ramonmercado
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ramonmercado
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I live and work in Lanark and Carluke in the west of Scotland and one Creationist doctor in the vicinity must surely have at least five misconduct or malpractice suits in utero. He - and anyone who lives and or works in the vicinity must surely know him - has invoked the bible or foregone prescription in lieu of prayer in five cases I know of, two involving child patients.
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Mother 'brainwashed' over home birth dies
A woman bled to death after being “brainwashed” to give birth at home by a midwife who assured her it would be safe, an inquest heard on Wednesday.
By Stephen Adams, Medical Correspondent
6:39PM BST 05 Sep 2012
Claire Teague, 29, died of a haemorrhage after Rosie Kacary, an independent midwife, “ripped” out her placenta, the hearing was told.
Mrs Teague, of Woodley, near Reading, had originally hired Ms Kacary to ensure she had dedicated support during a hospital birth at Basingstoke Hospital.
That was because her first pregnancy had nearly ended in tragedy. She almost lost one of the twins she was carrying and the situation was only saved by an emergency caesarean.
Despite her medical history, Kacary convinced her new client that a home birth would be more fulfilling, Windsor Coroner's Court was told.
Mrs Teague’s husband Simon, told the inquest that Ms Kacary had "brainwashed" his wife into the home birth, by reassuring her it was completely safe.
Following the delivery, in the early hours of August 1 2010, Ms Kacary tried to deliver the placenta, a standard midwife’s task.
But Mr Teague said he was unhappy at the way the removal was performed, telling the inquest that he watched it being “ripped out” of his wife in an “aggressive manner”.
He said: “I was anxious when Rosie started to pull the placenta out. She pulled the cord six or seven times in an aggressive manner.
"Eventually the placenta came out with a lot of force and tugging."
Examining Mrs Teague to see if all the placenta had come out, the midwife told the couple that although there were bits of membrane still inside, they would come out naturally. The midwife then left.
However, she had done the examination by torchlight, as the curtains were closed and the room was dark, Mr Teague claimed.
Soon, the new mother began feeling weak and complaining she was in pain, so her husband rang the midwife. Ms Kacary said it was normal following birth, but Mr Teague kept ringing due to his building concern and eventually she returned.
By then though Mrs Teague had stopped breathing.
On the way to the Royal Berkshire Hospital in Reading she started bleeding extensively. Surgeons tried to stop the bleeding but she died later that day. Doctors found a third of her placenta was still inside her.
Dr Helen Allott, a consultant gynaecologist, expressed disbelief Mrs Teague had not been taken to hospital earlier.
"In my opinion had the placenta been examined in good light in a conventional manner it would have been apparent that a large piece was missing," she said.
"I have looked at thousands of placentas and this placenta, I must say, I was quite shocked.
"I was very clear in my mind that a very large piece was missing."
Dr Allott said a placenta should never be "tugged", adding: "Simon recalls vigorous tugging on the cord six or seven times.
"That's not the correct way to deliver the placenta."
Asked to comment on Mrs Teague's decision to have her baby at home despite her history of blood loss during her previous labour, Dr Allott said it was a high risk.
She added: "If you've had a previous blood loss you have an increased risk of a haemorrhage happening again.
"If I was the person advising the mother, I would want to know that I was advising her of all the risks."
However, Ms Kacary rejected Mr Teague’s account of events, saying his description of the placenta removal was “quite horrific”.
“If I had pulled anything like that hard I think it would have snapped the cord which is quite easy to do,” she said.
She believed the placenta had been complete and said, if she thought otherwise, she would have advised an immediate hospital transfer.
But she said: “As Claire felt completely well at the time, I'm very sure they would have declined my suggestion to transfer.”
The midwife, who has overseen 96 home births, also took issue with Mr Teague’s assertion that the room was dark.
“"I find it extraordinary that after 20 years of being an experienced midwife I turned into a complete idiot and looked at the placenta in the dark with a torch," she said.
She denied trying to persuade the couple to have a home birth but added: “Claire had a great pregnancy, she had a really lovely spontaneous birth at home and I hope Simon in time will remember that.”
A post mortem found that Mrs Teague died due to a lack of oxygen caused by the severe haemorrhage due to a recent vaginal birth with a retained placenta.
The inquest continues.
http://www.telegraph.co.uk/health/healt ... -dies.html
A woman bled to death after being “brainwashed” to give birth at home by a midwife who assured her it would be safe, an inquest heard on Wednesday.
