Home » Episode 1

Episode 1

This is Jane…..

Jane- close

Jane is an avid runner in her mid 50s, and is also a type I diabetic. On one of her longer runs, she decides to try a new route in the countryside.

However, the weather suddenly changes and it begins to rain heavily, making the dirt path Jane is running on slick and unstable.

Jane hasn’t brought her rain gear with her and is several miles from home. Despite the slippery terrain, she speeds up her pace in order to hurry home. Suddenly, she slips on the wet earth and tumbles to the ground, falling hard. Right after the fall she feels an intense shooting pain in her left ankle. She picks herself off the ground and tries to stand, but realizes she cannot even bear weight on her left leg, let alone run home.

She telephones her daughter Sarah, who drives out to Jane’s location in the countryside, collects her, and takes her to the A&E department at the nearest hospital.

Upon arrival at the hospital, a triage nurse briefly assesses Jane and tells her that a doctor will see her shortly. However, the waiting area is very full, and despite being in considerable pain, Jane waits for several hours with her daughter. Finally, Jane’s name is called, and she is introduced to the A&E doctor who will be examining her injury.

Jane notices that the doctor is very tense, and seems eager to hurry the consultation along. Due to the high volume of patients waiting to be seen, the doctor is feeling stressed and under pressure. She glances over Jane’s ankle and performs a quick examination, then diagnoses a sprain. Her instructions to Jane are to rest and ice the joint, and she gives Jane a compression bandage to wrap around the ankle to prevent swelling.

However, Jane is a veteran runner and has experienced sprained ankles before; she tells the doctor this and describes that the pain she is currently feeling is much worse than any sprain she has ever had. She asks about the possibility of an X-ray to be taken in order to be sure of the diagnosis.

The doctor listens only briefly and seems distracted by other things. She dismisses Jane’s concerns, saying that sprains can often be very painful too. She explains to Jane that she has consulted the Ottawa Ankle Rules, which determine whether a patient truly needs an X-ray in order to prevent unnecessary exposures to radiation. She has concluded that since the examination of Jane’s ankle did not reveal anything of note she is declining to do anything further.

Please answer the following polls:

 

Question for Student Comment:

The doctor was very keen to hurry through the examination as quickly as possible.

What are the advantages of performing a quick examination?

What are the drawbacks, in terms of patient safety?

 

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  301. Anonymous says:

    What are the advantages of performing a quick examination?
    A quick examination ensures efficiency and quick triage of patients allowing for an easy flowing A&E department, preventing an immense influx of patients causing an overwhelming reaction which could lead to a mishandling of patient healthcare. This would mean that there would be more time and resources for all the patients present who also happen to be waiting.
    What are the drawbacks, in terms of patient safety?
    Due to the quick examination, things such as minor allergies or intolerances may remain unnoticed, resulting in future issues with prescriptions and treatments. As the quick examination relies on a system of answering the questions to find the problem resulting in missed symptoms and signs, there is room for errors and misdiagnosis. Some symptoms and signs are not always present at a first glance, often there is an underlying reason that has to be investigated through a series of tests. Moreover, often the symptoms present are not indicative of the actual condition displayed in the patient, A misdiagnosis or issue with prescriptions could hurt the patient and cause further harm to their condition, causing detrimental health issues. Furthermore, the lack of empathy or understanding of a patient leads to a loss of trust in the doctor and therefore the healthcare system due to the lack of individual or personalised practice.

  302. Anonymous says:

    What are the advantages of performing a quick examination?
    This allows more patients to be treated and reduce waiting times, and providing a better service (in theory).
    What are the drawbacks, in terms of patient safety?
    This can lead to doctors missing symptoms or signs that could have been picked up via a more thorough examination, resulting in misdiagnosis and harm to the patients.

  303. Anonymous says:

    What are the advantages of performing a quick examination?
    A quick examination allows patients to be discharged from A and E and free up beds and staff or moved into the main part of the hospital. The staff can triage patients and get through more patients in a shorter time period.
    What are the drawbacks, in terms of patient safety?
    The symptoms a patient may present with may not be indicative of their actual condition. A small sign could be missed easily in a quick examination. If a patient is discharged when they have a serious condition they may die or suffer bad consequences. The quick examination may not yield a correct diagnosis and so an incorrect choice of treatment may be advised which would be detrimental to patient’s health. In a quick examination a previous allergy or intolerance may be missed and medication which is unsuitable may be prescribed.

  304. Anonymous says:

    An advantage of performing a quick examination is that it helps triage patients with the most serious of injuries so that they receive quicker care which is vital in an A&E setting. The targets for A&E waiting times are not being met, so performing a quick examination reduces the amount of time patients spend in A&E and in this case can identify whether Jane does indeed need an X-ray or not, therefore, avoiding unnecessary exposure to UV radiation and an increased duration spent in A&E. However, quick examinations could compromise patient safety as the A&E doctor may miss certain signs which could further worsen their patient’s presenting complaint.

  305. Anonymous says:

    An advantage of a quick examination is the time efficiency. A quick examination allows doctors to distribute their consultation time over a larger number of patients and hence be able to reduce the already very long waiting times and lower the number of patients that may otherwise be needed to be turned away due to not being consulted.
    However it is evident that a quick examination has its limitations. Firstly, the possibility of missing out on vital information which the doctor may not have been able to attain due to less time being available to talk to the patient or may have missed or just not paid enough importance to due to their focus being on reaching a diagnosis at the end of the consultation. Thus, in a way, a quick examination begins to emulate a ‘Google search’ scenario, where a patient inserts their symptoms and the doctor produces the most common or reasonable diagnosis for these. This is acceptable for minor or common problems but may not provide the desired service and attention for more complicated cases or address the concerns of the patient. Hence, a quick diagnosis may not only lead to a misdiagnosis or prescription of the wrong medication (e.g. what if the doctor forgets to ask about allergies to certain medications?) but may also lose the patient’s trust in the doctor as they may feel that their concerns are not being addressed, they are not receiving an individual or personalised service and feel like just another case in the health system.

  306. Anonymous says:

    There are many advantages to performing an initial quick examination of a patient. The main added advantage is that it will certainly reduces the length of time (waiting time) that other patients have to experience. By performing such a quick consultation in this way, it ensures that the maximum number of waiting patients can be seen to and either admitted or discharged in the allotted time for each individual patient as set out in the NHS guidelines. This will help to improve the public perception of A&E departments, as in most cases, patients will be satisfied for not having to waiting for extended periods of time before being seen to after triage.

    On the other hand, there are many advantages to performing an initial quick examination of a patient. By rushing through an examination of a patient, particularly in Jane’s case who has been brought into A&E with an ankle injury, there is the very likely possibility of overlooking important clinical signs of that particular patient’s case. This in turn may lead to a misdiagnosis, meaning any treatment intervention recommended by the physician may be incorrect which can severely impact a patient’s recovery time, with the also likelihood of inducing further damage. It may also leave a patient feeling unheard and a sense of unimportance, which can possibly cause them to lose trust in the medical profession.

  307. Anonymous says:

    The advantage of a short consultation allows the doctor to maximise the amount of patients he will see, thus ultimately reducing waiting times and allowing more patients to be helped. However, the consultation should still be efficient, and the patient should still feel their voice is being heard. Rushing through consultations is likely to lead to more mistakes, patients will feel less satisfied, thus a complaint is more likely to be made.

  308. Anonymous says:

    A quick examination allows for the doctor to maximise the number of patients he can see in the A&E, and hence the number of patients he can help, whilst also reducing waiting times for the other patients. This can be seen as beneficial to the patients. However, Jane herself was already waiting multiple hours, so a quick consultation probably wasn’t a satisfying conclusion to her visit. The quick consultations are likely to lead to high levels of patient dissatisfaction, as patients will feel like they aren’t being listened to and as a result appropriate care isn’t being provided. It is key that doctors are able to build a rapport with patients, in order to maintain trust in the profession and ensure that patients feel important. Quick consultations are likely to lead to important symptoms being missed or skimmed over, appropriate care isn’t given, which could cause long term problems to patients.

  309. Anonymous says:

    the benefits of seeing a patient quickly is just simply to get through more patients quickly and so reduce waiting times especially because this is A and E there will be some patients which priories others. It is like tying to get through everyone so at the end of the day you know you met deadline/ got job done.
    the drawbacks are that the quality of healthcare will reduce as doctors will feel rushed to make diagnosis and patient will also feel rushed and feel like the doctor is not listening leading to a lower trust for doctors

  310. Anonymous says:

    A quick examination gives a higher efficiency during the busy periods in Accident & Emergency and could therefore be beneficial to the patients health and reducing waiting times. It could also benefit the healthcare system by increasing it’s efficiency and potentially saving money.
    The disadvantages include potential increased staff stress, misdiagnosis or poorer treatment. Another disadvantage could include a poor evaluation of the psychosocial state of the patient which could affect patient health.

  311. Anonymous says:

    What are the advantages of performing a quick examination?
    Allows for a quic turn around time so that more patients can be seen quicker

    What are the drawbacks, in terms of patient safety?
    You are more likely to overlook something which could lead to more damage later on

  312. Anonymous says:

    What are the advantages of performing a quick examination?
    Increases the number of patients being seen and a reduction in waiting time. Jane experienced a long waiting time herself and this is the reason the doctor is performing a quick examination.

    What are the drawbacks, in terms of patient safety?
    There is an increased likeliness that the doctor may miss something. Also, the patient may feel like they are not given the attention they deserve.

  313. Anonymous says:

    A quick examination can be advantageous because it speeds up the process and reduces waiting in the hospital. However, it can lead to a misdiagnosis if the doctor is too focused on being quick and less focused on the individual. Also, it can lead to the patient not feeling valued and it can lead to an obstruction between patient and doctor trust.

  314. Anonymous says:

    This quick diagnosis has led to patient dissatisfaction and ,despite reducing waiting time for other patients in the department, it will probably not save time and resources in the future as Jane will probably have repeat visits and further treatment that would have been initially required.
    However, I do empathise with the doctor to a certain extent due to time pressure and financial pressures of the NHS but there is no excuse for not giving an acceptable level of care

  315. Anonymous says:

    The use of a quick examination allows for more effective triage of patients meaning that more focus can be placed on cases which require more attention. It also assists in allowing for faster discharge of patients and reducing waiting times.
    On the other hand, quick examinations can mean that simple errors can be made. These errors can then lead to a worse outcome for the patient, either by mistreatment through a certain treatment or not correctly diagnosing the complaint.

  316. Anonymous says:

    Performing a quick examination allows for remedial action to be applied rapidly. This may be of benefit in emergency scenarios where the need for fast, decisive action is especially prudent. Moreover, optimising time spent during examination may improve the efficiency of triage and reduce waiting times for patients.

    That said, by rushing an examination, patient safety may be compromised. Specifically, by not conducting a thorough, complete examination, important diagnostic information may be missed; treatment may then be misapplied or, as perhaps what happened in Jane’s case, not applied. A patient’s prognosis, quality of life and their trust in the profession may be detrimentally affected, all of which may have negative implications on patient safety. More widely, a misdiagnosis may result in an extended or failed discharge, placing unnecessary pressure on health service resources and so impacting the safety of future patients.

  317. Anonymous says:

    Quick diagnoses are important because it will reduce waiting times in hospital and ensures more patients can be seen and discharged with diagnoses. However diagnosing too quickly can mean that signs and symptoms can be missed, the patient may feel like they haven’t been listened too and so the diagnosis may be wrong. This could lead to patient harm with potential long term effects.

  318. Anonymous says:

    Advantages: The doctor can see more people in a short period of time and therefore prevent the waiting list increasing, the patient can be examined, diagnosed and sent home quicker. Disadvantages: The doctor many not examine the patient properly and misdiagnose, the doctor may miss the warning signs of a bigger problem, the patient may view their hospital experience as a negative one and it might put them off going to the hospital again even for something more serious.

  319. Anonymous says:

    The advantages of performing a quick examination:
    1. Reduced costs arising from performing unnecessary examinations.
    2. More patients can be seen.
    3. Patients’ concerns can be resolved more quickly, decreasing the time patient is left to worry about the unknown.
    4. Shorter waiting times because less time is spent on one patient.
    5. Allows staff to categorise patients and decide where time is especially crucial and help those patients first.

    The disadvantages of performing a quick examination:
    1. A much higher risk of misdiagnosis.
    2. Patients feeling like their emotions are not taken into consideration or care lacking empathy.
    3. Weaker patient-doctor bond.
    4. Doctors might be under more stress due to having to come up with a diagnosis with limited information, as well as seeing many patients instead of providing care only to a few (work is fast paced).
    5. Increased responsibility and emotional strain for doctors as many errors might have been avoided with profound research, more time spent with the patient and more examinations.

  320. Anonymous says:

    The advantages of performing a quick examination are:
    1. It will reduce the waiting time for other patients who would have been waiting for hours to be seen
    2. Allow the staff to identify which patients are in the worst conditions so that they may be treated first
    3. Allows for more patients to be seen, the supply and demand is being actively met
    4. Relieves pressure from the staff, as they will not be stressed from the demand of patients

    The drawbacks of a quick examination, in terms of patient safety, are:
    1. The doctor will miss critical information that the patient is trying to tell them, as in Jane trying to explain ‘that the pain she is currently feeling is much worse than any sprain she has ever had’.
    2. The patient will lose trust in this doctor or any other health profession workers if they felt rushed, thus patient dissatisfaction as they will feel unheard
    3. The patient may not express symptoms in short examination but may worsen later

  321. Anonymous says:

    Advantages; performing a quick examination reduces the waiting time for other patients, and also allows the doctor to examine more patients within a shorter time frame.
    Disadvantages; the doctor could potentially miss some important signs leading to a misdiagnosis. The patient may also feel dissatisfied with the quality of treatment they have received.

  322. Anonymous says:

    The advantages of performing a quick examination are that the doctor will be able to assess the patient in a timely fashion in order to reduce waiting times for other patients. Also, it ensures that the patient isn’t waiting too long to get reassurance about their condition.
    However, the drawbacks are that the Doctor may in fact miss something significant and this could pose a risk to the patient of their condition deteriorating or prolonged effects to their long term well being. It may also mean that the patient will lose trust in the profession if they are not treated with respect and dignity as an individual.

  323. Anonymous says:

    1. By performing a quick examination, it allows the doctor to fit more patients into the working day. This can be beneficial as more people can be satisfied, especially in a time where there is increasing scrutiny on hospital waiting times. Another advantage of carrying out quick examinations is that people who have very time sensitive conditions can be seen, limiting the amount of damage caused.
    2. However, issues regarding patient safety can arise through misdiagnoses or poor treatment. Symptoms for a particular condition can be missed, which can prove crucial down the line.

  324. Anonymous says:

    Many health issues, particularly ones that may be brought to attention in an A and E department, worsen over time. The more time it takes for a diagnosis to be made, the bleaker the prognosis. For example, someone in the A and E waiting area who came in with nausea and vomiting may be internally bleeding. And if, due to long examinations of other patients, this patient was to wait for a long time, they could bleed to the point of irreversible damage or even death. Quick examinations allow more patients to be seen before their conditions worsen, as well as that it helps trusts adhere to their waiting time goals. Quick examinations may relieve stress from staff members as they will be relieved from the pressure of ever-growing waiting rooms. Lower waiting times make patients feel important as opposed to having to wait hours to be seen. This will likely improve patient attitude and behaviour.
    The quicker an examination, the higher the chance of overlooking an important sign or symptom. This could lead to poor clinical outcomes if the wrong diagnosis is made. Quick examinations may be less safe as the examiner may rush things that should be done slowly eg disposal of sharps and washing of hands. This may create an unclean environment that may be ripe for disease spread, compromising patient safety.

