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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A Clinical Risk Case Study- Failure to Perform the Consented Procedure19 January 2018
A 40-year-old woman had been suffering from symptoms of mid-cycle pain for some 13 years, therefore her GP subsequently referred her for gynaecology review. On review, she was diagnosed with cysts on both ovaries.
A Clinical Risk Case Study- Tourniquet Injury03 January 2018
Tourniquet use is commonplace in surgery to create a bloodless field and facilitate the procedure. Unfortunately, tourniquet related injuries can sometimes occur ranging from temporary skin abrasions or bruising, through to full thickness burns and skin loss.
A Clinical Risk Case Study – Failure to recognise a Fistula in the Oesophagus30 November 2017
A complaint was raised that there was a failure to recognise a fistula in the patient’s oesophagus, resulting in food particles spilling over into the chest cavity causing the patient’s death.
A Clinical Risk Case Study – Failure to Diagnose and Treat Acute Angle Closure Attack leading on to develop Acute Glaucoma15 November 2017
A 65-year-old woman brought a claim against her Consultant Ophthalmologist for a failure to diagnose and treat acute angle closure attack appropriately, which resulted in progression of the condition to glaucoma that consequently lead to loss of vision in the left eye.