By Stephen Adams, Medical Correspondent
6:39PM BST 05 Sep 2012
Claire Teague, 29, died of a haemorrhage after Rosie Kacary, an independent midwife, “ripped” out her placenta, the hearing was told.
Mrs Teague, of Woodley, near Reading, had originally hired Ms Kacary to ensure she had dedicated support during a hospital birth at Basingstoke Hospital.
That was because her first pregnancy had nearly ended in tragedy. She almost lost one of the twins she was carrying and the situation was only saved by an emergency caesarean.
Despite her medical history, Kacary convinced her new client that a home birth would be more fulfilling, Windsor Coroner's Court was told.
Mrs Teague’s husband Simon, told the inquest that Ms Kacary had "brainwashed" his wife into the home birth, by reassuring her it was completely safe.
Following the delivery, in the early hours of August 1 2010, Ms Kacary tried to deliver the placenta, a standard midwife’s task.
But Mr Teague said he was unhappy at the way the removal was performed, telling the inquest that he watched it being “ripped out” of his wife in an “aggressive manner”.
He said: “I was anxious when Rosie started to pull the placenta out. She pulled the cord six or seven times in an aggressive manner.
"Eventually the placenta came out with a lot of force and tugging."
Examining Mrs Teague to see if all the placenta had come out, the midwife told the couple that although there were bits of membrane still inside, they would come out naturally. The midwife then left.
However, she had done the examination by torchlight, as the curtains were closed and the room was dark, Mr Teague claimed.
Soon, the new mother began feeling weak and complaining she was in pain, so her husband rang the midwife. Ms Kacary said it was normal following birth, but Mr Teague kept ringing due to his building concern and eventually she returned.
By then though Mrs Teague had stopped breathing.
On the way to the Royal Berkshire Hospital in Reading she started bleeding extensively. Surgeons tried to stop the bleeding but she died later that day. Doctors found a third of her placenta was still inside her.
Dr Helen Allott, a consultant gynaecologist, expressed disbelief Mrs Teague had not been taken to hospital earlier.
"In my opinion had the placenta been examined in good light in a conventional manner it would have been apparent that a large piece was missing," she said.
"I have looked at thousands of placentas and this placenta, I must say, I was quite shocked.
"I was very clear in my mind that a very large piece was missing."
Dr Allott said a placenta should never be "tugged", adding: "Simon recalls vigorous tugging on the cord six or seven times.
"That's not the correct way to deliver the placenta."
Asked to comment on Mrs Teague's decision to have her baby at home despite her history of blood loss during her previous labour, Dr Allott said it was a high risk.
She added: "If you've had a previous blood loss you have an increased risk of a haemorrhage happening again.
"If I was the person advising the mother, I would want to know that I was advising her of all the risks."
However, Ms Kacary rejected Mr Teague’s account of events, saying his description of the placenta removal was “quite horrific”.
“If I had pulled anything like that hard I think it would have snapped the cord which is quite easy to do,” she said.
She believed the placenta had been complete and said, if she thought otherwise, she would have advised an immediate hospital transfer.
But she said: “As Claire felt completely well at the time, I'm very sure they would have declined my suggestion to transfer.”
The midwife, who has overseen 96 home births, also took issue with Mr Teague’s assertion that the room was dark.
“"I find it extraordinary that after 20 years of being an experienced midwife I turned into a complete idiot and looked at the placenta in the dark with a torch," she said.
She denied trying to persuade the couple to have a home birth but added: “Claire had a great pregnancy, she had a really lovely spontaneous birth at home and I hope Simon in time will remember that.”
A post mortem found that Mrs Teague died due to a lack of oxygen caused by the severe haemorrhage due to a recent vaginal birth with a retained placenta.
The inquest continues.
http://www.telegraph.co.uk/health/healt ... -dies.html
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:shock:
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Sergeant_Pluck said:
The self delusion among any attaining or assuming a professional rank can be astounding in narcissistic doctors, nurses or teachers (or any Narcissist working anywhere?) - but those practising freelance, outside of institutions are probably more susceptible to 'Rasputin Complex' than most.
This is often the case if you compare motivational speakers to their counterparts in medicine or education - to truly convince others that every deed and thought you weave is made of gold, one has to convince oneself.