  325. Anonymous says:

    Quick examinations could be a real danger to patient safety, increasing the chances of missing key points of a particular condition, making the patients feel rushed and less important, thus having an impact on their trust in the profession. They could lead to real disasters in terms of giving wrong diagnosis and sending the patients home when they should be admitted to hospital instead.

  326. Anonymous says:

    The advantages of performing a quick examination would be the shortening of the waiting times for the health services, especially in the Emergency Department. Quick examinations can allow doctors to see more patients in a shorter amount of time, thus reducing the patient dissatisfaction and overall experience of health care.

  327. Anonymous says:

    A quick examination is important to allow the flow of patients to continue to moving, so to ensure that every patient on a waiting list is seen as many serious emergencies will be quickly evident, and also it will increase patient satisfaction if they have at least been consulted rather than wait for long period of time without any contact with a doctor. It may also allow the prevention of deterioration of a condition.
    However, the quick examination can compromise patient safety as it doesn’t allow time to consider every option of diagnosis for the presenting complaint, which may lead to misdiagnosis or a misrepresentation of the gravity of a situation. It may also skip over the opportunity for patients to fully express their ideas, concerns and expectations, which is a crucial part in providing complete care.

  328. Anonymous says:

    The quick examination seems rather controversial, whilst it provides an efficient way to diagnose a very obvious ailment or injury, the lack of thoroughness by the doctor may make the patient feel uneasy, and with not performing a full examination something vital may be missed which could then lead to the harm of the patient. Additionally, by not exploring all options for the patient misdiagnosis could occur or a possible treatment option could be overlooked. It is also important to take a proper history during examinations as well just in case there is something important to take note of, such as symptoms of underlying illnesses or medications which the patient is taking.

    In this case, with the concerns that the patient was showing for her own health, a full examination would have only been suffice as to rule out any possible further injury than first suspected. The quick examination has failed to comfort the patient and has actually conveyed the “tense” attitude of the doctor to the patient which does not present as good care.

  329. Anonymous says:

    The main benefit of performing a quick examination on a patient is that the amount of time wasted is minimised and therefore wait times for A&E services are reduced, thus as many people will be able to see a Doctor as possible. Lots of the time a Doctor will have seen similar symptoms to what they are currently being presented with and will therefore be able to make a swift diagnosis. It would appear however that the Doctor treating Jane is distracted and under pressure, and as a result is potentially making an incorrect diagnosis.
    Patient safety must be the priority, and may be compromised if examinations are carried out as quickly as possible. The patient may not feel as comfortable with the Doctor if they feel the consultation being is rushed and that the Doctor is not giving them their full attention. This can result in the patient not providing the Doctor with all the relevant details as to why they are at A&E, resulting in an incorrect diagnosis, which could be very costly in terms of patient safety in certain cases.

  330. Anonymous says:

    What are the advantages of performing a quick examination?

    What are the drawbacks, in terms of patient safety?
    The advantages of performing a quick examination would be that the waiting time for the other patients would be reduced. Doctors would be able to see a maximum number of patients in the limited time that they have. The doctors have also probably seen many cases with the same symptoms before and are relatively sure of the diagnosis, not wanting to spend a lot of time considering other possibilities.

    Disadvantages of a quick examination in terms of patient safety would be that a doctor may, in a hurry, fail to notice some rare but important signs and symptoms that could lead to a different diagnosis. This would leave the patient still untreated and dissatisfied – a patient should always feel heard and understood. His/her case would worsen and that again would cause stress on the healthcare system.

  331. Anonymous says:

    The advantages of doing a quick examination are the reduced waiting times by diagnosing and treating more patients, increase in patient satisfaction as they do not have to wait while being in pain and avoiding the deterioration of patients’ condition while waiting.
    In terms of patient safety, by performing a quick examination the doctor might miss some important symptoms or important tests that should have been performed in order to have a good diagnosis. In addition, the doctor does not have enough time to take a patient’s history, which may be of great importance and may reveal different underlying aspects of the disease. Also, the doctor might feel the pressure of seeing as many patients as possible in the least amount of time possible and might be prone to making mistakes. In this particular case, the doctor disregards Jane’s concerns regarding her own body and the fact that she feels this is worse than ever before and also disregards the idea of an X-Ray, which might have devastating consequences on Jane’s health.

  332. Anonymous says:

    Assessing patients through short examinations can be beneficial in a number of ways. Firstly, by conducting examinations at greater speed a diagnosis may be reached faster, allowing treatment to begin earlier. In addition, waiting times will be minimised resulting in a greater volume of patients being seen, preventing deterioration and in some cases reduced effectiveness of possible treatment. This method can be advantageous when a doctor is managing an extremely busy GP practice schedule or A&E waiting room, as is seen in Jane’s story. By quickly assessing minor injuries and ailments such as Jane’s ankle, more time may be allocated to emergencies. However there is a risk to patient safety if the examination carried out is not thorough as patients may be misdiagnosed. In Jane’s case the doctor provided a quick examination but was under pressure, distracted and not listening adequately. She did not appreciate the information Jane was providing which could lead to dissatisfaction on Jane’s part as she could feel the doctor does not care about what she has to say. In addition, the doctor refers to consulting the Ottawa Ankle Rules when deciding whether to get an X-ray of Jane’s ankle – part of which indicates the need to get an X-ray if the patient has “an inability to bear weight both immediately and in the emergency department for four steps”, a symptom Jane had immediately after her fall. In addition by not listening adequately to Jane, the doctor does not know Jane is a type I diabetic. These pieces of information could have been vital in diagnosing Jane.

  333. Anonymous says:

    The advantages of performing a quick examination is it can reduce the waiting time for patient in the A and E department. Along with this a prompt examination can benefit the patient also as there’s normally a correlation with the sooner the diagnosis the better outcome after treatment. Lastly, it can be an advantage as it means the less time the patient may have to spend in suffering and can be put onto their treatment plan sooner.
    On the other hand, there are also drawbacks to this, those including that the patients safety can be put at risk. This being as the quicker the consultations with patients the more likely a doctor is to miss a vital symptom or preform a x-ray In this case. This could also effect the patient-doctor relationship as many patients may feel rushed in expressing symptoms and private details which may take a longer consultation for them to open up about. Lastly, collectively this could lead to a misdiagnosis and a patient being put on medication which may further worsen their disease or not help it at all.

  334. Anonymous says:

    A&E departments are often overwhelmed with patients, especially at peak times. The NHS is under immense pressure to deliver a high quality of healthcare to an ever-growing number of patients, and as a result waiting times are increasing. It is therefore essential to implement a system that is able to manage large volumes of people in a fast, yet effective, manner.
    There are many advantages in using quick examinations during a consultation, the most obvious being reduced waiting time. Reduction in waiting time is beneficial to both patients and staff. By quickly examining patients, the overall waiting time is significantly cut and ensures patients are seen earlier, and within the 4-hour target set by the NHS.
    A more rapid flow of patients will relieve some of the pressure exerted on staff, who can focus their attention on other important tasks. Additionally, a lower stress environment could lead to less mistakes or misdiagnoses occurring which will ultimately benefit the patient.
    A shorter waiting time equates to a better patient experience. Patients waiting for many hours, especially in severe pain, may feel dismissed and will lose faith in the health service, thus being deterred from returning if a medical issue arises again. Less waiting time provides reassurance to both the patient and their family. The stress and anxiety of waiting many hours without a diagnosis may result in a worsening of the condition, or the development of new, unrelated symptoms such as a headache or raised blood pressure.
    Quickly examining a patient allows for faster diagnosis so appropriate treatment can be given before the condition deteriorates further. Again, patient experience will improve if the patient can be home sooner. In more serious cases, this quick examination allows for earlier intervention which can be the difference between life and death.
    Good time management means there is more opportunity to prioritise serious illnesses, whilst routine complaints can be dealt with in a systematic way. Well trained doctors will usually be very capable in recognising symptoms and making correct diagnoses during a quick examination, especially when following guidelines and rules for particular injuries. This makes this method quite low risk in most circumstances.
    Overall, reduced waiting times and general improvement of patient experience can enhance the general public’s perception and attitudes towards the NHS, hopefully encouraging more sceptical people to seek healthcare when necessary.

    Conversely, quick examinations can have many drawbacks. The nature of these assessments means immediate physical symptoms are considered more-so than any historical factors or other contributing factors. In this case, the doctor may have missed the crucial fact that, as a Type 1 diabetic, Jane would be more susceptible to fractures.
    When a quick examination is carried out, it is possible for signs of a more serious underlying condition to be overlooked. The failure of the quick check system means the patient may end up back in A&E, contributing further to waiting times. Their overall time spent in A&E could now be higher than if a more thorough check was initially carried out. This, once again, increases the stress on staff and the healthcare system.
    If the patient’s condition does not improve after the quick check assessment, they may lack confidence in the health service and be discouraged from returning if their condition worsens.
    A rushed consultation does not allow sufficient time to build a patient-doctor relationship. The patient is made to feel insignificant and may not feel comfortable to disclose information which may prove critical to a diagnosis.
    As only the one doctor is making an assessment, the patient’s own views and opinions may be disregarded. There is no time for a multidisciplinary team to meet and decide on what is best for the patient. Furthermore, there is a higher chance of a misdiagnosis, or other error, such as prescription of incorrect medication, when the decision is based on a single person’s knowledge and opinions.

  335. Anonymous says:

    Performing a quick diagnosis poses a number of benefits. It means more patients can be seen to by the doctor and also patient waiting times are reduced. Furthermore, a quick diagnosis would mean that a patient, who may be in discomfort, does not have to spend a long time in a consultation.
    The disadvantages of a quick examination outweigh the advantages in my opinion. A quick diagnosis would mean that the patient would feel rushed and not listened to resulting in a deterioration in the public trust of the profession and distress of patients. Also, in a quick consultation details may be missed leading to misdiagnosis and serious harm to patients.

  336. Anonymous says:

    Quick examinations save time for the patient and the doctor. They are more efficient as the doctor can assess more patients within a shorter period. Time is often precious for patients in emergency situations and rapid assessments allow for faster intervention. Patients may be more satisfied with waiting times and less health care professionals are required, thus reducing pressures on health systems and improving short-term patient satisfaction.
    However, quick examinations are not always effective as they often follow the biomedical model of health which considers solely the biological factors of the patient and excludes the environmental, psychological and social influences. Hence, they can lead to a misdiagnosis and undermine patient safety and a lack of long-term patient satisfaction.

  337. Anonymous says:

    Advantages of a quick examination include reducing unnecessary waiting time for the patient and other patients, quick solutions to the issue, and reducing the pressure on the healthcare system.
    Drawbacks include potential misdiagnosis due to the lack of a more holistic approach, making the patient feel uncomfortable, and missing some signs and symptoms that could be crucial.

  338. Anonymous says:

    The advantages of performing quick examinations include how more patients can be seen within a certain time, thus, improving patient satisfaction in the short term by ensuring short waiting times. Furthermore, it allows the A&E staff to work more effectively and efficiently as more time could be delegated to treat more serious conditions rather than common conditions with a clear diagnosis that have a high probability of being correct.
    However, the drawbacks of quick examinations include how a sign could be overlooked by the stressed doctor and this could be catastrophic to the patient in both the short and long term. Also, the doctor may not be able to obtain as much relevant information as possible in such a short time frame and this could cause a breakdown in communication and understanding of the possible seriousness of the situation. In relation to communication, the rapid and dismissive manner in which the doctor treats the patient breaks down both the trust the patient has in the doctor as well as the trust the patient has in the profession. Overall, quick examinations increase the risk of avoidable errors occurring, thus, impacting patient safety negatively.

  339. Anonymous says:

    Performing quick and short examinations, especially in specialities such as A&E where time pressures are a major concern, help to reduce time and therefore cut down waiting lists. This is a benefit to the patients in terms of having to wait less time to be seen by a medical professional and leaves them feeling less agitated and impatient. Also, those patients who require immediate assistance, such as in gaining pain relief, can be seen to and get the help they require more quickly and efficiently. Quick examinations can also be of an advantage to medical staff, as not only are they able to see and consult with more patients compared to performing longer examinations but they can also finish their work earlier and spend that extra time helping patients which require it the most.

    On the other hand, a quick examination can compromise patient safety and have detrimental outcomes. By spending a reduced amount of time consulting with patients, doctors may not pick up on the finer details and listen properly to the patient’s concerns, which can be an aid in speeding up the diagnosing process. This can possibly lead to a misdiagnosis of a patient, which in turn not only has harmful and stressful effects on them but will also waste money, time and resources on the NHS. Patients may have to attend more appointments to help in rectifying the problem created or in some cases, a misdiagnosis could have serious consequences on a patient’s health and cause it to decline as they are not receiving the treatment required for their condition. In quick examinations, especially in A&E, the Biomedical Model of health is used, which doesn’t take into account the social and psychological aspects that the Biopsychosocial Model does.

  340. Anonymous says:

    In most cases, quick examinations help lead to the efficient and effective running of healthcare services. For example, doctors/nurses can prevent waiting lists from spiralling out of control if good time management and efficiency are prioritised. As A&E services tend to be swamped with patients at peak times, it is essential that quick examinations take place to ensure that as many patients as possible can be treated before their condition deteriorates. In turn, this will help to prevent the discomfort of those in need of treatment from worsening.
    However, if healthcare professionals become too caught up with adhering to timelines, they could jeopardise the safety of their patients. This could lead to a misdiagnosis which could have serious consequences for the patient. It is very important for health care professionals to spend an appropriate amount of time taking a detailed history to ensure that all the important information can be gathered. If the doctor/nurse appears to be too rushed and stressed, the patient may not feel safe in their care and will feel as if they are not being prioritised over the clock.

  341. Anonymous says:

    Quick examinations can reduce the waiting times in the emergency department. Long waiting times can upset and agitate some patients as they may feel dismissed by the doctors if left waiting for a very long period of time. It can also prevent patients from deteriorating while waiting to be examined. Quick examinations can also allow doctors to spot any patients that are in need of urgent medical attention.
    However sometimes quick examinations may not be beneficial for a patient’s safety. If doctors are rushed they are more likely to miss important details. Patients may feel uneasy if they feel like their doctor is rushing them, which may lead to a breakdown in communication between doctor and patient. This can lead to the patient not being as open with the doctor as they would have been if more time was devoted to them.

  342. Anonymous says:

    There are many advantages of performing a quick examination. A quick consultation can lower waiting times and more patients will be seen and diagnosed more quickly. There will be less frustration and stress in the A & E department, and patients that require pain relief will be able to get it much faster.
    On the other hand, a quick examination also has a lot of drawbacks. The doctor is more likely to make mistakes when in a hurry, or not pay particular attention to important patient concerns, as seen in this example with Jane’s unusual pain. It could also negatively impact the doctor’s rapport with the patient. The patient may not feel adequately listened to and may feel that the doctor does not care. Hence they are less likely to disclose information that may help in the diagnosis, if they feel that the doctor will dismiss them.

  343. Anonymous says:

    The advantages of a quick examination include the fact that a large number of patients can be examined within a short period of time. This reduces waiting times for patients which in turn reduces the time that patients could deteriorate in. Pressure on the healthcare professionals is also reduced. In addition, a quick examination provides patients with a quick diagnosis and solution.
    However, some of the disadvantages include that the patient could be put at risk due to a potential misdiagnosis caused by certain symptoms being overlooked. This could lead to the patient being given the wrong treatment and prevent fully restoring health to the patient. The patient could also feel dissatisfied by their experience with the doctor- not giving time to listen and communicate with patients can lead to mistrust between patients and healthcare professionals. This can breach patient safety causing patients to potentially turn to alternative medicines.

