TMLEP’s Patient Safety Reports and Clinical Learning Updates provide healthcare providers with intelligence and recommendations (derived from analysis of TMLEP’s healthcare data) to directly improve healthcare standards and patient safety.
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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It is undeniable that giving birth is an extremely daunting act for many women. As such, it is important that women feel as comfortable, and as prepared as possible for this and an appropriate discussion is had regarding modes of delivery, including caesarean section.
Read Article 20 Jul 2021
A B-Lynch Suture is a form of ‘uterine compression’ suture used in Obstetrics. B-Lynch Sutures are not the most common form of care when faced with a haemorrhaging patient, and in fact, are often only used when a uterus is post-delivery and the uterine atony has not resolved following the…
Read Article 06 Jul 2021
Mirtazapine is an antidepressant medicine which is used to treat depression and sometimes Obsessive Compulsive Disorder and anxiety. It is used to improve a person’s mood and well-being. It works by restoring the balance of neurotransmitters in the brain. This is a prescription-only medication which can come in either tablet…
Read Article 29 Jun 2021
When a child presents with signs of continued lethargy with periods of vomiting and fever, even if the latter two cease, the patient should be referred for further testing and observations in line with the above, to rule out serious diagnoses such as myocarditis and Kawasaki Disease (also known as…
Read Article 22 Jun 2021
TMLEP would like to highlight the importance of flagging abnormal X-ray findings and promptly informing the patient of any change in their diagnosis so that prompt referral can be made, and the patient can adjust their behaviour accordingly to minimise any further damage.
Read Article 15 Jun 2021
Packing wounds is integral to the patient’s healing and should be thoroughly monitored throughout the aftercare period, adhering to the guidelines. The failure to remove packing on a regular basis, as and when needed, can be detrimental to the patient, as the packing obstructs the pus from leaving the cavity.
Read Article 08 Jun 2021
Trusts should ensure that they have an appropriate care pathway to ensure that healthcare professionals understand what to do when a diabetic foot ulcer is identified and that they provide timely care.
Read Article 18 May 2021
Reductions in staff due to positive COVID-19 cases or isolation as well as other COVID measures (such as redeployment) meant that throughout the pandemic there has been a knock-on effect leading to remaining practitioners to cover even more patients than usual. This led to a reduction in available appointments in…
Read Article 11 May 2021
This article discusses the risk factors associated with performing an appendectomy, including not fully visualising the organ and the risk of leaving part of the appendix in situ.
Read Article 27 Apr 2021