Sample 5 (Case 11) – Clinical Checklist

In this visit, the physician …

Inquired about nature of patient dizziness – onset, duration, severity, alleviating and aggravating factors, quality

Acknowledges an association between wrongly prescribed beta blocker (Atenolol 50 mg) and patient symptoms

Verified patient is no longer suffering

Ensures appropriate follow-up regarding patient condition

Management Plan

Provided safety net options and investigation

Explained / clarified procedures and explains conduct of review for medical errors (form, contact colleagues, etc.)

Negotiates a process with patient regarding clinical follow-up

Explains error confidentiality practice

Reassures patient that symptoms are short-term

Inquires about patient status after surgery

Corrected the prescription error

Overall

Please give an overall rating of the physician’s performance on this case

Do you have any concerns regarding this Participant’s ethical and/or professional behavior?