  344. Anonymous says:

    A quick examination may be all that is required in more simple cases in which there is a clear diagnosis, with many benefits if carried out in a proper manner resulting in patient satisfaction and successful treatment. Hence, leading to reduced waiting times and more patients being seen in total.
    However, more patients being seen is not beneficial if misdiagnosis and poor treatment occurs due to a lack of invested time in the patient. This may just increase the overall workload, creating an even more stressful environment for the doctor and patient.

  345. Anonymous says:

    The advantages of quick examinations would be that more patients get seen and diagnosed more quickly and as a result reduces waiting times. Reducing waiting times would decrease the patient frustration and also it allows patients to receive much needed attention more quickly for example reaching much needed pain relief.

    However, there are also many disadvantages and drawbacks of quick examinations, for example, patient safety could be compromised. When quick examinations are carried out important symptoms could be missed and physicians have less time to listen to all of the patients concerns, this could lead to misdiagnosis and patients having to return again anyway to be diagnosed properly or it could lead to more serious consequences and a worse decline in health. In addition fast examinations cause the physician to be stressed in order to quickly examine the patient and get through long waiting lists, which may compromise the patient by missing out on vital information that would be needed in order to diagnose the patient correctly.

  346. Anonymous says:

    A benefit of a quick diagnosis is that it would reduce the waiting time for patients in A&E since the consultation with each patient before them would be quicker. This gives people a more positive experience of visiting A&E, making it more likely that they will attend with ailments that they may have otherwise ignored and could have potentially got more serious.
    The drawbacks of a quick examination and diagnosis is that it is more likely that something will be missed, especially if the doctor performing the examination is tired or stressed. If these problems are missed they could become more serious, particularly if the affected site is continued to be used with no appropriate treatment in place. This could therefore lead to a lack of trust the patient would have with doctors in the future, and would result in them being less likely to be satisfied with their healthcare in the future.

  347. Anonymous says:

    Performing quick examinations decreases waiting times and high volumes of patients can be seen by physicians in A&E. Furthermore, patients are not made to feel as though the pain they are experiencing or the concerns they have are being dismissed, if they are being seen promptly.
    On the other hand, quick examinations can have consequences at the cost of the patient’s health and safety. It can result in vital signs being missed which, in the long term, may demand a complicated treatment, which would not have been necessary if a thorough examination was conducted initially. This will put more strain on resources and staff. Repeated occurrences of this could lead to a lack of trust in the health service and a breakdown of patient-doctor communication, inevitably leading to adverse effects on patient health and safety.

  348. Anonymous says:

    Due to the high volume of patients waiting to be seen a quick examination may help reduce waiting times and also helps the doctors to prioritise critical patients. By reducing the waiting times in A&E it reduces the risk of patients deteriorating before they are assessed. The major disadvantage to this is the chances of a misdiagnosis being more likely, as symptoms may be missed. This can lead to mistreatment which not only affects patient care but in some emergency cases, it may be detrimental.

  349. Anonymous says:

    Sometimes it is inevitable , and a doctor is forced to perform a quick examination simply because of patient load and possibly more emergent cases requiring immediate attention.The advantages of performing a quick examination include :

    1.Faster consultation would consequently mean more number of patients being seen and with the already exorbitant wait times this would help ease the stress on the system.
    2.Quick examinations especially in A and E can help in triaging patients and refer the patients according to the need.

    Disadvantages of a quick examination include :

    1.The doctor risks missing signs and symptoms they would have otherwise not missed
    2.The patient might feel the doctor is not giving the patient enough time , this might lead to unsatisfaction from the patient even if the diagnosis is accurate .

  350. Anonymous says:

    By performing a quick examination, doctors can pace themselves well during a busy session and can get through more substantial volumes of patients in a given time, reducing their stress in the process and reduce waiting times for patients. In general, doctors should not exceed the allotted time for each patient but should also be able to prioritize the patients with more severe conditions ahead of the less severe ones as they often need more urgent care. In acute conditions, quicker diagnosis allows for faster treatments, which can often be life-saving.

    An examination that takes longer could be more thorough, and by taking into account all of the signs and symptoms, a much more accurate diagnosis can be made, which would, in turn, suggest a more suitable treatment for the patient. A quicker examination could result in a misdiagnosis for which the patient will have to attend a consultant to be examined again and most likely in a worse condition, which could cost more significant time and resources for the NHS. As healthcare professionals, doctors should always consider the patient’s views as it can increase the public’s trust in the profession, allowing them to be more open in discussing their condition. Furthermore, hidden signs to symptoms, family history, and drug history can surface, all of which can heavily influence treatment. A quicker examination may not touch upon all of these aspects.

  351. Anonymous says:

    Prioritising patient care in this way is efficient and beneficial for both the patients and the staff. Performing a quick examination would allow more patients to be seen in a timely manner, reducing the strain on the staff in the A&E department. Minimising the time spent in hospital for an examination could also be beneficial for the patient as it may reduce the possibility of contracting a hospital-acquired infection.
    There are also drawbacks of quick examinations. The patient, after waiting for so long to be seen, may feel as if they haven’t been appropriately cared for and listened to. The shorter examination creates less time for building report, a consequence of this may be the patient forgetting or not feeling comfortable enough to tell the doctor some of their symptoms, which may lead to an incorrect diagnosis. An examination that is not thorough enough may also lead to misdiagnosis.

  352. Anonymous says:

    The main advantage of performing a quick examination on Jane is to minimise waiting time for other patients in A&E. The doctor I am sure is aware of all the people demanding their attention and may be trying to adapt to keep everyone happy. Other patients with serious conditions may be helped faster and patients will be kept from getting tense and anxious in the waiting room.
    The draw back to this is that Jane may be misdiagnosed. With a misdiagnosis, she may injure herself more and take longer to recover leading to a compromise on patient safety. In the end she may come back to A&E which results in actually more time spent on her. If Jane takes longer to recover, other areas may be affected in life as a dominoe affect occurs, such as high absenteeism at work or not being able to help with her family – if she had a day to look after grandchildren while her children worked. This puts stress and strain on people as well as, although in a small way, affects the economy if they cannot work. Due to the lack of empathy and understanding she felt she received, she may also lose trust in doctors, feel insignificant and overlooked. This could even result in Jane putting off going to A&E next time when she really was ill again. Others, she shares her experience with, may also lose trust in doctors from hearing her experience putting up a barrier between doctors and patients making it harder to have good rapport.

  353. Anonymous says:

    Advantages include faster moving waiting lines in A&E and in surgeries. Faster consultations allows for more patients to be seen within a typical day and helps patients gain appointments much quicker. Additionally, in times of emergencies shorter consultations allows for more available slots for those who desperately need it immediately.
    Disadvantages include misinterpreting patient symptoms and diagnosing the wrong condition. This could be very dangerous to a patient as their treatment may be the wrong one.
    Also, wrong diagnosis could cause patients to re-book appointments as their treatment was ineffective. Ultimately this wouldn’t help waiting times decrease.

  354. Anonymous says:

    Doing a quick examination allows a doctor to maximize the number of patients a doctor can see in a day, thereby prescribing medications and starting treatments earlier. This will be beneficial for the patient as it prevents a condition from becoming worse. A quick examination also allows doctors to look at patients who might suffer from more serious illnesses faster.

    In some cases, patient safety can be compromised as doctors are more likely to miss any key details which may change the diagnosis. This might be detrimental to the health of a patient if misdiagnosed. Another drawback of a quick examination is that a patient might not trust the doctor with his/her diagnosis and this will negatively impact the rapport built by the doctor. When a patient does not trust his/her doctor in the future, then important information might not be presented and therefore may lead to further complications.

  355. Anonymous says:

    A quick examination allows the doctor to quickly assess the severity of the patient complaint and make further plans for the treatment of the patient. They reduce waiting times and in the majority of instances the doctor would probably be able to successfully treat the patient in that short time space- leading to an increased efficency in the NHS with more successful doctor- patient consultations.
    However, a quick examination increases the potential of a less thorough examination and a poor patient outcome. The patient could feel rushed and unheard and ofcourse, this can lead to lower patient satisfaction. A quick examination also may only let the doctor address the biological issue rather than any psychological or social factors which we know

  356. Anonymous says:

    Quick examinations enable the division of patient treatment plans in a timely manner and also increases the number of patient-doctor consultations, with the potential of waiting list reduction .Although useful from a triage perspective, disadvantages also include the possibility of misdiagnosis and a reduction in patient safety. Quick consultations may also decrease patient rapport and trust with regard to their care.

  357. Anonymous says:

    The advantage if a quick examination allows for the prioritisation of medical care. It can reduce waiting times filtering out minor injuries and allowing more in depth examination of major injuries and traumas.
    Disadvantages are that a quick examination isn’t as detailed meaning that signs may not be picked up on. This can lead to patient dissatisfaction and feeling that their problems can’t be dealt with by NHS staff due to pressure etc. This can cause further deterioration in a condition causing a larger strain on resources in the future.

  358. Anonymous says:

    An advantage of a quick examination is that more patients can be seen in a shorter space of time. This can mean reduced waiting times for patients and quicker treatment, which improves patient satisfaction. It also allows A&E departments to cope with a large volume of patients and will help them meet waiting time targets.

    Drawbacks of a quick examination include the patient feeling dismissed, which can damage rapport and have a negative impact on the patient’s experience and attitudes towards doctors. Quick examinations mean important details of a patient’s history might be missed leading to a misdiagnosis and incorrect treatment.

  359. Anonymous says:

    There are many advantages and disadvantages of preforming quick examinations. The advantages include the reduction of waiting times for other patients, and also the ability to see more patients within a given period of time. This leads to increased patient satisfaction and maximisation of healthcare resources.
    The disadvantages of a quick examination in terms of patient safety include the possibility of missing key signs of more serious or rare conditions, if the examination is preformed in hastily manner. A misdiagnosis may be possible which could lead to harm of the patient, especially if the wrong treatment or drug is prescribed. Furthermore, if the patient feels that the examination has been rushed and that their opinion has not been listened to or considered, they will undoubtably feel undervalued and in turn may loose their trust in the profession. This may make them less likely to return for further healthcare treatment in the future if other problems arise.

  360. Anonymous says:

    a quick examination allows more patients to be seen each day so more will be treated, it allows for a basic evaluation when the patient needs treated urgently.
    However the patient may not have enough time to explain their own thoughts which may lead to misdiagnosis or future information being withheld due to a bad relationship with the doctor, this affects patient safety.

  361. Anonymous says:

    The advantages of performing a quick diagnosis include decreasing the length of time that other patients have to wait to be seen and so increases the number of patients being seen to by the doctor. It may decrease frustration from patients who are having to wait a long time. It also means that if something is wrong that the next steps can be put in place quicker which may lead to a better prognosis and therefore a quicker recovery.

    On the other hand, it may put patients in harms way. The quality of care received may be affected which may lead to the potential of a mis diagnosis which could in the worst case prove fatal. Quick treatment may make the patient feel like they have not been looked after and may even leave them feeling disrespected. Less time would be spent in communication with the patient which could lead to the failure of gathering key information about history or other signs and symptoms.

  362. Anonymous says:

    There are definitely some advantages of performing a quick examination but also many drawbacks. A quick examination allows more patients to be seen in a quicker time, especially those that have more serious injuries. The time that patients spend waiting to be seen would be reduced leading to less agitation and frustration. However, there are also many disadvantages of a quick examination. The doctor could misdiagnose an injury as a sprain when in fact it could be something more serious such as a fracture or dislocation. A quick examination could result in the patient being sent home only for them to come back with a more serious injury. Patient safety could be seriously compromised if an examination is not thorough enough. The patient being examined could feel like a burden and that the doctor is not taking their worries seriously. They could also feel frustrated and angry that they are being given unsatisfactory care and this could lead to a complaint. This could lead to Jane losing trust in the NHS, making her less likely to come to A&E the next time she is injured.

  363. Anonymous says:

    An advantage of performing a quick examination is that waiting times are reduced in A&E departments, meaning that patients are diagnosed and treated or referred in a shorter space of time. As waiting times are growing within the NHS, quicker examinations could be viewed as a solution.

    However, there are many potential drawbacks of performing a quick examination, the main concern being misdiagnosis of a patient. Diagnosing a patient incorrectly can cause harm to the patient which goes against the ethical principle of non-maleficence. It can worsen the condition of the patient and in this case, Jane’s pain could potentially become more severe and lead to problems such as misalignment or infection. As a result of this, patients are more likely to be readmitted for the correct treatment, which could have been potentially prevented if a longer, more thorough examination had firstly taken place. A patient may also feel that the doctor is dismissing their concerns during a quick examination which could ruin the trust between a doctor and patient and consequently the patient may also loose trust in the healthcare system. They therefore may refuse to seek medical treatment in the future.

  364. Anonymous says:

    A quick examination heeds many benefits but also many drawbacks. The advantages are that patients are seen much more promptly, which is especially important for those who require immediate medical attention. Another advantage is that if there are large waiting times, quick examinations will reduce the time patients have to wait, leading to less agitation amongst patients. However, there are also many disadvantages to quick examinations, especially in terms of patient safety. For example, if the doctor rushes the patient’s appointment, they will undoubtedly overlook certain aspects of the examination which could lead to incorrect diagnoses being made. Quick examinations also cause patients to become angry and frustrated as they feel both undervalued and unsatisfied with the care they are being given. In Jane’s case, the doctor appears to be very rushed and distracted. This could lead to Jane losing trust in the healthcare system, making her less likely to return to hospital and get the proper treatment she requires the next time she injures herself.

  365. Anonymous says:

    A quick examination allows for more patients to be seen in a short period of time. This is particularly beneficial when working in an A&E setting due to the high volume of patients and limited number of staff members. Therefore, this reduces the waiting time for patients to see a member of staff and allows minor problems to be treated as quick as possible. However, a quick examination can put patients at risk if a serious issue is missed therefore, compromising patient safety. Rushing the examination can also lead to the patient feeling like the healthcare staff is not listening to the patients concerns as can be shown in the example above with Jane. A time limit on an examination can result in increased pressure on healthcare staff and increased possibility of human error when diagnosing.

  366. Anonymous says:

    Performing a quick examination can help ease the stressful situation in the A&E department especially when there are a lot of patients seeking medical attention. Moreover, patients can receive treatment as soon as possible when necessary. Quick examination, especially on minor cases or injuries will allow more time to be allocated to patients who really need medical attention urgently. This can be exemplified when some of the patients require further examination who is then referred to a specialist. This approach can also save the time of the medical professionals as well as the patients. In this context, patients do need to wait for a long period of time in order to receive any form of medical attention or treatment. The downside of this treatment is that the patient’s safety may have been compromised. This is due to the pressure faced by the medical professionals where they are required to attend to all of the patients at a specific set of time. This might prompt them to wrongly diagnosed the patient’s current state of health or injuries. Hence, a patient with a severe condition might be overlooked by the doctor and would not be able to receive appropriate treatment at that point of time.

  367. Anonymous says:

    There are many advantages and disadvantages of quick examinations. Advantages include the reductions in waiting times in Accident and Emergency departments. Quick examinations allow the hospitals to quickly filter out any patients that do not require care and can be sent home which greatly reduces waiting times for patients that require care. It also allows for patients that require urgent care to be identified quickly and sent to appropriate departments within the hospital. Quick examinations can provide a quick service to patients so the can get out of hospital as soon as possible. There are also several disadvantages with quick examinations in relation to patient safety. Quick examinations can cause some signs and symptoms important for diagnosis to be overlooked and lead to patients receiving treatment that is not appropriate. Some patents may feel overlooked and unimportant which may discourage them coming to hospital in the future when they require important care. Quick examinations also cause a lot of pressure for staff increasing the risk of mistakes.