The "independent midwife" is perhaps more doomed for remaining utterly deluded about what transpired and publicly demonstrating a blithe insensitivity to the bereaved partner - if she'd admitted mistakes her punishment, if any, might be less severe.
Mythopoeika
I am a meat popsicle
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Kellydandodi said:
Yeah, I should think she is now a former "independent midwife".
ramonmercado
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ramonmercado
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Cystic fibrosis woman died with smoker's donor lungs
A 27-year-old woman with cystic fibrosis died of cancer after she was given the donor lungs of a smoker.
Jennifer Wederell, of Hawkwell, Essex, died at home in August - 16 months after the transplant at Harefield Hospital in London.
Colin Grannell said he believes his daughter would not have agreed to the transplant had she known the middle-aged donor was a heavy smoker.
The hospital has apologised for not giving her that choice.
Jennifer had been diagnosed with cystic fibrosis at the age of two and by her mid-20s was using oxygen 24 hours a day.
She had been on the waiting list for a lung transplant for 18 months when in April 2011, she was told there had been a match.
Mr Grannell said the family had "lived all for that moment" for years, and thought it would help Jennifer "cheat" her condition.
She married her fiance David Wederell in September last year, but by February 2012 a malignant mass was found in her lungs.
"The shock immediately turned to anger in so far as all the risks were explained in the hour before her transplant and not once was the fact smoker's lungs would be used mentioned," said Mr Grannell.
"She was dying a death that was meant for someone else."
He has set up a Facebook group, Jennifer's Choice, to encourage non-smokers to sign up to the organ donor register.
The Royal Brompton and Harefield NHS Foundation Trust said: "It is very rare for patients to specify that they do not wish to be considered for clinically healthy lungs from smokers.
"This is because the risks are much higher if patients decline donor lungs from a former smoker, and decide to wait for another set of organs which are both a match for them and from a non-smoker, to become available.
"However, we recognise that Jennifer should have been given the opportunity to make this choice.
"We have apologised sincerely for this oversight.
"Regrettably, the number of lungs available for transplantation would fall by 40% if there was a policy of refusing those which have come from a smoker; waiting lists would increase and many more patients would die without a transplant."
http://www.bbc.co.uk/news/uk-england-essex-20762437
A 27-year-old woman with cystic fibrosis died of cancer after she was given the donor lungs of a smoker.
Jennifer Wederell, of Hawkwell, Essex, died at home in August - 16 months after the transplant at Harefield Hospital in London.
Colin Grannell said he believes his daughter would not have agreed to the transplant had she known the middle-aged donor was a heavy smoker.
The hospital has apologised for not giving her that choice.
Jennifer had been diagnosed with cystic fibrosis at the age of two and by her mid-20s was using oxygen 24 hours a day.
She had been on the waiting list for a lung transplant for 18 months when in April 2011, she was told there had been a match.
Mr Grannell said the family had "lived all for that moment" for years, and thought it would help Jennifer "cheat" her condition.
She married her fiance David Wederell in September last year, but by February 2012 a malignant mass was found in her lungs.
"The shock immediately turned to anger in so far as all the risks were explained in the hour before her transplant and not once was the fact smoker's lungs would be used mentioned," said Mr Grannell.
"She was dying a death that was meant for someone else."
He has set up a Facebook group, Jennifer's Choice, to encourage non-smokers to sign up to the organ donor register.
The Royal Brompton and Harefield NHS Foundation Trust said: "It is very rare for patients to specify that they do not wish to be considered for clinically healthy lungs from smokers.
"This is because the risks are much higher if patients decline donor lungs from a former smoker, and decide to wait for another set of organs which are both a match for them and from a non-smoker, to become available.
"However, we recognise that Jennifer should have been given the opportunity to make this choice.
"We have apologised sincerely for this oversight.
"Regrettably, the number of lungs available for transplantation would fall by 40% if there was a policy of refusing those which have come from a smoker; waiting lists would increase and many more patients would die without a transplant."
http://www.bbc.co.uk/news/uk-england-essex-20762437
ramonmercado
CyberPunk
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With hindsight this was a staggeringly bad idea doe their hart was in the right place.
