SAQ 1592 – Re-presenting foot pain and root cause analysis

Marked out of 16.00

A 35-year-old man re-presents with painful left foot. He attended your ED 2 days earlier after falling off a skateboard, was diagnosed with an ankle sprain, and was advised to weight bear as tolerated.

His X-ray is shown below.

You explain the missed diagnosis to the patient and reassure him that a root cause analysis will be performed as part of your management.

Left foot X-ray for re-presenting foot pain
Foot X-ray.

State the injury demonstrated on the X-ray.

(Marked out of 1.0)


/ 1

List three possible complications of this injury.

(Marked out of 3.0)


/ 3

Complete the table by listing six potential causes of this error and a solution for each.

(Marked out of 12.0)


/ 12

Total Score: 0 / 16

Percentage: 0%