  368. Anonymous says:

    Quick examinations are advantageous for several reasons. Firstly, if a patient has already been waiting for a long period of time to receive treatment, they may appreciate a quick examination. Many people have commitments such as work and family and therefore will want to receive their treatment quickly. It also allows the doctor to see more patients in a set time. This is advantageous when solely viewed from a utilitarian standpoint as it is not taken into consideration the quality of treatment provided for these patients. Another advantage is that waiting times are reduced and so the doctors can spend more time on those patients in most need of care.
    There are some drawbacks to consider, however, when thinking about quick examinations. If the doctor wishes to quickly examine the patient, they may miss key details to help figure out the best course of action. This may result in the wrong treatment being provided and therefore could cause more harm than good for the patient. Also, if a doctor is under time pressure and wants to quickly examine a patient it could result in them not taking the opinion of the patient on board as seen in Jane’s case. This could make the patient feel that their opinion is not valued and so damage the strength of the patient doctor relationship. If the doctor makes an error due to trying to examine a patient too quickly then the patient may lose a degree of trust in the medical profession. This could lead to them being less likely to disclose important information to a doctor in future experiences in the healthcare system.

  369. Anonymous says:

    The advantages of performing a quick examination can include: reduced waiting time for other patients; less time spent with the patient which can be to their benefit if they have somewhere else they need to be eg work; it reduces the time to diagnosis, thus possibly reducing the time of uncertainty and therefore stress for the patient; and it reduces the length of time spent in pain/discomfort for the patient.

    The drawbacks can include significant symptoms missed, simply due to rushing. Furthermore, the patient may feel like they are being rushed out the door and are not receiving the full quality of care possible to them. This can have both physical problems (if diseases/injuries are misdiagnosed) and also emotional problems (with patients feeling they are being rushed and not fully cared for).

  370. Anonymous says:

    Performing a quick examination can allow for other patients to be seen more quickly and contribute to smaller waiting times. A quick examination can also be beneficial to a patient if it speeds up the process of them being given treatment.
    Patient safety can be at risk if the quick examination results in the wrong diagnosis. In Janes case, her injury could worse than a sprained ankle so the quick examination that the doctor undertook could result in Jane not getting the required treatment she needs.

  371. Anonymous says:

    An advantage of a quick examination is that it enables a much greater number of patients to be seen in any given time. Therefore, this would help to reduce patient waiting times in places like A&E, as well as potentially enabling more efficient use of staff time. Quick examinations may also enable patients suffering with minor problems to be seen and treated more quickly, thus freeing up more time for staff to treat more severe problems.

    Drawbacks of quick examinations include the greater probability of misdiagnosis as it may lead to staff missing out on vital details that they may discover if the consultation was longer. This could lead to greater harm for the patient as they may not be able to receive the necessary treatment. Furthermore, patients may be left feeling dismissed and unimportant if they feel rushed and that their opinions, as in Jane’s case, aren’t important. This may even lead to an erosion of trust between the patient and the healthcare system, which itself is damaging.

  372. Anonymous says:

    A quick examination theoretically leads to a much smoother process, both for patients and doctors- as patients will be seen and dealt with quicker leaving them more satisfied. For doctors, a quick examination frees them up, allowing them to reduce waiting times in busy A&E departments and to attend to emergencies if necessary. However, a quick examination may make the patient feel rushed and uncared for- particularly in this instance when the doctor disregards Jane’s views. This strains the trust between the doctor and their patients and makes the patient feel as though they are not being listened to. Primarily, in a quick examination a doctor may miss underlying issues, which left could become worse and retire rehospitalization.

  373. Anonymous says:

    Obviously, the main advantage of a quick examination is that we can see a greater number of patients in a shorter amount of time. Another advantage is the fact that patients can get access to the correct treatment sooner and it also gives doctors the time to focus on and spend more time on the harder, more complex patients
    Having said this, there are many drawbacks as well. For example, a quicker examination can result in small signs of a more serious issue being missed and this could cause more harm as a misdiagnosis can be made or the injury could get worse as time progresses, as would be the case in Jane’s story if she did indeed have a broken bone. Furthermore, a rushed interaction can cause the patient to feel undervalued and as a burden on medical staff, this could result in the patient losing confidence and trust in the medical profession, especially if it was coupled with a negative experience, as in Jane’s story.

  374. Anonymous says:

    A quick examination allows doctors to be able to oversee many patients. This can satisfy the patient, since they get the attention they want with the diagnosis/ following steps in a concise meeting which takes up less of their day. People tend to have other commitments such as work, looking after children and personal business and therefore a shorter consultation would benefit those with busy schedules. Conversely, a quick consultation may brush over red flags, not address a patients concerns fully or even result in a misdiagnosis. This puts the patients safety at risk as they leave the doctors office either in a false sense of security or with increased levels anxiety. Regardless, these two situations will likely cause the patients condition to worsen. Perhaps theyll lose faith in health care and stop attending their consultations, or maybe theyll come back again to different doctors until they hear what they want to hear. This highlights the importance of taking the time to get to know the patient’s condition from their perspective, which cannot always be achieved in a quick consultation.

  375. Anonymous says:

    There are several benefits of a quick examination, these are that it may satisfy patients that are still waiting to be seen as the waiting times will not be as long and it allows more patients to be seen and discharged in a shorter period of time. This could potentially free up more doctors so that they are available for any emergencies. However, the disadvantages are that the examination would not be as detailed as it should be which may make the patient feel like the doctor doesn’t care or doesn’t have the time for their problems. This may also lead to doctors missing some key details in the examination and may potentially lead to a misdiagnosis or discharging someone when they really should’ve been admitted into hospital.

  376. Anonymous says:

    Performing a quick examination can have many advantages in a fast paced environment like A&E. Waiting times for patients will be reduced potentially increasing patient satisfaction as a result of being seen quicker. Additionally, quicker examinations can help hospitals reach their 4 hour waiting time target which may in turn provide job satisfaction for the doctors in A&E. Quicker examinations of minor cases allows more time to be allocated to patients with more severe/serious needs (ie. triage).
    On the other hand, the drawbacks of quick examination include carelessness and lack of bedside manor/doctor rapport. Not taking the time to show genuine concern of your patient can have serious consequences. The patient will judge the healthcare system as a whole based on their personal experience and their relationship with any professionals they encounter. In terms of patient safety, quick examination may lead to misdiagnosis. This may put the patient at risk of more damage and subsequently increase their recovery time. Misdiagnosis also adds to healthcare costs through more use of resources; beds, appointments, medication etc.

  377. Anonymous says:

    Performing a quick examination can be an advantage because it will reduce the waiting times for other patients and allow the healthcare system to run as efficiently as possible. It may also mean that more patients can be seen in a day allowing more patients to have peace of mind and receive treatment.
    However there are some drawbacks to quick examinations, for example a doctor may miss or not check for a vital symptom which could lead to a misdiagnosis and the patient receiving ineffective treatment. The patient may also feel that the doctor does not have enough time for them or feel like the doctor does not care about them which could damage the relationship of trust between the doctor and patient, which could mean that the patient is less likely to access healthcare services in the future. The patient may also be frustrated that they have waited for a long time to see the doctor and then have only been given a quick appointment.

  378. Anonymous says:

    What are the advantages of performing a quick examination?
    Quick examinations can make more efficient use of valuable time – can identify patients who need certain other procedures which can be carried out by other members of the multi-disciplinary team, which will assist in reducing waiting times, especially important in A&E. They often can quickly relieve patient’s stress and discomfort and allow them to get diagnosis and treatment more quickly if the signs of the diagnosis are clear.
    What are the drawbacks, in terms of patient safety?
    However, the quick examination can easily miss things which would become apparent had a more in-depth examination taken place and all the appropriate tests for diagnosis carried out therefore leading to an incorrect diagnosis. Incorrect diagnosis can lead to inappropriate prescriptions given out, or treatment ordered which is not appropriate. The patient may feel dissatisfied with their care and be less inclined to comply with advice even if the correct diagnosis was made. In some cases, important features of serious/acute illness may be missed during a quick examination and therefore put the patient in danger which may not occur if a full examination was undertaken. The stress the doctor is under will likely put a lot of pressure on them, added to by the stressful and busy work environment which may increase the likelihood of human error which can lead to poor diagnosis and treatment, putting patients in danger.

  379. Anonymous says:

    quick examinations allows for reduced waiting times, and it is useful in situations where time is of the essence. However it can lead to more mistakes and will make the patient less likely to build a rapport with the doctor so they won’t share as much and won’t feel that the doctor understands them.

  380. Anonymous says:

    Any medical procedure brings with it a litany of advntages and disadvantages to the patient, doctor and health service in general. In the case of a quick examination, the waiting times in A and E will be reduced if more patients are seen per unit time. Of course, this will open gateways for further benefits, such as critical cases being dealt with earlier and fewer fatalities resulting. In addition, a quick investigation can relieve patient anxiety and reassure them that their injuries are easily diagnosable and treatable. Conversely, the drawbacks of a rapid examination resonate, and in particular, the compromise of patient safety. The doctor may not gather all essential information fromt he patient, a key part of diagnosis. They may not carry out a thorough examination and so there may be underlying disease missed. Incorrect diagnosis leads to inaccurate prescriptions or prognoses. Clinicians can misdiagnose, micommunicate and wrongly prescribe illnesses if they feel under time pressure which can can pose a huge threat to the health of the patient and consequently the doctor’s fitness to practice. The drawbacks of a quick examination must be recognised as more powerful than the advantages.

  381. Anonymous says:

    What are the advantages of performing a quick examination?
    Allows for quick diagnosis of patients, so their injury can be treated and pain alleviated as soon as possible.
    More patients can be examined in the limited amount of time, reducing A&E waiting lists.
    What are the drawbacks, in terms of patient safety?
    Patients symptoms or signs may be ignored resulting in an incorrect diagnosis.
    The fast pace may put the doctor under unnecessary stress and increase the likelihood of human error.
    The patient may feel that their views have been dismissed and hence may be dissatisfied with the care they have received and lose faith in the medical profession.

  382. Anonymous says:

    In this situation performing a quick examination is extremely beneficial as it means the waiting time is decreased for other patients, ultimately patients no longer have to be waiting in pain for an extended period of time. Further this allows the maximum number of patients to be seen within the time period as the department is very busy.
    However this therefore also has drawbacks, as this involves the patient not getting as detailed of an examination as to what they should be getting, this quick examination can also result in higher chances of human error. This is due to the Doctor being placed under increasing stress due to the number of patients to be seen, which can further hinder their decision making and allowing error to occur.

  383. Anonymous says:

    An obvious benefit of carrying out a quick examination is that more patients can be seen and treated with a consequent reduction in patient waiting times. Seeing more patients means that more efficient use can be made of scarce resources. Specifically, if the examination process can quickly identify the more obviously minor conditions, this would allow greater time to be devoted to those with more serious illnesses or injuries.
    The obvious drawback in terms of patient safety is that a quick examination may be rushed and incomplete, thereby increasing the possibility of mistakes and misdiagnosis. From the perspective of the patient a quick examination is likely to leave him/her feeling dissatisfied and excluded, having been rushed in and out and treated with a lack of empathy and respect. Moreover, given the time constraints, the patient may be unwilling or unable to talk about other factors and concerns which might impact on the diagnosis and treatment plan. Equally importantly, quick examinations put doctors under pressure to come to ‘instant’ decisions. Aware that this is likely to increase the possibility of mistakes being made, this makes for a very pressurised and stressful working environment, with consequent increases in doctor ill health and ‘burn out’.

  384. Anonymous says:

    quick diagnoses is often faulty, and makes the patient feels uncomfortable and unheard, I understand that quick diagnoses helps to past the waiting phase for many patients but its also important to insure there’s enough staff available and each member will be given a number of patients to see to reduce misdiagnosing any patient.
    its important to pay attention to what the patient has to say and their symptoms.

  385. Anonymous says:

    The advantages of a quick examination are that the waiting times in the hospital are minimised, meaning that more severe cases can be dealt with sooner. However, it may seem as if the doctor is undermining the extent of the injury of Jane, the patient, leading to a loss of trust and respect between the patient and the doctor. At the end of the day, doctors provide “patient centred care” and therefore the wishes of the patient should be carefully considered and not dismissed.

  386. Anonymous says:

    There can be multiple advantages to performing quick examinations however these are only experienced when it is done effectively. Firstly it enables a greater number of patients to be seen within a given time aiding the flow of patients in and out of A&E, whilst also helping to remain within the desired 4 hour maximum waiting time for patients to be seen. In this seances it therefore can also be of benefit to patients who may have more positive experiences as a result of not having to wait as long to be seen. In addition the fact that patients are seen more quickly can enable those who have more severe conditions to have more attention which they require.
    On the other hand the drawbacks when carrying out quick examinations are clearly evident when considering the patients safety. If the examination isn’t done effectively then there is the potential for signs or symptoms to be missed and therefore lead to a patients health being compromised later on if they were not to be treated. Further more the fact that the examination was so quick can put the patient off, and I feel in Jane’s story in particular this was apparent. The doctors tense and rushed manner while consulting with Jane suggests that they are not being empathetic towards her situation and only see her as a case to deal with rather than a person to help. The mannerisms in which the doctor is portrayed, highlights the lack of attention and interest Jane will feel as a result, and although the doctor may not purposefully be acting in this way to directly cause Jane these feelings, it indirectly results in patients feeling overlooked and potentially a sense of mistrust or uncomfortable around the doctor, whilst in one of their most vulnerable positions.

  387. Anonymous says:

    I can appreciate that sometimes, a quick examination may seem necessary, especially in a busy A&E ward. Quick examinations can have their advantages, as the patient is diagnosed or treated earlier which therefore frees a bed, staff and resources. Similarly, the use of triage can almost dictate how long a consultation each patient receives, in order to free up time to spend with those in critical condition. However, a busy and distracted doctor who hurries through an examination is much more likely to misdiagnose, treat patients with less empathy and respect, and minimise their patient’s issues. This could lead to a serious breach in patient safety, as a quick examination may seem attractive to a busy doctor in the short term, but it is likely to just lead to that patient returning to them with the same or a worsened problem later on. In this episode, the doctor was very dismissive, and did not take into account Jane’s pain or personal views on the issue. I believe that doctors and patients should work as a team in their treatment, as the patient is the one experiencing the issue and therefore their opinions and worries should be taken seriously.

  388. Anonymous says:

    The main advantage of performing a quick examination is that it allows you, as a doctor to see more patients, while decreasing waiting times.
    In a system under pressure, a quick examination can briefly help distinguish between the most and less severe cases and prioritise.

    The drawback of a quick examination is essentially the lack of attention offered to individual cases. Errors can happen when the examination is brief: not all the signs and symptoms are taken into account, the patient may feel ignored and important details missed in the history taking, as well as in the physical examination. Also, a wrong diagnosis can be made, that subsequently leads to inappropriate treatment prescription. An unsuitable treatment can have a negative outcome, causing harm to the patient or it can bring no benefit at all, leading to the returning of the patient at the hospital. Another possible consequence could be the loss of trust of a patient in the doctor, that decreases the chance of the patient contacting the healthcare systems in the future, except in very acute situations.

  389. Anonymous says:

    The advantages of a quick examination is that if the examination is done correctly, then patients who need more severe forms of treatment will receive them at an earlier stage and patients who are healthy enough to go home will be allowed to leave sooner. It also reduces waiting times for the other patients so that more patients can be seen in a much shorter period of time.
    The drawbacks of a quick examination is that if the the doctor is in a rush, failing to establish proper trust with the patient then they may feel neglected and that their concerns were not fully heard. Also it can lead to a higher rate of mistakes and errors, for example doctors trying to increase the pace of examination may miss larger issues than the patient is suffering from that otherwise would have been detected if they took the time to properly examine the patient.

