For older people and frail people, the long-term benefit of medicines reduces and the potential for harm from adverse effects increases. When the benefit–risk balance changes in this way, medicine review and optimisation are important to simplify the therapeutic regimen, reduce inappropriate medicines and minimise risks. In this article, pharmacist prescriber Linda Bryant uses two case studies to illustrate important considerations during medicine reviews
Disingenuous apologies can make a mountain out of a molehill
Disingenuous apologies can make a mountain out of a molehill

A meaningful professional apology regarding patient care should not reveal any resentment the doctor may have about having to make it, or insincerity about the issues, says Wellington barrister Gaeline Phipps
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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1. Whitman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes?, A survey of internal medicine patients in an academic setting. Arch Intern Med 1996;156(22):2565–69.
2. R v Hugel trial ruling not reported, for the costs decision see unreported, High Court Rotorua, T99/97, 20 October 1998, Paterson J. The Judge excluded attempts of the Crown to use the apology as an admission of liability, in the Hugel manslaughter trial.
3. Carvel D (GP; Glasgow, UK). The downward spiral [editorial]. BMJ 2000;321:715.