Turning the wrongs into rights

Mistakes in practice can really have a negative impact on wellbeing. An error can prey on the mind, turning supposed relaxation time into rumination time. Here, Catherine Oxtoby offers a method of dealing with errors in a more productive and healthier way.

Getting it right on mistakes

Mistakes are an inevitable part of both life and veterinary practice. But Catherine Oxtoby says there are ways to reduce the risk both of an error occurring and of it impacting on your wellbeing.

Gastric malpositioning and chronic, intermittent vomiting following prophylactic gastropexy in a 20-month-old great Dane dog

A 20-month-old castrated male great Dane dog was presented for evaluation of chronic intermittent vomiting of 2 months' duration. A prophylactic incisional gastropexy performed at 6 mo of age resulted in gastric malpositioning and subsequent partial gastric outflow tract obstruction.

Anuria due to inadvertent prostatectomy during cryptorchidectomy

This report describes an 8-month-old male Labrador retriever dog that was evaluated for a 2-day history of anuria and vomiting following a suspected inadvertent prostatectomy during a cryptorchidectomy. A positive contrast urethrogram was performed to definitively diagnose the absence of a patent prostatic urethra and necropsy confirmed inadvertent prostatectomy.

Disclosing medical errors: restoring client trust

Discussing medical errors with affected clients can ultimately benefit your practice. This article provides tips on creating a protocol for resolving medical errors.

Accidental intra-auricular artery injection of ceftiofur in two beef steers

Two beef steers accidentally injected into a branch of the auricular artery with an oil-based formulation of ceftiofur died within 5 minutes of injection. Notable pathologic findings included distention and obstruction of cerebral and cerebellar arteries by a whitish tan material and hemorrhages within meningeal spaces, the choroid plexus, cerebrum, and cerebellum. Lipid material was identified within cerebral blood vessels in frozen sections stained with oil red O. This report describes an unusual case of brain ischemia in beef cattle.

Survey of mistakes made by recent veterinary graduates

To investigate the incidence and types of mistakes made in veterinary practice, and to assess the impact the mistakes had on the veterinarians involved, a questionnaire was sent in November 2002 to all the veterinary graduates of the Universities of Bristol, Edinburgh, Glasgow, London and Liverpool in 2001. One hundred and eight (27 per cent) of 402 questionnaires were returned completed; 87 of 106 respondents (82 per cent) worked frequently or always unsupervised and only 46 (43 per cent) could always rely on support from other veterinarians in the practice. Since starting work, 82 of 105 respondents (78 per cent) stated that they had made a mistake, defined as an erroneous act or omission resulting in a less than optimal or potentially adverse outcome for a patient and in many cases these mistakes had had a considerable emotional impact on the veterinarians involved. The survey highlights that a large number of recently graduated veterinarians work with little supervision and that many veterinarians beginning their year in practice do not always have access to assistance from other veterinary colleagues.