  390. Anonymous says:

    The main advantages of a quick examination are the reduction in waiting times. If the waiting times are reduced because more patients can be seen it may be possible to meet the targets set for waiting times in hospitals e.g. 4 hours for arrival, admission and discharge and or transfer in A&E departments. By meeting these targets, it will satisfy policy and procedures and reduce negative media about rising waiting times in hospitals. A quick examination may be able to prioritise patients in terms of severity e.g. in triage.
    The main disadvantage of quick examinations from a patient safety perspective is that it is too easy to miss a serious injury/illness or misdiagnose a patient such as in Jane’s case. Although it is not necessary to a lot the same examination time for every patient enough should be allotted for a through examination in which enough aspects are explored for an appropriate diagnosis. A quick examination my come across as rushed and the patient may feel dismissed. This could damage the trust the patient has in the doctor and therefore they may not be as forthcoming with more personal information about their presenting condition especially if the patient deems it embarrassing or sensitive. Without this exchange of information, it could lead to an early discharge which may allow symptoms to worsen, this leads to another visit to the A&E department or readmission. This is deemed as a poor outcome for a patient which could have been avoided.

  391. Anonymous says:

    Advantages
    – reduces the waiting times for other patients in A&E
    – ensures the doctor is keeping to the rules of waiting times in A&E
    – the patient has a quicker consultation when they have already waiting long enough
    – allows urgent cases to be helped quicker
    Disadvantages
    – miss important facts, leading to a misdiagnosis
    – not actually listening to the patient as more concerned with a time limit
    – patient may become be unsatisfied as they feel they weren’t listened to and were dismissed
    – patient may lose faith in medical profession as they had bad experience with a doctor who was more concerned with time than them
    – may lead to serious harm to patient if there is a misdiagnosis

  392. Anonymous says:

    Quick examination is advantageous as it speeds up the diagnostic process and allows more patients to be seen in a shorter period of time. Therefore, this will reduce waiting times and allow the department to prioritise which patients are in greatest need of their care.
    The draw backs of quick examination can have profound consequences on the patient if the examination is not completed correctly. The most important being misdiagnosis. If the patient is misdiagnosed this could lead to the treatment and medication that they receive being incorrect and have a detrimental impact. Requiring more time to fix the problem than was tried to save in the first place. Quick examination can also seem as though the patient is being made to hurry and that the healthcare professional is not coming across as having compassion for their patient. This can lead to the patient feeling that they are not getting the quality care that they deserve.

  393. Anonymous says:

    The advantages of a quick examination are obviously to save time and enable doctors to deal with many patients and are essential in cases of severe trauma when medical intervention is urgently needed. However for Jane’s case the quick examination she was given has completely ignored Jane as an individual and a diagnosis has been made purely on the “Ottawa Ankle Rules”. This may lead to a misdiagnosis which in turn will result in poorer outcomes with respect to recovery. Ironically just as Jane sped up to get home, the speed in which this doctor dealt with the examination may lead to more adverse outcomes.

  394. Anonymous says:

    The advantages of a quick examination are that it reduces wait times leading to greater patient satisfaction, prevents patient deterioration and patient discomfort of a long examination.
    However, there are drawbacks to a quick examination as it can lead to a misdiagnosis as doctors have not taken the time to fully examine the patient. It can also lead to patients not feeling properly cared for which can hinder the doctor patient relationship.

  395. Anonymous says:

    The advantages of a quick examination include that it means that more patients can be seen in a shorter time frame. This will reduce waiting time and mean that patients can be dealt with before their conditions decline further. It prevents the system from becoming overwhelmed.
    The disadvantages are that as it is quicker it may not be as comprehensive and things may be missed meaning that the patients care is affected. The patient may also feel as if they are rushed in and out, not receiving a high standard care even if they did get the treatment they required. This could affect the doctor patient relationship.

  396. Anonymous says:

    A quick examination can be completely fine if the patient leaves the consultation happy and the doctor has correctly diagnosed the problem. On top of this a quick examination will reduce waiting times in the department.
    Although a quick examination may lead to misdiagnosis and the doctor may also miss other key signs or symptoms. The patient may leave unhappy and have lost trust in the professionals that are meant to care for them.

  397. Anonymous says:

    Some advantages of a quick examination are that the doctor can move on to other patients sooner, especially if the department is busy. This allows the doctor to quickly decide that Jane’s life is not in danger and allocate more time to patients in more urgent need of medical assistance. A quick but efficient examination can also speed up diagnosis of the specific presenting complaint as clinically it would be straight to the point. However when examinations are rushed patients’ concerns are often not heard. This can lead to the patient feeling overlooked and vital signs and symptoms being missed. In the context of patient safety not only is the patient most likely dissatisfied but a quick examination could lead to misdiagnosis and therefore mistreatment. As a result the complaint, in Jane’s case her injured ankle, could continue to get worse instead of better.

  398. Anonymous says:

    Long waiting times, so a quick assessment can ensure the greatest efficiency – however with speed comes a higher risk of error, and a greater feeling of ‘neglect’ or lack of empathy from the doctor, despite this likely not being the case.

    In this case, the decline was due to unnecessary radiation exposure for an X-ray – while it’s possible the doctor didn’t want to ‘waste time’, this is also done out of concern that the potential consequences outweigh any benefit of having the X-ray.

    Communication is maybe lacking here because of time and pressure, rather than any bad behavior on either ones part – the patient is genuinely concerned, and the doctor is stressed and should place a few extra minutes discussing the patients concerns and explaining his/her reasoning.

  399. Anonymous says:

    The advantages of a quick examination are that it prevents long waiting times for other patients and it allows the medical staff to maximise the amount of work they are able to complete in a shift.

    However the disadvantages are that patients ma feel overlooked and that their concerns are not important to the doctor. This may reduce patient trust in their doctor. If a patient requires more attention for their injury or condition, a short consultation is not the most appropriate method and may cause a doctor to miss a vital indicator of a serious condition.

  400. Anonymous says:

    Advantages of a quick examination are that the waiting times are reduced for the subsequent patients to be seen, resulting in patients being in pain for a shorter amount of time assuming the correct diagnosis is reached and suitable treatment is administered. Thus, patient satisfaction will be increased. Also, from the doctor’s perspective, more patients can be seen in a shorter amount of time.
    Disadvantages of a quick examination are that patient safety is put at a greater risk due to the increased likelihood of misdiagnosis. Also, the patient may feel less cared for and unimportant if the doctor is not giving them enough time to explain their symptoms and rushing through their consultation, putting the doctor-patient relationship in jeopardy.

  401. Anonymous says:

    The advantages to a quick examination is that it allows the doctor to fully utilise their time and allow them to see as many patients as possible. This is important in A and E as most patients will be acutely unwell and require emergency assistance. It also would reduce waiting times for patients and prevents doctors working extremely long hours to cope with a large number of patients.
    The disadvantages to a quick diagnosis is the risk of doctors rushing the examinations and making the patient feel they aren’t being given appropriate time and care . When examinations are not done thoroughly there is a risk of misdiagnosis and this could damage the patient – doctor relationship should this misdiagnosis lead to the patients condition worsening. Another worry is that the patient would feel they haven’t been listened to which damages their trust in the doctors and makes the patient feel insignificant.

  402. Anonymous says:

    There are advantages and disadvantages in performing a quick examination, both for the doctor and patient.

    As everyone is aware, there is huge pressures within the NHS, due to extensive waiting times. I can understand where a quick examination would be advantageous. Firstly to the doctor, because it enables them to see more patients. It also benefits the patient being seen, as it means they are getting the right treatment quicker and their pain is alleviated, leading to greater patient satisfaction and a quicker turn around. This will reduce the amount of time the other patients in the waiting area will have to wait before being seen. When done correctly, the quick examination and treatment will result in greater patient satisfaction, thus putting more trust in our healthcare service, and strengthening the patient-doctor relationship. All in all this sounds like a good situation for the 3 parties involved, if the diagnosis is correct.

    However, this is not always the case, and there can be drawbacks and potential harm to patient safety with quick examinations. I feel that during a quick examination, often signs given by the patient are over-looked. For example in Jane’s story, she had experienced a sprained ankle before, and felt that this injury was different. However, when trying to explain this to the doctor, it was over looked due to the time pressure of the examination. Quick examinations can often lead to incorrect diagnosis and treatments. The can result in costing the NHS more time in the long run by trying to rectify this wrong diagnosis. If the examination was perhaps longer, the correct diagnosis could have been made and this could have been avoided. In addition, this could lead to more money having to be spent trying to rectify the problem. If a quick examination leads to incorrect diagnosis and treatment, this can lead to a loss of trust in our healthcare service and the patient can feel dissatisfied with their treatment. This can then break the patients trust in the doctor and may make them hesitant to return with future ailments for the fear of it happening again. Most importantly I feel, is the safety of the patient being at risk. During a quick examination , a potential serious problem could be over looked and a wrong diagnosis could be given. This could result in the patient going home with the wrong treatment and their health being compromised because of the misdiagnosis. For example, a patient that presents to a doctor with shortness of breath and tightness in the chest, could be told that its anxiety related and to go home and relax. These symptoms are also common in the onset of a life-threatening heart attack.

  403. Anonymous says:

    The advantages of performing a quick examination includes that each patient will be seen and dealt with quicker and therefore will be more satisfied with the lower waiting times for their own personal injury. Therefore the overall waiting times will be reduced and so the general public will have an improved opinion of A&E departments in general and will not dread going to A&E due to the long queues. Patient satisfaction with regard to the NHS in general will therefore be improved.

    The drawbacks would include that there would be a higher chance of the doctor missing something as they may be more concerned with getting through patients at a faster rate and therefore might jump to conclusions and not consider all possibilities for a potential diagnoses. Not listening to the patients’ concerns/dismissing them quickly without much thought could lead to the patients feeling less valued by the doctor and feeling as if the doctor does not care about them as a person but only as another patient on the long list of patients to be seen. This could reduce the trust that patients have in doctors and could potentially mean that they do not go to doctors as often, especially with something that they may deem themselves as ‘silly’ as they would not want to waste the doctor’s time. Also, often it is important to listen to what the patient has to say as this could provide more information as to what the diagnosis could be that may not be as obvious with only a quick physical examination. Of course missing a potential diagnosis could result in the patient getting worse which is obviously not a good thing.

  404. Anonymous says:

    The advantages of performing a quick examination is that it allows the healthcare system to run smoothly by reducing the waiting times for patients. This means that more patients can be seen and treated within a given time period in an environment in which both the doctors and nurses are under a lot of pressure. This, if efficiently carried out, can free up space in the likes of A&E and the hospital as a whole.

    On the other hand, however, this can pose as a number of disadvantages. For example, the doctor may overlook certain signs, such as Jane’s type 1 Diabetes, leading to a misdiagnosis. The patient may also feel dissatisfied with the examination and quality of treatment, which may cause them to have a lack of trust in the healthcare system.

  405. Anonymous says:

    A quick examination can have a number of advantages. For the patient, it can lead to them receiving treatment quicker and therefore potentially getting better quicker or preventing further deterioration. For the family and friends of the patient, if treatment is received quicker this may reassure family and friends and alleviate some stress that their loved one’s condition will improve, or that at least action is being taken. For a doctor, quick examination allows them to be more efficient and work through a long list of patients quicker, and therefore allow for longer examinations of patients with more serious injuries or illnesses. For the NHS, there is the advantage that quicker examinations can lead to shorter waiting times in hospitals, and therefore a society more satisfied with the care being delivered.
    That said, there are a number of drawbacks also. For the patient, they may feel they are being rushed through rather than being dealt with efficiently. This can lead the patient to feel their opinions are not valued and they are not receiving patient-centered care. This can then damage the doctor-patient relationship and their trust in the profession. The patient may even be hesitant to return to hospital as a result of their experience, putting themselves at risk. Similarly, the family and friends of a patient may feel their loved one is not receiving adequate attention, increasing their stress that a mistake could be made or that not enough has been done for their loved one in terms of treatment. For a doctor, quick examination leaves a door open to a higher risk of a mistake being made, and as a result the patient’s condition could severely deteriorate due to the wrong diagnosis and consequently the wrong treatment being prescribed. This may even put a patients life at risk. If this was the case where a patient deteriorated, the time saved from a quick diagnosis is lost as now even more time will have to be spent on the treatment of the patient than if a correct diagnosis had been made and the correct treatment prescribed earlier. In addition to this, quick examinations may place a great deal of stress upon a doctor as they feel they do not have the time or are unable to give a comprehensive examination in such a short time interval. Therefore, they themselves would be aware of the higher risk of a mistake being made. Being aware of this can lead to excessive stress being placed upon a doctor, likely resulting in doctors performing an even poorer examination due to their distraction. Again, this increases the risk of misdiagnoses of the patient. It is possibly a cycle of stress over mistakes and stress over stress increasing mistakes could follow. This stress may even lead a doctor to feel burned out and unable to perform their job well.

  406. Anonymous says:

    Advantages
    -Allows a greater number of patients to be treated
    -Will reduce public’s complaints about hospital waiting times as it is a direct way to reduce waiting times
    -If an examination is quick and effective then it will potentially reduce then amount of time that the patient is in pain for- treatment will be received quicker

    Drawbacks
    -Larger probability of misdiagnosis or missing a vital symptom that may point the doctor in the direction of something more serious
    -Makes the patient feel less important therefore they may be less likely to share their concerns or other symptoms they have been having with the doctor

  407. Anonymous says:

    Advantages of performing a quick examination:
    1. the waiting time of other patients is reduced
    2. rapid diagnosis and treatment for the current patient
    3. increased number of patients to been seen by the doctor
    4. allows more time for urgent incidents
    5. patients are satisfied for not waiting for long

    Disadvantages of performing a quick examination:
    1. misdiagnosis which can lead to a delay of the requirement treatment
    2. patient safety is compromised
    3.patients may loose their trust in the profession / patient-doctor relationship is compromised
    4. more pressure on doctors
    5.patients might feel that the examination was incomplete resulting in stress on whether the right diagnosis was made

  408. Anonymous says:

    One of the advantages of carrying out a quick examination, is that waiting times are reduced for other patients, which is especially important in A&E where staff can become overwhelmed with the large volumes of patients present. A quick examination of a patient with a minor injury, allows doctors to prioritise and spend more time with patients who are in a much more critical condition, thus preventing serious or fatal deterioration. A quick examination also improves resource efficiency as more patients can be seen and expensive tests such as X-rays aren’t used unnecessarily.
    Although a quick examination may reduce waiting times and improve the use of resources, it can have disastrous consequences for patients, whose care is supposed to be our first priority. A quick examination could often lead to a misdiagnosis and doesn’t necessarily identify the cause of a patient’s problem, which could lead to deterioration or the development of new problems for the patient. A quick examination will often leave the patient feeling ignored and as such will reduce their trust in the NHS as a whole. This could lead to the patient withholding information or even prevent them from attending A&E in the future.

  409. Anonymous says:

    Some advantages of a quick examination are that it reduces the waiting times for other patients and enables the doctor to utilise sufficient time for patients that are acutely unwell or need longer examination time such as those with hearing/sight impairments or serious cases.It also means that all patients get seen by the doctor instead of just a few in cases of short staffing etc.The patient always has the option of coming back (in this case as it wasn’t a majorly concerning problem (no major blood loss etc).Saves resources as x-rays are expensive and also protects patients from unnecessary interventions such as radiation, etc .
    Disadvantage is that it could lead to misdiagnosis which happens in a lot of cases regardless of quick/long examination. .Could lead to complaints which could have a career impact and also leave the patient feeling unheard and uncared for.

  410. Anonymous says:

    The advantages of performing a quick examination include decreasing the waiting time for other patients in A&E. This, in turn, allows a greater volume of patients to be seen within the same time frame. Hopefully then, resources will be spread more efficiently i.e. more complex problems are given more time and thought than the simpler issues.

