 1993. The Lancet. 351:643–644, 1998

MPS: Claims in GP 2007-2011 Ireland UK• Claims increased by................. 20% 47%

• Size of claim increased by.........37% 26%

Road Deaths Eire1

• 2012------162• 2011------186• 2010------212• 2009------238• 2008------279

Gay ByrneChair RSA 2006

1. http://www.rsa.ie/RSA/Road-Safety/Our-Research/Deaths-injuries-on-Irish-roads/

Magic bullet....and other myths.

Clinical Risk Self Assessment

Survey : practice safety cultureFull day visitAll team participateStaff interviewsWorkshop

...Individual Report.

“All changed, changed utterly:A terrible beauty is born”

Easter 1916.

.

All the kings horses,

All the kings men,

Couldn’t put Humpty

Together again.......

Building.......a Safety Culture.

“All changed, changed utterly:A terrible beauty is born”

Easter 1916.

Under the microscope..............

“I gave your baby the wrong vaccine”.

“Methotrexate; We can do better”Multi practice audit

“Compliance with 2012 IMB guidelines”

• Prescribing 0% ------- 65%• Blood tests 21%-------95%

• Immunosuppression 0%---------94%• “Pop up alerts” 7%---------30%• Flu Vaccine 63%-------85%

Excessive blood testing curtailed !!

Ask yourself one question: "Do I feel lucky?" ......Well do ya....Doctor?.

Is Ireland the Fax Capital

of the Western World?

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“All changed, changed utterly:A terrible beauty is born”

Easter 1916.