{"id":853,"date":"2009-10-20T14:30:00","date_gmt":"2009-10-20T13:30:00","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=853"},"modified":"2010-02-24T11:22:24","modified_gmt":"2010-02-24T10:22:24","slug":"douglas-noble-patient-safety-diagnostic-errors","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/","title":{"rendered":"Douglas Noble: Patient safety &#8211; diagnostic errors"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"float: left\" src=\"http:\/\/www.bmj.com\/columns\/icons\/douglas_noble.jpg\" alt=\"douglas noble\" width=\"160\" height=\"110\" \/>Last week I fell onto an outstretched hand and clinically had an obvious fracture on the ulnar side of my left wrist.\u00a0 Interestingly, the very diligent nurse practitioner who examined me became fixated on my scaphoid &#8211; having pushed extraordinarily hard in the anatomical snuffbox and eliciting pain.\u00a0 Scaphoid views were requested and no fracture seen.\u00a0 I expressed concern that perhaps the fracture was elsewhere, but was promptly told: \u2018chances can\u2019t be taken with the scaphoid\u2019.\u00a0 I was bundled into a futura splint, given a photocopy of my notes, instructions to return ten days later and shown the door.\u00a0 I couldn\u2019t help but read the notes the minute I walked out of A+E.\u00a0 F.R.O.M. (full range of movement) dutifully scribed (almost everywhere); surprised me as I couldn\u2019t move it even slightly.<!--more-->After fracture clinic review today re-Xrays have shown a fractured lunate.\u00a0 I\u2019m feeling sorry for myself, and my experience is minor, but it reminded me about the importance of diagnostic errors in patient safety.<\/p>\n<p>Diagnostic errors have not been considered a cornerstone of current patient safety thinking.\u00a0 Yet, recent studies indicate that these account for 15% of all adverse events in hospital.\u00a0 This may be of no real surprise, but, as patient safety has steered away from criticizing individuals, this might represent an area of neglect to re-focus upon.<\/p>\n<p>A common contributing factor is first diagnosis syndrome (as above).\u00a0 In addition to too quickly abandoning the rational process of differential diagnosis and jumping to conclusions, this is also frequently aided by the reams of informal information handover sheets circulating between clinical teams.\u00a0 These are at their most dangerous when dutifully photocopied on post-take rounds.\u00a0 Often they contain small boxes with a simple label: diagnosis.\u00a0 This can be filled in by the A+E nurse or casualty officer and then amended by the admitting team.\u00a0 It typically reads anything from woozy to urinary sepsis.\u00a0 I\u2019ve seen post-take consultants focus on these intently as they march purposefully to the next ward.\u00a0 In fact, I\u2019ve rarely seen it significantly changed.<\/p>\n<p>Shortness of time syndrome, and occasionally, got to get to the private clinic syndrome also contribute faithfully to diagnostic errors.\u00a0 The lethal synergy of a ward-based admitting system (which sees patients fielded out to different wards within 4 hours of arrival) and coming under a different named consultant further heightens the symptoms.\u00a0 The post-take consultant need not bother too much (especially for non-life threatening cases) as someone else will refine the diagnosis at a later stage, probably.\u00a0 Medical post-take rounds can finally be conducted faster than surgical ones.\u00a0 Urinary sepsis becomes a unifying diagnosis for most patients.\u00a0 MSU results are frightening:\u00a0 negative, negative, negative!<\/p>\n<p><em><strong>Douglas Noble<\/strong><\/em> <em>has worked in surgery, emergency medicine, public health and for WHO Patient Safety. From 2006 to 2008 he was clinical adviser to chief medical officer for England, Sir Liam Donaldson.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Last week I fell onto an outstretched hand and clinically had an obvious fracture on the ulnar side of my left wrist.\u00a0 Interestingly, the very diligent nurse practitioner who examined [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":66,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1576,223],"tags":[],"class_list":["post-853","post","type-post","status-publish","format-standard","hentry","category-douglas-noble","category-guest-bloggers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Douglas Noble: Patient safety - diagnostic errors - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Douglas Noble: Patient safety - diagnostic errors - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Last week I fell onto an outstretched hand and clinically had an obvious fracture on the ulnar side of my left wrist.\u00a0 Interestingly, the very diligent nurse practitioner who examined [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2009-10-20T13:30:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2010-02-24T10:22:24+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/www.bmj.com\/columns\/icons\/douglas_noble.jpg\" \/>\n<meta name=\"author\" content=\"julietwalker\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"julietwalker\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2009\\\/10\\\/20\\\/douglas-noble-patient-safety-diagnostic-errors\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2009\\\/10\\\/20\\\/douglas-noble-patient-safety-diagnostic-errors\\\/\"},\"author\":{\"name\":\"julietwalker\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/373707d32533c2cbca204980b8cd3493\"},\"headline\":\"Douglas Noble: Patient safety &#8211; diagnostic errors\",\"datePublished\":\"2009-10-20T13:30:00+00:00\",\"dateModified\":\"2010-02-24T10:22:24+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2009\\\/10\\\/20\\\/douglas-noble-patient-safety-diagnostic-errors\\\/\"},\"wordCount\":487,\"commentCount\":5,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2009\\\/10\\\/20\\\/douglas-noble-patient-safety-diagnostic-errors\\\/#primaryimage\"},\"thumbnailUrl\":\"http:\\\/\\\/www.bmj.com\\\/columns\\\/icons\\\/douglas_noble.jpg\",\"articleSection\":[\"Douglas Noble\",\"Guest