    The disadvantages of a quick examination could potentially mean that the doctor has missed an important factor leading to the misdiagnosis of the patient. It may also mean that the doctor, due to stress and pressure, only focuses on the injury at hand and not the patient as a whole – i.e the holistic care of the patient. If the correct diagnosis is not made, this could result in the patient returning to the hospital requiring more time of the already pressured doctors than would have originally been needed had the initial doctor taken the time to make an in-depth investigation.

  411. Anonymous says:

    Quick examination allows doctor to see more patients in a certain period of time which may be especially important in case of A&E. Nevertheless, careful and detailed examination can be very helpful in establishing the right diagnosis. Jane told the doctor that she has experienced sprained ankle before and that the pain she is feeling now is much worse. Although, the perception of pain may depend on various factors and the fact that Jane’s pain is worse now than it has ever been in case of her previous ankle sprains might not mean that she has been misdiagnosed, the doctor should still address her concerns. Very brief examination may result in patient feeling that their problem has not been treated seriously enough.

  412. Anonymous says:

    adv: see more patients, less time spent in a+e for Jane
    disadvantage: miss something more serious, patient feels undervalued, patient put off going to A+e in future even with something more serious in the future.

  413. Anonymous says:

    Advantages:
    Being efficient: The doctor can complete appointments quickly, reduce the waiting time for others, and the doctor can feel relieved from the pressure. Also, the patient can receive treatment as quickly as possible without delaying care.

    Drawbacks:
    Being careless: The doctor may overlook important factors. They may not pay attention to details that would have been spotted otherwise. This leads to the patient not receiving the best treatment specific to their injury/illness. So, the patient’s health may get worse without proper intervention.

  414. Anonymous says:

    Advantages of a quick examination include 1.) Shorter waiting times for patients 2.) More patients can be seen by the doctor as consultations are faster and more efficient. 3.) Increased patient satisfaction (potentially) as patients spend less time in hospital. 4.) Reduced costs as unnecessary diagnostic tests (e.g. X-rays) are not performed. 5.) More time and money can be spend on patients with more complex injuries.

    Disadvantages of a quick examination include 1.) Increased likelihood of a misdiagnosis, important signs that may have been noted with a more thorough examination are missed. 2.) Holistic approach to healthcare is lost as clinicians focus on treating the maximum number of patient in the shortest time. 3.) Reduced patient satisfaction. Patient’s concerns may be overlooked or ignored and they may feel rushed. 5.) Reduced job satisfaction for clinician. Doctors spend less time with patients and may feel dissatisfied with the quality of care that they are providing.

  415. Anonymous says:

    Performing a quick examination can have a number of advantages. The patient may only have a mild ailment, so a quick examination gets them seen to quickly, allowing them to be discharged quickly, and may reduce stress and anxiety for that patient. This reduces wait times for other patients waiting to be seen, reducing stress and anxiety of other patients, allowing more patients to be seen by a healthcare professional, and in theory, reducing stress on the system and limiting resource waste in the department.
    Disadvantages to a quick examination include the possibility of missing something, leading to a lack of diagnosis or a misdiagnosis. The patient may feel like the healthcare professional is not taking their problem seriously and may feel like the appropriate time, care and attention was not taken on them, which could arise in patient dissatisfaction and even complaints being made. Misdiagnosis is associated with many risks – the patient may not receive the most appropriate treatment, recovery time may increase unnecessarily, may lead to further harm of the patient and may result in repeated visits to the hospital department. Repeated visits may be seen as being ‘wasteful’ to staff time and resources, especially when an ailment/problem could have been dealt with effectively at the time of initial presentation. Just because a doctor or other healthcare professional sees more patients during one shift does not mean that they have performed efficiently and does not necessarily reduce stress levels or resource wastage as each clinical situation is different.

  416. Anonymous says:

    Advantages of a quick examination is that it reduces the amount of time patients have to wait and allows Drs to see a greater volume of patients. This is an advantage in a already stretched NHS. As we become more experienced we may be able to increase the speed we carry out assessments as we become more skilled and become more aware of ‘typical’ presentations.
    Disadvantages of a quick examination include the possibility of missing something objectively. Also, subjectively Drs could miss some key information. In the text above it mentions that the pt has previously had a sprain and states this feels different. It is important to take this into consideration and not to ignore pt concerns. A quick examination also could lead to a lack of patient understanding and lead to dissatisfaction.

  417. Anonymous says:

    A quick examination time reduces the stress and strain on the healthcare system. It also reduces patient waiting time and therefore reduces the negative feedback on waiting times, that is so common currently. However, if a patient is seen too quickly, things can be missed or a wrong diagnosis could be given. The patient may also feel uncomfortable or unwanted and they may think that the doctors number one concern is not them.

  418. Anonymous says:

    Advantages of performing a quick examination include a reduced waiting time for patients and prevents the A&E staff from becoming overwhelmed especially at a very busy time. A quick examination will also allow for more efficiency so that more severe cases are treated within a reasonable time.
    Drawbacks of a quick examination, with regards to patient safety, involve the risk of a misdiagnosis which would result in the wrong treatment and could potentially be fatal. Another drawback might be that a patient, particularly in Jane’s case, may feel that the doctor was dismissive and left her feeling ignored and insignificant.

  419. Anonymous says:

    The advantages for performing a quick examination include a reduced waiting time for many patients and prevents the A&E staff becoming overwhelmed especially at a very busy time. A quick examination can also allow you to manage time efficiently so that more severe cases are treated as soon as possible.
    However the drawbacks of a quick examination, with regards to patient safety, involve the risk of missing something major or giving a misdiagnosis, which would result in the wrong treatment and could be potentially fatal. Another drawback might be that a patient, particularly in Jane’s case, might feel that the doctor was dismissive of her concerns and left her feeling ignored.

  420. Anonymous says:

    The advantages of performing a quick examination can include shorter wait times for patients in need of urgent care due to pain or extenuating circumstances. A quick examination ensures that each patient is examined in a fast-paced manner allowing for their pain and concerns to be dealt with as soon as possible. This may prevent a patient’s condition from worsening if left untreated for an extended period of time. A quick examination allows doctors to attend to as many patients as possible, arguable improving the health of the population as a whole. A quick examination would save time, money, and unnecessary use of valuable resources. In terms of patient safety, drawbacks of a quick examination may include that the doctor assessing patient may overlook the symptoms and jump to a rash diagnosis, without paying careful consideration and attention the the signs and symptoms of the patient. This will likely lead to misdiagnosis, which can have catastrophic consequences if not caught early in. The patient may also feel neglected and may withhold details not considered to be relevant, due to pressure that the doctor does not have time to dedicate to the patient’s case. In relation to Jane’s story, she is likely to feel as though the doctor is trying to get through as many patients as possible and is therefore too distracted to diagnose Jane accurately. This will leave Jane to be very uncomfortable and anxious as her concerns are not being heard, even though she was clear with her symptoms and history. In addition, a quick examination for Jane may result in her having to return to the hospital with a more serious injury if the injury was not diagnosed accurately in the initial visit.

  421. Anonymous says:

    In terms of advantages, a quick examination will ensure that the patients themselves are dealt with quickly and can be referred onto more specialist doctors without having to wait for a general medical examination. This also benefits other patients who are waiting to see a doctor especially in A&E. Quick referral will generally help patients to feel more content as there is less waiting around. It prevents certain conditions from worsening especially if they are left untreated for too long at a critical time. In terms of the drawbacks, the doctor could potentially miss out on a crucial piece of information about the patient which may not be recorded in their medical history. This could give a stronger indication of what is causing a certain problem or what the likely diagnosis is. Furthermore misdiagnosis could result if a doctor is not fully attentive to the patient and consider all aspects of their health and conditions which have brought them into hospital in the first place. These include social factors, psychological factors, as well as the physical factors of health. From Jane’s point of view, she may feel neglected as a patient and uncomfortable leaving the hospital with a brief history and assessment, before a rushed diagnosis. This could generate anxiety. Furthermore there is the potential stress caused by the fear of the unknown and the actual problem which Jane is experiencing. An X-ray to confirm whether or not Jane’s ankle is only sprained and not something more malicious would give her peace of mind and inform her personal rehabilitation process. Another drawback is the potential for Jane to have to return to the hospital if her ankle is not sprained and perhaps broken. This could be dealt with on the initial visit to save time for both Jane and the hospital staff, as well as accelerating Jane’s recovery.

  422. Anonymous says:

    Advantages of performing a quick examination:
    1. Reduces the long waiting times in A&E which is a prevalent issue in the NHS today
    2. Ensures the patient is seen to quickly so that any risk of deterioration of a patient is reduced
    3.In some aspects it can increase patient satisfaction as they do not have to wait long hours in the hospital

    Disadvantages of performing a quick examination:
    1. Risk of missing an important sign or piece of information from the patient which may alter the diagnosis and treatment
    2. May lead to patient dissatisfaction as they feel they have not been listened to or cared for
    3. Rushing an examination can set an uncomfortable scenario for the patient and the doctor and may lead to the patient not trusting the doctor and withholding important information.

  423. Anonymous says:

    Performing a quick examination can be advantageous as it will reduce the waiting times for patients, meaning patients are seen to and their problems addressed with out the long waiting times that are becoming a major problem in the NHS today. Being seen to more quickly will also help to prevent conditons or injuries from deteriorating any further.
    The drawbacks of quick examinations however may include missing important signs resulting in a misdiagnosis. This could cause the patients healthy to worsen and may lead to a bigger strain on NHS resources. Appearing rushed during an examination may also cause patient dissatisfaction where they feel that the doctor does not care.

  424. Anonymous says:

    The advantage of performing quick examinations when A&E is crowded is that this allows more urgent patients patients, whose condition could be made more severe with a long waiting time, to be seen so that they can be diagnosed and begin treatment in a timely manner. It also reduces the time that those less severely injured are waiting around to be seen, potentially improving the patient’s view of the NHS and the competency of the doctors and of the system.
    The disadvantages however, are that when under pressure to meet time limits doctors may be keen to swiftly diagnose a patient based on the symptoms which lead to a clear cut diagnosis, while ignoring some other symptoms which may point to a different diagnosis or more severe underlying condition. This could lead to misdiagnosis resulting in a delay in required treatment or the worsening of the underlying condition.

  425. Anonymous says:

    The advantages of performing a quick examination are that it allows more patients in a&e to be seen and reduces waiting times for patients. This is beneficial as A&E waiting times are currently a large problem in the NHS. Quick examinations allow serious patients to be prioritised and speeds up patient flow.
    In terms of patient safety, performing a very quick examination can be dangerous as a doctor could potentially miss something major. This could result in a misdiagnosis which would hinder recovery and could potentially be life threatening. Not taking time to fully listen to the patients symptoms could also damage the patient/doctor relationship as the patient may feel as if the doctor has rushed and not cared about them. This could result in the patient not being confident in the doctors abilities and not trusting the doctor. Jane’s foot may get worse, this would lead to her having to go to A&E for a second time, therefore taking up an additional patient space when she could have been properly diagnosed and treated on her first visit. Thereupon, although the doctor was originally saving time, he may be wasting other doctors time and NHS resouces in the long run. The doctor could have taken a hollistic approach towards Jane – an x-ray could potentially be emotionally reassuring for her as she is experienced in her pain and is worried.

  426. Anonymous says:

    In an A&E department, where long waiting times are the norm, quick examinations allow for maximisation of the patients examined in the least possible time frame. This is important to prioritise more severe life threatening conditions and administering these patients’ treatment or tests straight away whilst allocating less time for less serious scenarios. Meanwhile, it limits strain on A&E team whilst keeping bad press at bay. Hence, quick examinations seem to be a good compromise between waiting time limits and obtaining a general overview of a patient.

    However, when conducting a quick examination, the doctor may only focus on the signs that seem to be consistent with their prognosis and ignore any signs suggesting otherwise. This is especially inconvenient if other signs are present which may irrelevant to the patient’s symptoms, but may suggest a more severe underlying condition. Therefore, this may lead to a misdiagnosis and thus a treatment incompatible with the patient’s condition. As a result, time is wasted for the proper treatment to be provided and hence rate and extent of recovery may decline.

    Without a full medical history, a quick examination focuses only on the biomedical model, omitting any psychological and social underpinnings; yet this seems to be understandable considering the fact that psychological and social elements may not be a main factor in most emergencies.

    In this case, the patient’s Type 1 Diabetes was ignored, hence the doctor did not reflect on the fact that her sprain will take longer to heal. This may urge Jane to turn up again with worse symptoms at the A&E and this will defeat the purpose of having briefer examinations to reduce waiting times. Also, due to the lack of a patient-oriented approach, she may feel dissatisfied and lose trust in the medical profession. Thereby she will be discouraged from returning to the A&E if a similar incident occurs.

    Quick examinations do not make an allowance for a second opinion or a multidisciplinary team approach.

    Lastly, even though X ray regulations may be useful to allocate resources rightfully and reduce pressures on the X-ray department, one must consider that following guidelines may not always be as clear cut and hence the fact that the patient is implying that her pain is worse than a usual sprain must be taken into account.

  427. Anonymous says:

    One advantages of a quick examination is that it saves a lot of time. As read in the story, the A&E department was very busy, and Jane had to wait for several hours in considerable pain as there was such a high volume of patients waiting to be seen. Quick examinations would increase the number of patients seen in the same amount of time and so waiting times for all patients would decrease. A shorter waiting time would mean the patient is in pain for less time and also there is less time for their condition to deteriorate. It could also relieve stress for the healthcare team as the volume of patients would be more manageable.

    However preforming a quick examination also has significant drawbacks. The chances of misdiagnosing patients and providing a wrong course of treatment would be much higher. Misdiagnosis could have serious implications for the patient. A rushed examination could led to the patient feeling insignificant and not cared for therefore the patient will lack confidence in their doctor. The patient may be reluctant to seek medical advice over any future concerns as a result of their bad experience. Finally quick examinations compromise patient safety as they don’t allow time for patients to fully disclose all the information that could be vital for the doctor to diagnose and best treat that particular patient. In this scenario, the doctor didn’t take into account her personal medical history for example her type 1 diabetes.

  428. Anonymous says:

    Advantages – This will mean more patients can be seen faster. This decreases waiting times, preventing conditions becoming worse while waiting. Patients would be happier and will be in pain for a shorter period of time.
    Disadvantages – Patient safety can be compromised. A more thorough examination though it takes longer will have a higher chance of diagnosing a problem correctly. Patient satisfaction and trust in doctors will be greatly decreased if doctors misdiagnose their problem.

  429. Anonymous says:

    What are the advantages of performing a quick examination?
    Quick examinations are advantageous as it allows the doctor to see more patients. The text describes that Jane has to wait several hours in A and E due to the volume of patients waiting to be seen. If the doctor performs quick exams it will allow the doctor to see patients quicker. This could alleviate the discomfort of patients having to wait a long time to see a doctor. Faster examination could also lead to faster diagnosis, which could be beneficial for the patient in circumstances where getting the patient treatment quicker will improve outcomes.
    What are the drawbacks, in terms of patient safety?
    Quick examinations could lead to the doctor missing crucial information that could form the basis of a completely different diagnosis. A misdiagnosis could lead to the patient being given the wrong treatment and prevent fully restoring health to the patient. The patient could also feel dissatisfied by their experience with the doctor. This could be a problem as it could impact the perception this patient has on the medical profession – reducing trust in doctors.

  430. Anonymous says:

    Under certain circumstances, performing a quick examination may be due to a number of contributing factors of which are out of control of the doctor. It is most likely that the doctor would feel much more comfortable and prefer to carry out the examination under less pressure work load, however these are both factors which are very common in the NHS and particularly in A&E.

    Advantages of performing a quick examination are reducing time spent carrying out the procedure to be able to accommodate for fitting in more patients and reducing their waiting times, along with reducing the stress on the overall department. Also in cases such as A&E a faster examination may led to a faster diagnosis which in critical in cases such as a stroke. This saved time can potentially benefit the patient’s outcome.