Mythopoeika
I am a meat popsicle
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- Inside a starship, watching puny humans from afar
I'd say the biggest risk for an animal like that would be potential transmission of ticks to patients.
ramonmercado
CyberPunk
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Mythopoeika said:
I'll tock to the nurses about that.
ramonmercado
CyberPunk
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OneWingedBird
Beloved of Ra
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Yeah, sadly that's a new one on me too. 
I imagine it's good for their performance indicators.
I imagine it's good for their performance indicators.
ramonmercado
CyberPunk
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'Dead' psychiatrist Anatta Nergui fit to work
http://www.bbc.co.uk/news/uk-scotland-g ... t-23289802
Dr Nergui was working at Wishaw General Hospital
A cannabis-smoking psychiatrist who asked his secretary to tell patients he was dead has been told by a tribunal he can return to work.
Dr Anatta Nergui was formerly known as Dr Shehzad Javed before changing his name by deed poll.
As Dr Javed, he worked at Wishaw General Hospital. He is currently working as a locum for Derbyshire NHS Trust.
A review hearing ruled he was now fit to return to unrestricted practice.
They said the medic had "gained full insight into his behaviour".
The Medical Practitioners Tribunal Service heard how he told a colleague: "Tell everyone that Shehzad Javed died in peace."
Continue reading the main story
“
Start Quote
The panel is satisfied that two consecutive periods of conditional registration have enabled you to gain full insight into your behaviour”
Carrie Ryan-Palmer
Tribunal panel chairwoman
In June 2009 he refused to go into work and made the bizarre phone call to his colleague and added: "It's not a suicide of the body, but a death of the mind."
He also sent two secretaries £100 gift vouchers thanking them for "being in his life".
Worried colleagues at the North Lanarkshire hospital were so startled they phoned the emergency services.
When police arrived at Dr Nergui's home on 9 June 2009, they found several cannabis plants and evidence that he had been smoking the drug.
Dr Nergui was called before his professional regulator in 2011 and admitted to growing and smoking cannabis as well as making the phone call and failing to see a psychiatrist a few days later.
He was allowed to continue working under conditions for 18 months and at a review hearing last year they were varied but extended for another 12 months.
At a further hearing, the panel was told Dr Nergui was now employed as a locum doctor by the Derbyshire NHS Trust after moving away from Scotland last year.
Grew cannabis
The panel agreed to remove his conditions and allowed him to return to work without restrictions.
Chairwoman Carrie Ryan-Palmer said: "It is clear, from the evidence provided to the panel, that you are making strenuous efforts to keep your clinical knowledge and skills up to date.
"The panel is satisfied that two consecutive periods of conditional registration have enabled you to gain full insight into your behaviour.
"In all the above circumstances, therefore, the panel has determined that your fitness to practise is no longer impaired by reason of your misconduct."
The General Medical Council (GMC), represented by Simon Phillips QC, presented evidence to the panel of Dr Nergui's compliance with conditions and continuing professional development.
He said: "Our position is that it is a matter for the panel whether or not the doctor's fitness to practise is impaired currently, having regard to the information both by the way of background and the evidence before it."
Dr Nergui addressed the panel only to say: "I think my only reason for bringing myself here today was to show the panel I'm here and it seemed to me that the previous panels made a reference that there was a lack of insight, that I had not engaged in previous meetings."
'Nameless one'
The 2011 hearing was told that Dr Nergui informed a secretary he had smashed his mobile phone against a wall because he did not need it any more and cancelled an order for a computer printer for his office, saying he had ordered it "out of greed, not need".
He was taken into custody on 9 June 2009 and assessed at Crosshouse Hospital, Kilmarnock, where he told a doctor he had smoked some home-grown cannabis the previous night and that he had used cannabis in the past.
The psychiatrist also admitted to drinking a bottle of vodka every one to two weeks.
During that interview, Dr Nergui said Dr Shehzad Javed had died and for the remainder of the conversation, he referred to Dr Javed in the third person.
He referred to himself as "Nergui - the nameless one".
Dr Nergui worked as a locum consultant psychiatrist for NHS Lanarkshire and NHS Ayrshire between 2004 and 2009.
At that time he was known as Dr Shehzad Javed until he officially changed his name to Anatta Nergui by Deed Poll on 3 August 2009.
He did not work in medicine for several years after he left his job in 2009 and took up his most recent post in March this year.
http://www.bbc.co.uk/news/uk-scotland-g ... t-23289802
Dr Nergui was working at Wishaw General Hospital
A cannabis-smoking psychiatrist who asked his secretary to tell patients he was dead has been told by a tribunal he can return to work.