writers\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2009\\\/10\\\/20\\\/douglas-noble-patient-safety-diagnostic-errors\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2009\\\/10\\\/20\\\/douglas-noble-patient-safety-diagnostic-errors\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2009\\\/10\\\/20\\\/douglas-noble-patient-safety-diagnostic-errors\\\/\",\"name\":\"Douglas Noble: Patient safety - diagnostic errors - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2009\\\/10\\\/20\\\/douglas-noble-patient-safety-diagnostic-errors\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2009\\\/10\\\/20\\\/douglas-noble-patient-safety-diagnostic-errors\\\/#primaryimage\"},\"thumbnailUrl\":\"http:\\\/\\\/www.bmj.com\\\/columns\\\/icons\\\/douglas_noble.jpg\",\"datePublished\":\"2009-10-20T13:30:00+00:00\",\"dateModified\":\"2010-02-24T10:22:24+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2009\\\/10\\\/20\\\/douglas-noble-patient-safety-diagnostic-errors\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2009\\\/10\\\/20\\\/douglas-noble-patient-safety-diagnostic-errors\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2009\\\/10\\\/20\\\/douglas-noble-patient-safety-diagnostic-errors\\\/#primaryimage\",\"url\":\"http:\\\/\\\/www.bmj.com\\\/columns\\\/icons\\\/douglas_noble.jpg\",\"contentUrl\":\"http:\\\/\\\/www.bmj.com\\\/columns\\\/icons\\\/douglas_noble.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2009\\\/10\\\/20\\\/douglas-noble-patient-safety-diagnostic-errors\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Douglas Noble: Patient safety &#8211; diagnostic errors\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"name\":\"The BMJ\",\"description\":\"Helping doctors make better decisions.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\",\"name\":\"The BMJ\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"width\":852,\"height\":568,\"caption\":\"The BMJ\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/bmjdotcom\\\/\",\"https:\\\/\\\/x.com\\\/bmj_latest\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/373707d32533c2cbca204980b8cd3493\",\"name\":\"julietwalker\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/34f10b717c81464cc7a2879c84cd30078f63b5a901e12905a02abd9d1ea9ec90?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/34f10b717c81464cc7a2879c84cd30078f63b5a901e12905a02abd9d1ea9ec90?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/34f10b717c81464cc7a2879c84cd30078f63b5a901e12905a02abd9d1ea9ec90?s=96&d=mm&r=g\",\"caption\":\"julietwalker\"},\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/author\\\/julietwalker\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Douglas Noble: Patient safety - diagnostic errors - The BMJ","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/","og_locale":"en_US","og_type":"article","og_title":"Douglas Noble: Patient safety - diagnostic errors - The BMJ","og_description":"Last week I fell onto an outstretched hand and clinically had an obvious fracture on the ulnar side of my left wrist.\u00a0 Interestingly, the very diligent nurse practitioner who examined [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2009-10-20T13:30:00+00:00","article_modified_time":"2010-02-24T10:22:24+00:00","og_image":[{"url":"http:\/\/www.bmj.com\/columns\/icons\/douglas_noble.jpg","type":"","width":"","height":""}],"author":"julietwalker","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"julietwalker","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/"},"author":{"name":"julietwalker","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/373707d32533c2cbca204980b8cd3493"},"headline":"Douglas Noble: Patient safety &#8211; diagnostic errors","datePublished":"2009-10-20T13:30:00+00:00","dateModified":"2010-02-24T10:22:24+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/"},"wordCount":487,"commentCount":5,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/#primaryimage"},"thumbnailUrl":"http:\/\/www.bmj.com\/columns\/icons\/douglas_noble.jpg","articleSection":["Douglas Noble","Guest writers"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/","url":"https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/","name":"Douglas Noble: Patient safety - diagnostic errors - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/#primaryimage"},"thumbnailUrl":"http:\/\/www.bmj.com\/columns\/icons\/douglas_noble.jpg","datePublished":"2009-10-20T13:30:00+00:00","dateModified":"2010-02-24T10:22:24+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/#primaryimage","url":"http:\/\/www.bmj.com\/columns\/icons\/douglas_noble.jpg","contentUrl":"http:\/\/www.bmj.com\/columns\/icons\/douglas_noble.jpg"},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2009\/10\/20\/douglas-noble-patient-safety-diagnostic-errors\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Douglas Noble: Patient safety &#8211; diagnostic errors"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bmj\/#website","url":"https:\/\/blogs.bmj.com\/bmj\/","name":"The BMJ","description":"Helping doctors make better decisions.","publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bmj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bmj\/#organization","name":"The BMJ","url":"https:\/\/blogs.bmj.com\/bmj\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","width":852,"height":568,"caption":"The BMJ"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/bmjdotcom\/","https:\/\/x.com\/bmj_latest"]},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/373707d32533c2cbca204980b8cd3493","name":"julietwalker","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/34f10b717c81464cc7a2879c84cd30078f63b5a901e12905a02abd9d1ea9ec90?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/34f10b717c81464cc7a2879c84cd30078f63b5a901e12905a02abd9d1ea9ec90?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/34f10b717c81464cc7a2879c84cd30078f63b5a901e12905a02abd9d1ea9ec90?s=96&d=mm&r=g","caption":"julietwalker"},"url":"https:\/\/blogs.bmj.com\/bmj\/author\/julietwalker\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/853","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/66"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=853"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/853\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=853"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=853"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=853"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}