    However quick examinations can also lead to misdiagnosis of disease, miscommunication between the health practitioners and between the patient in terms of handing over information and learning how to carry out treatment. Rushed decisions increase chances of mistakes occurring, and being in A&E which is an environment of high risk already, this increase could be very harmful to the patient. Furthermore, the more mistakes that are made the more mistakes have to be corrected for, increasing the time things take to get finished. Lastly, and one of the most important drawbacks is patient dissatisfaction. In any consultation the most important element is the patient. Particularly in A&E which can be a very distressing and upsetting environment for a patient, making sure that they feel comfortable and confident in the work that’s being carried out is crucial. Along with maintaining their trust both the healthcare practitioner and the NHS. Therefore a careful and thorough examination is extremely important for the patient’s welfare.

  431. Anonymous says:

    A&E is a fast-paced environment where a large number of patients need to be treated as quickly as possible, by limited resources and few doctors.
    Fast examinations would allow more patients to be treated in a shorter space of time. On paper, this seems like a great arrangement for the NHS, which is struggling with so many patients and long waiting times. However, with fast examinations comes the risk of patients feeling dismissed or ignored and the possibility of vital signs and symptoms being missed. In regards to patient safety, this could result in misdiagnosis and therefore the wrong treatment being given. In the long term, such mistakes could seriously impact on the quality of life of a patient.
    In Jane’s case, she felt her injury was more serious than the doctor concluded and was treated dismissively. The doctor was clearly under a lot of pressure and she let this show to Jane in the consultation. No doubt, in a busy A&E, a doctor would feel the pressure and stress of the job but allowing this to impact patient care could quickly damage the trust a patient has in their healthcare professional.
    The doctor here followed the necessary steps to assess a patient for an x-ray. To reassure Jane, a more sensitive approach may have been useful in putting her mind at ease.
    It should be noted that Jane has had sprained ankles in the past. She feels the pain is worse than any time before. I think all doctors should value the knowledge a patient has about their own body and listen to their concerns even if it does not contribute to the final diagnosis.

  432. Anonymous says:

    A quick examination can decrease the waiting times for other patients and increase the number of patients an a&e doctor can treat in their shift. However, if rushed the doctor could miss something crucial and compromise patient safety.

    While the doctor’s intentions are likely non-malicious, Jane mentioned he/she seemed “very tense” and “dismissed her concerns”. Maybe this could have been avoided if the doctor had have approached the examination in a more pleasant manner. Being stressed/busy is natural part of being a doctor but this should not be relayed to patient. At best, the doctor should actively listen to the patients concerns and involve them in their own care and but this does not apply in all circumstances as could lead to unnecessary waste of time or resources.

  433. Anonymous says:

    My Views of Jane’s Story Episode 1
    In many situations as a doctor you have a chance to sit and build a rapport with the patient and spend quality time looking into all avenues; however, A&E rarely offers this chance. Quick examinations are necessary in situations such as a busy A& E department and can ultimately save lives. As a doctor you are almost always at some point going to feel stressed, tense or under pressure but you shouldn’t let this show to the patient. A quick examination can still be performed but by using body language and verbal cues, such as tone of voice and use of ‘nicer’ language, the patient doesn’t fell rushed and still feels as if they are being listened to. While listening to patients’ concerns are helpful sometimes, they can waste time resources and put the patient through unnecessary procedures.
    In Jane’s case it is explicitly mentioned that the doctor seems very tense and dismisses her concerns. Had the doctor seemed upbeat and relaxed it would have set a better tone for the examination and when Jane voiced her concerns the doctor could have explained why she felt she didn’t need the X-ray in a more pleasant manner rather than being dismissive. This may have made Jane felt as though she were being treated well and her concerns listened to even though it was still a quick exam and no X-ray was performed. However, Jane is an experienced runner and if she truly feels something is off offering the X-ray wouldn’t have adversely affected her that much and would have given both her and the doctor peace of mind. The mention of Jane having diabetes is significant as having Type 1 diabetes can be associated with fragility fractures and this fact should have been looked at in more detail.

    Advantages of performing a quick examination?
    We are told in this episode that Jane and her daughter had to wait for several hours while she was in considerable pain – the doctor performing quick examinations can reduce this time for patients just like Jane. More patients can be seen in a shorter period. Also, while some patients find they want extra time and attention some just want to be seen quickly, have the issue resolved and move on without too much bother. A quick examination of the presenting complaint leads to a faster treatment – if the injury is left untreated for longer so the doctor can spend more time examining the patient precious time could be lost making the patient’s condition deteriorate more.

    Disadvantages of performing a quick examination?
    Performing a quick examination may cause the doctor to miss vital information and may even lead to a misdiagnosis. Patients such as Jane may feel as if they are being ignored or treated as less than human when being rushed, meaning they lose faith in the doctor and may not reveal vital information. Overall this can lead to deterioration in the patients views towards the healthcare system, maybe a deterioration in their health and may even lead to a complaint.

  434. Anonymous says:

    The doctor was very keen to hurry through the examination as quickly as possible.

    Advantages: reduce waiting time for other patients and ensure more patients have been cared for.

    Drawbacks: missing important information, signs and symptoms not fully acknowledged or identified. Could result in inproper treatment, misdiagnosis, and/or further issues down the line regarding the patient’s health

  435. Anonymous says:

    I understand Jane’s frustration, however with the stress that the NHS is under with waiting times at A&E I also understand the doctor’s stress and reasoning behind a quick examination. Of course with a quick examination this means that more patients with potentially more severe and urgent needs can be seen. The doctor did follow the protocol for Jane’s situation, yet he could have addressed her concerns more directly and perhaps explained why he did the quick examination. I appreciate that patient’s understand their own bodies and symptoms, yet these may often be exaggerated (this is of course not always the case).

  436. Anonymous says:

    The advantage of performing a quick examination on a patient is that more patients can be seen by the doctor, helping to reduce the long waiting times by patients. Some examinations may be relatively straight forward and the doctor may be able to achieve an accurate diagnosis and implement a treatment plan if necessary, even after only a quick examination. Quick examinations for simple cases may give the doctor more time to deal with more complex and severe cases. Quick examinations may also save the NHS money and resources, allowing these to be invested elsewhere in the healthcare sector.

    Drawbacks of quick examinations is that key aspects may be missed and the patient may be misdiagnosed. If the appropriate diagnosis isn’t made and the appropriate treatment isn’t provided, the patient’s condition may deteriorate. This deterioration may reduce the patient’s quality of life and in severe cases may even result in permanent disability and potentially death. In addition, if the patient doesn’t feel valued and listened to or has received incorrect diagnosis/treatment, they may lose trust in healthcare professionals and may be reluctant to seek help in the future, compromising the safety of the patient.

  437. Anonymous says:

    A quick examination has the advantage of decisive judgement, decreasing queues and waiting times, when there are strictly regulated targets to adhere to. However, this encounter feels both dismissive and patronising of the patients concerns. It seems that the doctor places little importance in layperson opinion, this patient will leave without their concerns being felt, and without being heard, and even if the ankle ends up being only sprained, the patient experience will have been inherently a bad one. Quick examinations have the drawback of trading off thoroughness for efficiency, leading to misdiagnoses. Symptoms that feel important to patients can be missed by staff- concerns can be written off without proper explanation, which can be detrimental to patient trust.

  438. Anonymous says:

    A quick examination is advantageous when there are many patients present, especially in an A&E as it helps reduce time spent asking unnecessary questions. This then allows more patients to be seen in a period of time as cases are often triaged where people who may not seem to be suffering or are in as much pain as another would have to wait longer. There are also many situations where quick action is required, and there is time pressure to start treatment as soon as possible.

    The drawbacks are that with a quick examination, sometimes certain details may be overlooked in terms of getting a proper patient history or in the actual examination, and healthcare staff may be more prone to errors. There will also be no patient satisfaction as well because the patient will feel the diagnosis and examination was rushed. A quick examination may also lead to the patient having to return again if they were misdiagnosed. In addition to this, the patients condition may have worsened by this time.

  439. Anonymous says:

    Examining a patient quickly, especially in an A&E setting, would improve triaging patients and treating the most serious cases that need urgent medical attention faster. Consequently, this could potentially save a life and reduce long waiting times. However, patient safety can also be compromised as doctors could overlook important signs, as mentioned in the comment posted earlier, and come up with a wrong diagnosis which can potentially put Jane in a worse state than which she arrived in or, in some cases, cause a patient to lose their life.

  440. Anonymous says:

    The advantages of performing a quick examination is that it reduces the waiting times for the other patients and means more patients can be seen in a given time period which is cost effective for the NHS. However, if the examination is rushed the doctor may miss a diagnosis, compromising patient safety. The patient may also feel like the doctor has rushed through the examination leading to the patient not following the advice given by the doctor which could risk patient safety.

  441. Anonymous says:

    Advantages: reducing waiting time for patients, reducing stress for staff and patients, freeing up space in A&E.
    Disadvantages associated with patient safety: can lead to misdiagnosis, the doctor may over-look other symptoms which could be suspicious, the patient may feel rejected or may lose trust in doctor.

  442. Anonymous says:

    Advantages of preforming a quick examination
    The patient who has been waiting for a considerable amount of time will get the diagnosis quickly and can therefore obtain treatment quicker, potentially reducing any pain they might have. If the doctor is in fact correct and it is a sprain they may have seen many cases similiar and may not need more time to confirm. Moreover, by seeing patients quickly it allows more patients to be seen, lowering the pressure on the NHS as well as allowing the doctor to prioritise those patients with a more pressing need.
    Disadvantages of preforming a quick examination
    The patient may feel that the doctor is rushed and so compromising the patient doctor relationship that could be built. This could damage the patients view of the healthcare system and may prevent them returning on a future occasion with a need that would be more pressing. Time should be taken for the patient to exercise autonomy and have a say in their diagnosis and treatment in order to build a rapport. It may also give the doctor an insight into the disease/condition/illness which they had not considered before. If a doctor rushes the examination they may miss important signs and symptoms, giving the patient the wrong diagnosis. This could compromise patient safety and lead to a greater problem occurring and so the patient returning with an illness that could drain NHS resources more than if a few extra minutes were spent on the original consultation.

  443. Anonymous says:

    I think it’s important to understand here that the department is under a great deal of pressure here and this may be having a significant impact on the quality of the care received by the patent on this instance. It is possible that the injury is a sprain however I feel that it is dismissive of the patient to disregard her beliefs about the injury and even if it turns out to just be a sprain I feel this will have been a negative experience for the patient due to the lack of compassion she feels.
    With that said, the situation is far from ideal as the doctor is under significant pressure and the distraction of the doctor is worsened by the busy department and apparent understaffing issues and one can empathise with the doctors wish to quickly get through patients and triage in accordance with perceived severity – making for a complex and undesirable situation for both patient and healthcare provider

  444. Anonymous says:

    A quick examination will take a reduced amount of time, which means that the doctor can examine more patients in a shorter period of time. This would reduce waiting times in A&E due to reduced consultation lengths. This may initially reduce NHS costs. However this ‘quantity over quality’ approach may cost the NHS more in the longterm. A problem may be missed or not properly treated and could become worse overtime. The patient may return to hospital again with a worse problem that will cost the NHS more time and money to treat. For example, Jane may return to A&E or to a minor injuries unit in a few weeks or months if her ankle doesn’t begin to heal.
    On the other hand, patients like Jane will notice if a doctor is rushed and if aren’t taking their problem seriously. This could damage the patient-doctor relationship and also a patient’s view on the medical profession.

  445. Anonymous says:

    Advantages: Saves time resulting in more patients being seen in a shorter time frame. If the injury of the patient is not serious it may also save the patient time instead of them having to wait for further examination. It in turn would save the NHS money.

    Draw backs: something may be missed and could result in the patient’s condition deteriorating. Patient may also feel their concerns are not being listened to or taken seriously if delt with quickly. This could lead to a break down in trust between the patient and the healthcare system.

  446. Anonymous says:

    As read in Jane’s story it can be seen that the doctor concerned rushed diagnosing Jane’s injury potentially leading to a more serious situation. Advantages of a quick examination are many and would include: reducing the waiting time for other patents, seeing more patients in a given period of time, less time passing before a doctor sees a patients and therefore less time in which patients can deteriorate and suffer. However quick examinations also have a number of drawbacks; it may seem more efficient spending less time diagnosing a patient and therefore doctors having more time for other patients, but in reality this may lead to the wrong diagnosis and a patient could then require more serious treatment with other doctors, causing them to be under more pressure and the health service further stretched. For the patient, this could lead to further complications from their illness or injury which could have greater a potential impacts on their life and damage the level of trust the public has in our doctors.

  447. Anonymous says:

    The advantages of a quick examination are that it ensures that a large amount of patients are attended to , which prevents excessively long waiting times in hospitals and health care settings. The efficient examination of patients is vital in ensuring a smooth running health care system, which can deal with significant volumes of patients.

    However quick examinations have many drawbacks. The doctor may not be thorough with the patient and this could lead to a misdiagnosis and prescription of incorrect medication, which could harm the patient. Also, quick examinations may cause a patient to feel inferior, disregarded and unimportant. The patient is likely to be lacking confidence in the doctor and unsatisfied with the doctor’s behaviour if the consultation is rushed and pressurised. Quick examinations are prone to lead to medical errors.

  448. Anonymous says:

    A quick examination may be appropriate if the doctor feels content that they have explored the appropriate clinical avenues and that no further testing needs pursued.
    Advantages- All patients will be dealt with quickly and efficiently; thus, ensuring that the doctor’s time is utilised sensitively. By applying the ethical pillar of justice this would allow each patient to be treated on clinical need.

    Disadvantages- The patient is unlikely to feel content with the diagnosis and may not follow clinical guidelines which may put their health at further risk. Thus, they may be less likely to trust healthcare advice in the future. Additionally, the doctor may have missed signs that need further testing / examination. This could impact on both the short and long term health of the patient. A quick examination fails to consider the impact of the injury on the patient’s day to day life. Consequently, the doctor is treating the injury rather than treating the person.

  449. Anonymous says:

    A quick examination may be appropriate if the doctor feels content that they have explored the appropriate clinical avenues and that no further testing needs pursued.
    Advantages- All patients will be dealt with quickly and efficiently; thus, ensuring that the doctor’s time is utilised sensitively. By applying the ethical pillar of justice this would allow each patient to be treated on clinical need.

    Disadvantages- The patient is unlikely to feel content with the diagnosis and may not follow clinical guidelines which may put their health at further risk. Thus, they may be less likely to trust healthcare advice in the future. Additionally, the doctor may have missed signs that need further testing / examination. This could impact on both the short and long term health of the patient. A quick examination fails to consider the impact of the injury on the patient’s day to day life. Consequently, the doctor is treating the injury rather than treating the person.

  450. Anonymous says:

    Advantages of a performing quick examination?
    Experienced doctors can perform quick examinations efficiently. Quick examinations and diagnoses has several advantages, the patient isn’t kept waiting for so long, more patients in the waiting room can be seen in a period of time, and makes working in a health system under high pressure – possible. Cases in A and E must be prioritised so that those who need urgent help get it sooner than those who aren’t in as critical a condition. Jane had to wait for several hours in considerable pain, if examinations in A and E weren’t quick, she may have had to wait even longer. More patients seen in a period of time means that emergencies can be dealt with when they come in, the system of prioritisation means that something has to give, and so more seemingly minor incidents are given less time accordingly. whilst imperfect, the system or quick examination means more patients are treated as quick as possible .