Dr Anatta Nergui was formerly known as Dr Shehzad Javed before changing his name by deed poll.
As Dr Javed, he worked at Wishaw General Hospital. He is currently working as a locum for Derbyshire NHS Trust.
A review hearing ruled he was now fit to return to unrestricted practice.
They said the medic had "gained full insight into his behaviour".
The Medical Practitioners Tribunal Service heard how he told a colleague: "Tell everyone that Shehzad Javed died in peace."
Continue reading the main story
“
Start Quote
The panel is satisfied that two consecutive periods of conditional registration have enabled you to gain full insight into your behaviour”
Carrie Ryan-Palmer
Tribunal panel chairwoman
In June 2009 he refused to go into work and made the bizarre phone call to his colleague and added: "It's not a suicide of the body, but a death of the mind."
He also sent two secretaries £100 gift vouchers thanking them for "being in his life".
Worried colleagues at the North Lanarkshire hospital were so startled they phoned the emergency services.
When police arrived at Dr Nergui's home on 9 June 2009, they found several cannabis plants and evidence that he had been smoking the drug.
Dr Nergui was called before his professional regulator in 2011 and admitted to growing and smoking cannabis as well as making the phone call and failing to see a psychiatrist a few days later.
He was allowed to continue working under conditions for 18 months and at a review hearing last year they were varied but extended for another 12 months.
At a further hearing, the panel was told Dr Nergui was now employed as a locum doctor by the Derbyshire NHS Trust after moving away from Scotland last year.
Grew cannabis
The panel agreed to remove his conditions and allowed him to return to work without restrictions.
Chairwoman Carrie Ryan-Palmer said: "It is clear, from the evidence provided to the panel, that you are making strenuous efforts to keep your clinical knowledge and skills up to date.
"The panel is satisfied that two consecutive periods of conditional registration have enabled you to gain full insight into your behaviour.
"In all the above circumstances, therefore, the panel has determined that your fitness to practise is no longer impaired by reason of your misconduct."
The General Medical Council (GMC), represented by Simon Phillips QC, presented evidence to the panel of Dr Nergui's compliance with conditions and continuing professional development.
He said: "Our position is that it is a matter for the panel whether or not the doctor's fitness to practise is impaired currently, having regard to the information both by the way of background and the evidence before it."
Dr Nergui addressed the panel only to say: "I think my only reason for bringing myself here today was to show the panel I'm here and it seemed to me that the previous panels made a reference that there was a lack of insight, that I had not engaged in previous meetings."
'Nameless one'
The 2011 hearing was told that Dr Nergui informed a secretary he had smashed his mobile phone against a wall because he did not need it any more and cancelled an order for a computer printer for his office, saying he had ordered it "out of greed, not need".
He was taken into custody on 9 June 2009 and assessed at Crosshouse Hospital, Kilmarnock, where he told a doctor he had smoked some home-grown cannabis the previous night and that he had used cannabis in the past.
The psychiatrist also admitted to drinking a bottle of vodka every one to two weeks.
During that interview, Dr Nergui said Dr Shehzad Javed had died and for the remainder of the conversation, he referred to Dr Javed in the third person.
He referred to himself as "Nergui - the nameless one".
Dr Nergui worked as a locum consultant psychiatrist for NHS Lanarkshire and NHS Ayrshire between 2004 and 2009.
At that time he was known as Dr Shehzad Javed until he officially changed his name to Anatta Nergui by Deed Poll on 3 August 2009.
He did not work in medicine for several years after he left his job in 2009 and took up his most recent post in March this year.
Mythopoeika
I am a meat popsicle
- Joined
- Sep 18, 2001
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- 51,744
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- Inside a starship, watching puny humans from afar
It's a tad ironic that psychiatrists can often be nuttier than the general population...
- Joined
- Aug 7, 2001
- Messages
- 54,631
Major hospital blunders including 40 patients given surgery on wrong limb, revealed by official statistics
Almost 150 patients suffered from major errors which are so simple and serious that they are categorised as "never events"
By Laura Donnelly
10:49AM GMT 12 Dec 2013
Almost 40 NHS patients have undergone surgery on the wrong limb in a six-month period, according to new official statistics which reveal for the first time a catalogue of major hospital blunders.
