Ethics and Communication – Set 5

What this deck covers

Ethics and Communication – Set 5 in 50 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 50 cases, in order

1. What went wrong at the first visit
2. Company offers to the consultant
3. Where the fall is reported
4. Parents doubt a sputum result
5. Death after a tenfold dose
6. Terms for the evening clinic
7. Question about the second dose
8. Resident wants her reviewed last
9. Wrong result, told to the family
10. Envelope offered at the end
11. Group most prone to drug errors
12. Purpose of the safety office
13. A fortnight’s leave demanded
14. Infusion running into her hand
15. Switching medicine for a favour
16. Collapse after a potassium dose
17. Father packing her bags tonight
18. Where missed diagnoses cluster
19. Choosing equipment for home
20. A report with another child’s name
21. After the findings are in
22. Nobody shared the X-ray result
23. The overseas meeting offer
24. Parents sense something was hidden
25. Booster given twice by mistake
26. Two-hour wait, father shouting
27. A manager shrugs off a mistake
28. The dinner talk offer
29. Is a small cut worth logging?
30. Carried towards the exit at night
31. Stopping a repeat at the clinic
32. Uninsured father asks for tests
33. The bedside act in Reason’s model
34. Why report a harmless error?
35. Bruised knee and a long absence
36. An expensive present from the family
37. Wrong diagnosis corrected next day
38. Focus of the inquiry
39. A chart line about a rude family
40. What a safety course should cover
41. A post waiting for your nephew
42. Harm from care or from illness
43. Choosing her words to a mother
44. Why her liberty may be limited
45. Mother asks to be seen sooner
46. Naming the field behind a review
47. Method for repeated falls
48. First target for a ward committee
49. A tablet computer for the clinic
50. A resident’s view of a slip

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Medication error, Agree, and give them his report with a referral, Tell the mother honestly and apologise, Refuse the money politely, Send him to the hospital complaints office, Immediate reporting and an in-depth investigation, Sell her one of your nebulisers in the clinic, To have his daughter admitted on request, Document the facts and file an incident report, A leaflet telling parents to bring her back sooner, To learn from it so that it does not recur, Near miss, Medication, diagnostic and procedural errors, The clinic’s system is to blame, not me.

Clinical pearls from this deck

• Missed, wrong or delayed = diagnostic error.
• A conflict of interest is a situation, not yet a wrong: what matters is how it is handled.
• Report to the department that learns.
• A second opinion is a right, not a threat.
• Sentinel event: death or serious harm from care, investigate now.
• Permission first, public post first, never a recruiting ground.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all ethics and communication case decks · pediatric reference values.