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Conflict on the children’s ward and other stories . . .

BMJ 2015; 351 doi: (Published 18 November 2015) Cite this as: BMJ 2015;351:h6114

Grown up quarrels in children’s hospitals

Do not be fooled by the smiley faces, the toys, and the bright pictures on the walls. Children’s hospitals can be full of conflict, according to a staff survey at the Evelina London Children’s Hospital (Arch Dis Child 2015 doi:10.1136/archdischild-2015-308814). Staff nurses and consultants were the most likely to be at odds, and the three most common causes were communication breakdown, disagreements about treatment, and unrealistic expectations. Over two 12 week periods, nearly 450 hours of health professionals’ time was estimated to be taken up by conflict.

I was only disobeying guidelines

It is often said that guidelines are not tramlines, but after Germany developed cancer guidelines in 2003, adherence became mandatory for certified breast cancer centres there. However, many German oncologists still depart from them, as a …

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