Almost 150 patients suffered from major errors which are so simple and serious that they are categorised as "never events" between April and September.
They include 37 patients who had surgery on the wrong site, and 69 cases in which surgical instruments or swabs were left inside the body.
Total numbers of "never events" have been published before, but for the first time the statistics reveal the details of incidents, and record the hospitals with the highest numbers.
Newcastle upon Tyne Hospitals NHS Foundation trust recorded the highest number of incidents - four in six months, with two patients "retaining foreign objects" one suffering wrong site surgery and one being given the wrong type of prosthesis or implant during surgery.
Nine more trusts recorded three incidents each during the period. They were The Royal Wolverhampton NHS trust, West Middlesex University NHS trust, South Tees Hospitals NHS Foundation trust, Sheffield Teaching Hospitals NHS trust, Leeds Teaching Hospitals NHS trust, Barts Health NHS trust, University Hospitals of Morecambe Bay NHS trust, Gloucestershire Hospitals NHS Foundation trust and Norfolk and Norwich University Hospitals NHS Foundation trust.
After wrong site surgery and leaving foreign objects in patients, the most common major blunder was giving the wrong implant or prosthesis. This occurred 21 times.
There were five cases of misplaced feeding tubes causing death or severe harm. The wrong drugs and overdoses were given, and the wrong type of blood transfused, causing death or severe harm.
In total there were 148 "never events" at 102 NHS trusts and eight independent hospitals between April and September this year.
NHS England said the data shows that the number of never events recorded is broadly similar to last year.
Dr Mike Durkin, National Director of Patient Safety at NHS England, said: “Awareness in the NHS of these issues has never been greater and the quality of our surgical procedures has never been better. It follows that the risk of these things happening has never been smaller.
“Every single never event puts patients at risk of harm which is avoidable. People who suffer severe harm because of mistakes can suffer serious physical and psychological effects for the rest of their lives, and that should never happen to anyone who seeks treatment from the NHS."
He said the publication of figures for each NHS trust, with details of most of the major types of error, was being published in a bid to be more open and honest.
Dr Durkin said: "There are risks involved with all types of healthcare. And one of those risks – with the best will in the world and the best doctors, nurses and other healthcare professionals in the world - is that things can go wrong and mistakes can be made. This has always been the case, and it is true everywhere in the world.
“This publication is not about ‘naming and shaming’ - it is about telling the public about mistakes, and further ensuring that we talk about and learn from them. That is the way to minimise errors and take every step we can to drive unavoidable harm out of the NHS."
Overall, there were 69 cases where foreign objects were left inside patients, including 11 cases of surgical swabs, three cases where specimen retrieval bags were left inside, one patient who had wires left inside and another patient who was left with a needle in their body.
In one incident, a drill guide block was left inside the patient's body.
The figures also showed that 37 patients had the wrong part of their body operated on or treated.
This included four operations on the wrong tooth, an operation on the wrong toe, one patient who had an injection in the wrong eye and one case where a woman had the wrong fallopian tube removed during an ectopic pregnancy, probably rendering her infertile.
Another woman had a fallopian tube removed instead of her appendix.
Other details showed the wrong patient undergoing a heart procedure, and the wrong patient given an invasive colonoscopy to check their bowel.
In another case, the patient died as a result of failure to monitor their oxygen levels, while one woman died from heavy bleedin following a planned Caesarean section.
Another had the wrong type of gas given, resulting in the patient's death or severe harm, and one patient underwent surgery intended for someone else "due to incorrect results filed in notes".
Meanwhile, 21 patients were given the wrong implant or prosthesis. Seven patients were given the wrong dose of chemotherapy, resulting in harm, and five died or suffered severe harm after feeding tubes were inserted incorrectly by NHS staff.
In more than five cases, patients were given overdoses of drugs, with a weekly dose given in a single day.
The six-monthly figures are broadly comparable to last year's figures. In the previous 12 months, there were 325 never events, suggesting this year's number could be similar.
http://www.telegraph.co.uk/health/nhs/1 ... stics.html
Almost 150 patients suffered from major errors which are so simple and serious that they are categorised as "never events"
By Laura Donnelly
10:49AM GMT 12 Dec 2013
Almost 40 NHS patients have undergone surgery on the wrong limb in a six-month period, according to new official statistics which reveal for the first time a catalogue of major hospital blunders.
