The information found on this site is the personal opinion of the authors, and is intended to educate and interest, rather than to direct clinical management for specific patients. Copyright is shared between the author/s and this site. You may reproduce this content as long as the original source is credited. No information on this site may be reproduced for profit.

Sim Library: Communication 5: Apologising for a medical error

Theme: Breaking bad news / Apologising
Suitable for: Paediatric trainee (ST3+)
Clinical scenario: Two year old child on the ward who is being treated for a UTI.

Has had double the prescribed dose of gentamicin (medication error).

Information for candidate: You are asked to explain to this parent that their child has been given an overdose of gentamicin.
Information for actor: You are the parent of two year old Isabel, who is being treated for sepsis / confirmed UTI.

She has been in for two days on IV antibiotics.

The doctor in this scenario is going to tell you that there has been a mistake made with one of the medicines.

When the doctor explains this, you are angry and want to know (for example)

Whose fault this is

What is going to happen to Isabel and is she in danger

What are the doctors going to do about this

You want all her antibiotics to be stopped immediately

Information for scenario lead: Terminate the scenario when a resolution has been reached or the candidate asks for senior involvement.
Possible points for discussion in debrief: Apologising / Breaking bad news

Duty of candour

Body language, choice of words

Negotiating a difficult conversation

Clinical discussion – what needs to be done immediately?

What are the long term possible problems?

How are serious incidents dealt with?

What is the complaints procedure?

The clinical details of this simulation scenario are not based on any one particular case. Similarity to any real life clinical scenario or child is purely coincidental.

The information found on this site is the personal opinion of the authors, and is intended to educate and interest, rather than to direct clinical management for specific patients. Copyright is shared between the author/s and this site. You may reproduce this content as long as the original source is credited. No information on this site may be reproduced for profit. 2018, paediatricfoam.com