    Drawbacks in terms of patient safety?
    A quick examination focuses on the presenting condition, history of presenting condition and possibly a past medical history. Brief examinations don’t encompass social and family history, or systematic questions. Consequently, important details can easily be overlooked, for example Jane’s Type one diabetes is overlooked, but could be vital for her treatment plan or require further investigation.
    Jane expressed she was an experienced runner and this pain was more than strains she’d had before, but the Doctor appeared consistently distracted and rushed and wouldn’t listen to her concerns, maybe leaving her feeling belittled and disrespected. This experience may affect Jane’s trust in the profession, and so affect her own safety by not visiting doctors when needed in the future. This Doctor may be under pressure, and whilst she may not pick up on any signs of a break by way of examination, she should get opinion of a second doctor, before refusing to investigate further against Jane’s wishes. This could result in repeated visits, rather than a doctor taking a little more time to get to the root of the problem upon initial visit – this means the patient could spend more time on incorrect treatment, or not receiving any treatment, which can affect patient safety.

  451. Anonymous says:

    A quick examination can reveal life threatening issues in a timely manner, allowing for time-appropriate actions to be taken. As many others have pointed out, a quick examination is beneficial to general population when considering waiting times, pressure on departments and likelihood of rare findings being detected on examination.
    However, at this point I believe that best practice would not be to judge treatment entirely on a quick examination. A quick examination is ideal for triage purposes and guiding initial investigations but cannot guide entire treatment plan. Listening to patients symptoms and accepting that clinical examination is never 100% definitive would be better for individual patients. A quick examination for triage should be followed up by a more in depth examination when patient is next to be seen according to priority. Ideally, number of patients in department should not impact on examination or diagnostic process (but will likely impact time of stay). A thorough examination would prevent misdiagnosis and could be beneficial for department as a whole, along with patient, by preventing multiple attendances and complications of misdiagnosis/delayed treatment.

  452. Anonymous says:

    Quick examination of a patient may have certain advantages. We are told in this part of Jane’s story that she seems to have arrived at A&E at a busy time, with doctors and other healthcare workers in the department possibly feeling overwhelmed by the number of patients who need to be seen. Quickly examining each patient could increase the overall number of patients seen in a certain amount of time, meaning patients may experience shorter waiting times, which could reduce stress caused by long waits. Furthermore, we are told Jane has spent several hours waiting in A&E while experiencing considerable pain; if quicker examination of patients can lead to shorter waiting times, this may also reduce the need of the patient to spend time waiting while in pain.

    However, performing quick examinations has a number of drawbacks. Patients may feel as if they are not being listened to or taken seriously if their doctors appear to be rushing through an examination – this could be how Jane feels following her experience. If a patient feels as if a doctor has been dismissive by performing a rushed examination, it may damage the doctor-patient relationship and negatively affect how that patient interacts with the healthcare system in the future. We are told Jane is an experienced runner, who believes she may be suffering from something more serious than a sprain – however, it appears that her doctor is dismissive of Jane’s further concerns and does not question her further about how she is feeling. Jane’s experience here shows that a shorter time spent on examination may leave less time for a doctor and patient to discuss diagnoses, treatments, and concerns with each other, and may lead to decreased patient satisfaction. We are also told that Jane is a Type 1 diabetic, although no further mention of this is made throughout the rest of her story, including in the details of her A&E experience – it is possible that a quick or rushed examination may reduce the ability for any other conditions to be disclosed by a patient and addressed by their doctor, and may even make a patient less likely to want to disclose this information, which could affect patient safety.

  453. Anonymous says:

    What are the advantages of performing a quick examination? It speeds up the waiting time for other patients in the waiting room. It allows a rapid result to be delivered to Jane. Reduces waiting times and stress on the health care system. Allows Jane to be discharged quickly further reducing costs to the health care system. Avoids unnecessary investigations which could also be costly.

    What are the drawbacks, in terms of patient safety? More likely to make a mistake or misdiagnose. You may also not provide enough information to the patient so they may not understand the diagnosis and why in the case of Jane this is likely to be a strain. You make make the patient feel undervalued which may result in them returning to A&E or another department for further testing.

  454. Anonymous says:

    Advantages: Speeds up the consultation process to hopefully shorten waiting times for other patients.
    Disadvantages: More likely to misdiagnose presenting issues; possibly creates environment where the patient doesn’t feel valued / cared for / attended to.

  455. Anonymous says:

    Quick examination can reduce the waiting time for other patients who are also waiting to be seen. However this does not mean to dismiss patient concern especially if they already have had a similar injury in the past. Sometimes rushed examination may lead to doctors miss crucial clues and may lead to further harm.
    Additionally depending on the level of his seniority the doctor could discuss the case with one of his colleagues to ensure that patient safety was not compromised. Further more quick examination might not allow doctor to spend enough time with patient to give them all the required information clearly.Its is good practice to give clear instruction regarding treatment and post injury care. Additionally it would be more appropriate if he asked the patient whether she had any more questions or not to ensure patient would be safe to go home.

  456. Anonymous says:

    Advantageous of a quick examination mean that the doctor has more time to see a greater number of patients, which in turn will reduce the waiting times for others. This is essential in order to meet hospital guidelines for waiting times and ensures waiting times do not reach critical levels preventing serious issues if a more needy patient was brought in. However, quick examinations as we have seen in this case can lead to mistakes in diagnosis and a lack of information gathered about current medical conditions which in turn could lead to a worsening in Jayne’s condition. In this case Jayne also did not feel that the doctor listened to her and was rushed through which could lead to a lack of trust of healthcare professionals in the future, leading to possible further problems.

  457. Anonymous says:

    In a busy department like an A and E, quick consultations allow doctors to move more quickly through a list of patients they need to see and not get caught up with a patient where time could be spent more productively diagnosing and treating others. Quick examinations also mean that waiting times can help be reduced, which benefits the hospital in that it avoids much of the negative media coverage that comes with long A&E wait times and would ultimately help reduces the pressures facing the frontline hospital staff. Unfortunately, this could be at the expense of patient safety as working quickly may unintentionally lead to mistakes being made and patient safety would consequently be impaired. Quick examinations may result in important aspects of a patient’s health being overlooked, which could be important in treating them appropriately – such as this woman’s diabetes.

  458. Anonymous says:

    A – quick examinations allow for efficiency at peak times in A&E, therefore beneficial to both patients and HCW. They also provide guidelines during emergencies
    D – don’t allow for the psychosocial model to be implemented therefore the patient may not be completely happy with the treatment they are receiving, can also lead to misdiagnosis/mistreatment

  459. Anonymous says:

    Advantages – particularly in A&E where there is a high volume of patients, limited time and lot of pressure, examining patients quickly can ensure that as many patients are seen as possible with reduced waiting times and better patient satisfaction. Since more patients can be seen in a shorter period of time, the healthcare team can decide which patients need treatment more urgently than others to ensure patient safety is protected.
    Disadvantages – The doctor may not be able to get the whole picture in such a short period of time. For Jane, she may not have the chance to tell him she is a type 1 diabetic which could affect the quality of her treatment plan. There is also a risk of misdiagnosis and patient dissatisfaction. It is likely Jane doesn’t feel listened to, which could affect whether she follows the advice of the doctor or not and impact patient safety.

  460. Anonymous says:

    A quick examination ensures that a doctor can diagnose and treat as many patients as possible in A&E when under extreme time pressure. Quick examinations can provide an efficient diagnosis and reduce the overall waiting time for patients.
    However, drawbacks regarding patient safety include that key points may be missed due to the short amount of time allocated to the patient examination. The doctor may not be able to take a full history or listen to the patients concerns which creates a risk of missing a key piece of information and can leave patients feeling unsatisfied. Regarding Jane, the doctor may not know that she is a type 1 diabetic due to the quick examination which could impact her treatment.

  461. Anonymous says:

    The advantages of performing quick examinations are to hopefully be able to move on and treat other patients so that they are not waiting as long. A quick examination would also reduce the time that Jane has to stay in hospital because she has already been there a couple of hours.
    The drawbacks in terms of patient safety are that the doctor may misdiagnose the problem, which may cause further complications if they are rushing over the examination. Another issue is that because the doctor rushed the examination the patient may not be satisfied/trust the doctors diagnosis which may result in non-compliance with the treatment.This could compromise patient safety.

  462. Anonymous says:

    A quick examination allows doctors to move onto the next, potentially more severe/urgent cases, faster. Should the next case be something life threatening; this efficient use of resources could be vital for a patient. That being said, quick examinations may lead to mistakes such as overlooking something more sinister than previously believed (as above). This in turn will cause further issues to the patient and their after care but also to the health service which then needs to use up more resources correcting previous mistakes

  463. Anonymous says:

    Performing a quick diagnosis allows doctors to work very efficiently by seing as many patients as possible in a short periode of time. That leads to shorter waiting times for patients. We read that Jane had to wait for several hours while being in considerable pain – and she was perhaps not the only one. Making sure that patients with urgent requests can see a doctor as soon as possible is extremely important. In this context, performing quick diagnosis can be beneficial.
    However, there are a lot of possible drawbacks concerning the patient’s safety. Rushing through an examination can leed to mistakes and a wrong diagnosis. This could potentially be a major risk for the patien’s safety. Furthermore, not taking into consideration the patient’s point of view could impair the doctor-patient realtionship. Having a good and trustful relationship is pivotal for a good and comprehensive evaluation of a case. In this case e.g. the doctor should probably pay more attention to the fact that Jane is a veteran runner with a lot of experince. Performing quick diagnosis involves following fixed patterns (e.g. the Ottawa Angle Rules) which might work in many cases but are not sufficient for a comprehensive diagnosis.

  464. Anonymous says:

    An advantage of a quick examination would be to reduce the waiting times within A&E and allow doctors to provide healthcare to more individuals in the one shift, making hospitals more efficient.
    A disadvantage of preforming a quick examination would be the fact that it makes it more likely that a healthcare professional will misdiagnose or fail to diagnose a particular condition. This may lead to the patients condition deteriorating extremely quickly and potentially lead to fatality.

  465. Anonymous says:

    The advantages of performing a quick examination is that it first of all reduces waiting time for patients , especially in a situation like the one above where there are a lot of patients waiting for consultation . However, this could mean not checking everything thoroughly and also it could mean that the doctor may not be diligent enough to spot subtle signs that could lead to misdiagnosis and hence could lead to a compromise on patient safety .

  466. Anonymous says:

    The advantages of preforming a quick examination are that the doctor will see patients more quickly and will see more patients within a given time frame. This ensures that patients will not have to wait as long and the waiting room will be less hectic and busy.
    The drawbacks are that the doctor may overlook some signs and symptoms and give the wrong diagnosis to the patient. Another disadvantage is that the patient may feel dissatisfied as they feel they are not being properly seen to or listened to and are being rushed. Furthermore, the doctor may forget to take a detailed patient history, in this case the doctor may not know that Jane is a type 1 diabetic and may not take into consideration how this will affect her treatment.

  467. Anonymous says:

    A quick examination maximises the total number of patients which each doctor can see, and reduces overall waiting times, which can be especially useful during emergency situations
    However, each examination is necessarily less through/wholistic. Not only will the doctor gain less information during the consultation, they may misdiagnose the patient, resulting in treatment that is either too aggressive or insufficient.

  468. Anonymous says:

    Quick examination enables reduced waiting times, which is essential due to the huge pressure on staff in A&E. Reducing waiting times, reduces time that patients could deteriorate in and also reduce patient dissatisfaction to have quick diagnosis and solution. Quick examinations can increase efficiency within the healthcare system and preventing it from being oversaturated with patients
    Quick examination can put the patients safety at risk. The less through examination could lead to misdiagnosis/missing out key symptoms, putting the patient at risk. Quick examination could lead to a less effective, compromising patient safety. Not giving time to listen and communicate with patients can lead to mistrust between patients and healthcare professionals. This can cause risk to patient safety and patients may turn to alternative medicines and become disengaged with the traditional medicine

  469. Anonymous says:

    Advantages- Quick examination enables reduced waiting times, which is essential due to the huge pressure on staff in A&E. Reducing waiting times, reduces time that patients could deteriorate in and also reduce patient dissatisfaction to have quick diagnosis and solution. Quick examinations can increase efficiency within the healthcare system and preventing it from being oversaturated with patients.
    Disadvantages- Quick examination can put the patients safety at risk. The less through examination could lead to misdiagnosis/missing out key symptoms, putting the patient at risk. Quick examination could lead to a less effective, compromising patient safety. Not giving time to listen and communicate with patients can lead to mistrust between patients and healthcare professionals. This can cause risk to patient safety and patients may turn to alternative medicines and become disengaged with the traditional medicine

  470. Anonymous says:

    I would suggest that a quick diagnosis may be beneficial as it allows more patients, potentially with more urgent needs, to be seen in the A&E. If the diagnosis is coming from a doctor who has seen this type of injury before, the speed of diagnosis may not be wrong but simply because the sprain is easy to recognise, and so not having an unneeded X-ray will reduce the time Jane has to wait at the hospital in pain.

    However, a quick diagnosis can mean that signs of a more serious injury may be missed and Jane may be at risk of further injury when she goes home and treats her injury like a sprain. The quick consultation seems to have also left Jane feeling like she was not listened to and that she cannot share her concerns confidently with the doctor which could cause further issues with patient safety.

  471. Anonymous says:

    A quick examination can reduce the waiting time for other patients as well as allowing doctors to work more efficiently. However, this has the potential to lead to clinical errors as doctors may not be as thorough in their examination. It can also damage the patient’s trust in the doctor if they feel that something hasn’t been explained clearly or that they’re being ignored.

  472. Anonymous says:

    The advantages of performing a quick examination would be that it would enable the doctor to see more patients in a shorter space of time, as they are spending less time with each patient. This would mean reduced waiting times for any other patients that might be waiting. A quick examination also allows the doctor to get a quick overview of the patient’s condition which would help with prioritising care during busy periods.
    However, a quick examination means that the doctor is not spending enough time with the patient to get all the information they need, which may lead to them missing out on things that could be crucial to patient care. This would delay effective treatment and lead to poorer clinical outcomes. It would also make the patient feel as if they doctor did not really care about them as there was no time taken to establish trust or rapport. The patient may also feel dismissed and unsatisfied with their care, which would damage their perception of the healthcare service as a whole.

  473. Anonymous says:

    By performing a quick examination the doctor can ensure a consultation only takes a short period of time so the doctor can see the maximum number of patients in their time and reduce waiting times for patients also.
    However an quick examination may not be thorough and not all signs or symptoms may be spotted meaning a patient could have a wrong diagnosis/prognosis.

  474. Anonymous says:

    Advantages~ allows efficient use of A&E staff members who are under a specific waiting time limit, ensures that this is not breached. In theory should also ensure that all patients are cared for and so can all be treated within a reasonable time.
    Disadvantages~ Patient should be involved in their own care and the doctor should listen to their concerns, taking then into consideration and then using their own expertise and knowledge diagnose and treat. Patient safety may be compromised if signs and symptoms are glossed over and not taken into account, eventually conditions may worsen and therefore require more treatment in the future. In this instance Jane’s pain may worsen and become unbearable.

  475. Anonymous says:

    Quick diagnosis in this case can be beneficial in order to reduce the waiting time for other patients. Additionally, multiple similar cases were seen before thus the ease of diagnosis might explain the short time rather than the doctors lack of time.

    The drawback of quick clinical diagnosis can include patient dissatisfaction with the quality of treatment as well as misdiagnosis.

  476. Anonymous says:

    Advantages of performing a quick examination is that it reduces the waiting time for other patients and prevents the healthcare system from becoming overwhelmed with the numbers of patients waiting.
    Drawbacks of a quick examination include the possibility of missing important signs that may lead to a misdiagnosis, and not taking the time to fully understand the patient’s problem which may mean the treatment they receive isn’t the most appropriate, which can hinder the patient’s recovery and may even harm them. In addition, this may result in the patient feeling unheard and unimportant.

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