Categories of misunderstandings for each case
 
Case
Type of consultation
Duration (minutes)
Misunderstandings*
Doctor NoPatient No   
    
1
2
3
4
5
6
7
8
9
10
11
12
13
14
14Appointment
12
 
X
            
25Appointment
7
      
X
         
27Appointment
6
                        
X
    
28Appointment
10
X
     
X
X
        
310Appointment
7
            
X
      
X
      
411Appointment
10
     
X
X
       
513Appointment
3
  
X
      
X
                 
514Appointment
8
 
X
            
616Appointment
12
              
619Appointment
17
 
X
            
721Appointment
6
 
X
  
 X
           
723Appointment
6
 
X
        
X
X
X
 
825Emergency
5
  
X
            
827Emergency
3
                            
928Emergency
9
  
X
    
 X
      
1031Emergency
10
  
X
         
X
 
1032Emergency
10
 
X
            
1134Appointment
12
     
X
X
       
1137Appointment
17
 
X
        
X
   
1245Appointment
16
  
X
     
X
     
1247Appointment
9
         
X
    
1362Emergency
5
              
1439Appointment
>18
                                
1440Appointment
11
   
X
     
X
    
1556Emergency
5
              
1557Emergency
5
              
1642Appointment
7
X
    
X
        
1643Appointment
8
 
X
         
X
 
X
1752Appointment
8
   
X
       
X
  
1754Appointment
10
 
X
            
1860Emergency
5
  
X
         
X
 
1958Emergency
4
 
X
            
1959Emergency
6
   
X
          
2049Appointment
7
               
 2051Appointment
11
        
X
X
    

*1, patient does not mention relevant facts about medical history; 2, doctor unaware of patient’s views of medicines or anxieties about symptoms or treatment; 3, doctor has inaccurate perception of what patient wants; 4, doctor unaware of patient’s use of alternative or over the counter drugs either through lack of inquiry or active concealment; 5, doctor unaware that patient has changed the dosage or that patient is confused about dosage; 6, patient does not understand drug action; 7, patient unaware of correct dose; 8, patient wants information and doctor does not realise this or thinks that patient does not need to know or will not understand; 9, patient confused by conflicting advice from doctor and other sources of information; 10, there are misunderstandings or disagreements about the causes of side effects; 11, patient does not understand, remember, or accept diagnosis; 12, patient does not understand treatment decision; 13, patient assumes that prescription was necessary merely because it was written in cases where doctor did not think the prescription to be strictly necessary; 14, doctor prescribes and patient takes medicine, both just for the sake of the relationship.