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An infraction or violation of the law, which is either intentional (an act of commission) or unintentional (an omission).

See security breach

noun A term used in the context of time-dependent health care targets in the UK, in which a particular type of patient interaction with NHS health providers did not occur in the desired time frame. In A&E (casualty), patients must be seen within 4 hours, regardless of their level of acuity; any longer than 4 hours is regarded as a breach. For cancer targets, a patient is said to have breached when he/she has not been seen by an oncologist within 31 days of an urgent GP referral, or if definitive cancer therapy has not begun or at least been offered to the patient within 62 days of an urgent GP referral.

verb To have not begun definitive therapy for cancer within 62 days (as required by government cancer targets).


Medical malpractice The failure or alleged failure on the part of a physician or other health care provider to exercise ordinary, reasonable, usual, or expected care, prudence, or skill–that would usually and customarily be exercised by other reputable physicians treating similar Pts–in performing a legally recognized duty, resulting in forseeable harm, injury or loss to another; negligence may be an act of omission–ie, unintentional, or commission–ie, intentional, characterized by inattention, recklessness, inadvertence, thoughtlessness, or wantonness. See Adverse event, Comparative negligence, Contributory negligence, Gross negligence, Malpractice, Wanton negligence, Willful negligence. Cf Recklessness.
Negligence, required elements  
Duty A recognized relationship between Pt and physician
Breach Failure of a medical practitioner to practice in accordance with standard of care
Proximate cause The plaintiff must show that injury is reasonably connected to physician's action
Damages Plaintiff must show that alleged loss or damage has a quantifiable value such that a monetary payment can be made APLM 1997; 121:252


n action taken by one party in an agreement that serves to convince the other party that the terms of the contract will not be fulfilled. The faithful party may consider the contract canceled at that point.
References in periodicals archive ?
But Pino has come to their aid and stepped into the breach.
However the person I feel sorry for is her 18-year-old understudy Alexandra Jay, who stepped into the breach no less than 64 times for the sickly Martine, who brought the house down every time, but who has been passed over for the role in favour of big-name actress Joanna Riding.
A CHURCH has stepped into the breach after council chiefs cancelled Liverpool's annual service of remembrance at Anfield crematorium.
Seliana denied Coco Loco and her trainer Lydia Pearce a first victory since she stepped into the breach when her husband Jeff was jailed earlier this year.
Your neighbour has been very fortunate you have all stepped into the breach to make it possible for her to stay at home but it's not your responsibility.
Thompson has stepped into the breach in recent weeks following an injury to highly-rated defender Chris Slater.
Pleat twice stepped into the breach as caretaker manager during that period, including for the final eight months of last season after Glenn Hoddle's departure.
Following the revolt of the Taffia against the Cayo Arms (as reported in previous Westgates), which shipped in some consultants from England and was told to drop its ``Welsh'' theme, a canny rival pub has stepped into the breach.
Roberts is one of the most loyal members of the Wales set-up and he has often stepped into the breach.
Harrison, a former stable jockey to Kan, stepped into the breach left by the return to France of Gerald Mosse, who had been riding most of the trainer's horses including last week's Hong Kong Derby winner Industrial Pioneer.
The two men stepped into the breach following Rob MacDonald's shock departure last month - and have guided Sligo to three wins from their opening five games.
Last year a team led by former Westlife star Bryan McFadden won the event after he stepped into the breach at the 11th hour after Rod Stewart was forced to pulled out with a throat infection.