TMLEP Clinical Updates
TMLEP’s Clinical Updates are provided in order to raise awareness of clinical risk issues and to reduce incidence recurrence and improve patient safety. Facts have been anonymised to maintain data confidentiality, however learning points remain applicable.
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The Importance of Recognising Early Symptoms of a Stroke in the Elderly
29 June 2020This case study considers the importance of recognising the early symptoms of a stroke and of quick intervention with thrombotic therapy (prevent blood clots from forming) to reduce the severity of acute brain damage and minimise ongoing or permanent brain injury.
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C-Section Scar Pregnancy Diagnosis and Management
23 June 2020This case study considers the delay in the diagnosis and management of a suspected caesarean section scar pregnancy and the subsequent risks of potential recurrence and risks to patient health.
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The Importance of Communication Between Rehabilitation and Surgical Teams When Post-Operative Complications Arise.
16 June 2020This case arises from an alleged failure by a rehabilitation team to refer a patient back to the surgical team and/or involve an infectious diseases specialist following a post-operative complication of a MRSA infection to a knee replacement.
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The Importance of Implementing Updated Guidelines in a Timely Manner.
08 June 2020This case arises from an alleged failure to update local guidance in a timely fashion following changes to national guidance. The patient, who had sadly suffered a stillbirth, developed a DVT following delivery. She had not received postnatal thromboprophylaxis in accordance with current national guidance.