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 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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This case demonstrates the potentially fatal risks that are associated with unnecessarily taking aspirin in conjunction with anticoagulation medication, especially when considered in the context of invasive surgery.
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.
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 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.