The complex decision making needed in significant event analysis
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The complex decision making needed in significant event analysis

Bridget Coutts Advanced nurse practitioner, GMED Out of Hours Service (Elgin), Emergency Care Centre, Aberdeen Royal Infirmary

Bridget Coutts uses the example of a patient presenting with a severe headache to underline the skills needed in differential diagnosis

In education and practice, significant event analysis is used increasingly to reflect on and improve clinical practice. This article explores a significant event involving an out-of-hours patient consultation where the author’s decision-making skills were challenged by the complexities presented by differential diagnoses. The article describes briefly the clinical scenario, then explores in more depth the five domains of advanced clinical practice and their relationship to the event in question.

Primary Health Care. 24, 2,26-30. doi: 10.7748/phc2014.02.24.2.26.e822

Correspondence

couttsb@sky.com

Peer review

This article has been subject to double blind peer review

Conflict of interest

None declared

Received: 09 September 2013

Accepted: 16 September 2013