Mock 10

Scenario: Follow-Up Call for Missed Diagnosis in Pediatric Patient

Background Information:

• Amy, aged 3, was brought to the A&E earlier today after a choking incident.
• An X-ray was performed, but Amy was discharged before the results were reviewed.
• The radiology report received after discharge indicates a foreign object (button) lodged in the esophagus.

Objective of the Call:

• Inform the mother of the finding.
• Apologize for the oversight.
• Urge immediate return to the hospital for further assessment and treatment.

Key Points to Cover in the Conversation:

1. Introduction and Immediate Disclosure:

   • Start with a gentle introduction: "Hello Jane, this is Dr. [Your Name] from [Hospital Name] where Amy was seen today. I hope this is a good time to talk?"
   • Quickly and directly disclose the purpose of the call: "I have received the X-ray results for Amy, and I need to discuss these with you as they are important."

2. Explain the Findings Clearly:

   • Clearly state the findings: "The X-ray shows that there is a button lodged in Amy's esophagus. This was not seen before you left, and I apologize for any concern this may cause."

3. Apologize for the Oversight:

   • Provide a sincere apology: "I'm very sorry that this was not caught before you and Amy left the hospital. It’s important that we address this immediately."

4. Stress the Need for Urgency:

   • Emphasize the urgency: "It’s crucial that Amy comes back to the A&E right away so that we can safely remove the button and ensure there are no complications."

5. Provide Instructions:

   • Give clear, actionable instructions: "Please bring Amy directly to the A&E as soon as you can. There’s no need to register again; come straight to the cubicle where the X-ray is available and a team will be ready to help."

6. Reassure and Support:

   • Offer reassurance: "We are fully prepared to take care of Amy immediately upon your arrival, and we’ll make sure she receives the best possible care."

7. Open for Questions:

   • Invite questions: "Do you have any questions or need further clarification on anything? I’m here to help in any way I can."

8. Confirm Understanding and Next Steps:

   • Ensure Jane understands and is prepared to act: "Can you please confirm that you’ll be bringing Amy in right away? Do you need any assistance getting here?"

Closing the Call:

• Close the conversation with reassurance and gratitude: "Thank you, Jane, for your understanding and quick action. We’ll see Amy shortly. Please come directly to the cubicle when you arrive."

Important Points to Keep in Mind:

• Approach the conversation with empathy, recognizing the anxiety and potential distress such news might cause.
• Maintain a professional, calm demeanor to provide stability and confidence in the face of the oversight.
• Ensure all communication is clear and compassionate, providing all necessary support to facilitate Amy’s prompt return and care.

Expected from the Physician:

• Demonstrate professionalism in admitting the oversight and managing the situation.
• Communicate effectively and empathetically to ensure the child’s safety and the parent's trust.
• Provide immediate and clear directions to rectify the situation effectively and safely.

This scenario tests your ability to handle potentially distressing situations with care and efficiency, ensuring patient safety and maintaining trust, especially critical in pediatric care where anxiety levels in parents can be particularly high.