Almost 150 patients suffered from major errors which are so simple and serious that they are categorised as "never events" between April and September.
They include 37 patients who had surgery on the wrong site, and 69 cases in which surgical instruments or swabs were left inside the body.
Total numbers of "never events" have been published before, but for the first time the statistics reveal the details of incidents, and record the hospitals with the highest numbers.
Newcastle upon Tyne Hospitals NHS Foundation trust recorded the highest number of incidents - four in six months, with two patients "retaining foreign objects" one suffering wrong site surgery and one being given the wrong type of prosthesis or implant during surgery.
Nine more trusts recorded three incidents each during the period. They were The Royal Wolverhampton NHS trust, West Middlesex University NHS trust, South Tees Hospitals NHS Foundation trust, Sheffield Teaching Hospitals NHS trust, Leeds Teaching Hospitals NHS trust, Barts Health NHS trust, University Hospitals of Morecambe Bay NHS trust, Gloucestershire Hospitals NHS Foundation trust and Norfolk and Norwich University Hospitals NHS Foundation trust.
After wrong site surgery and leaving foreign objects in patients, the most common major blunder was giving the wrong implant or prosthesis. This occurred 21 times.
There were five cases of misplaced feeding tubes causing death or severe harm. The wrong drugs and overdoses were given, and the wrong type of blood transfused, causing death or severe harm.
In total there were 148 "never events" at 102 NHS trusts and eight independent hospitals between April and September this year.
NHS England said the data shows that the number of never events recorded is broadly similar to last year.
Dr Mike Durkin, National Director of Patient Safety at NHS England, said: “Awareness in the NHS of these issues has never been greater and the quality of our surgical procedures has never been better. It follows that the risk of these things happening has never been smaller.
“Every single never event puts patients at risk of harm which is avoidable. People who suffer severe harm because of mistakes can suffer serious physical and psychological effects for the rest of their lives, and that should never happen to anyone who seeks treatment from the NHS."
He said the publication of figures for each NHS trust, with details of most of the major types of error, was being published in a bid to be more open and honest.
Dr Durkin said: "There are risks involved with all types of healthcare. And one of those risks – with the best will in the world and the best doctors, nurses and other healthcare professionals in the world - is that things can go wrong and mistakes can be made. This has always been the case, and it is true everywhere in the world.
“This publication is not about ‘naming and shaming’ - it is about telling the public about mistakes, and further ensuring that we talk about and learn from them. That is the way to minimise errors and take every step we can to drive unavoidable harm out of the NHS."
Overall, there were 69 cases where foreign objects were left inside patients, including 11 cases of surgical swabs, three cases where specimen retrieval bags were left inside, one patient who had wires left inside and another patient who was left with a needle in their body.
In one incident, a drill guide block was left inside the patient's body.
The figures also showed that 37 patients had the wrong part of their body operated on or treated.
This included four operations on the wrong tooth, an operation on the wrong toe, one patient who had an injection in the wrong eye and one case where a woman had the wrong fallopian tube removed during an ectopic pregnancy, probably rendering her infertile.
Another woman had a fallopian tube removed instead of her appendix.
Other details showed the wrong patient undergoing a heart procedure, and the wrong patient given an invasive colonoscopy to check their bowel.
In another case, the patient died as a result of failure to monitor their oxygen levels, while one woman died from heavy bleedin following a planned Caesarean section.
Another had the wrong type of gas given, resulting in the patient's death or severe harm, and one patient underwent surgery intended for someone else "due to incorrect results filed in notes".
Meanwhile, 21 patients were given the wrong implant or prosthesis. Seven patients were given the wrong dose of chemotherapy, resulting in harm, and five died or suffered severe harm after feeding tubes were inserted incorrectly by NHS staff.
In more than five cases, patients were given overdoses of drugs, with a weekly dose given in a single day.
The six-monthly figures are broadly comparable to last year's figures. In the previous 12 months, there were 325 never events, suggesting this year's number could be similar.
http://www.telegraph.co.uk/health/nhs/1 ... stics.html
ramonmercado
CyberPunk
- Joined
- Aug 19, 2003
- Messages
- 58,314
- Location
- Eblana
An internal inquiry won't suffice.
Queen Elizabeth Hospital surgeon suspended over 'branding' claim
http://www.bbc.co.uk/news/uk-england-bi ... m-25508672
Queen Elizabeth Hospital, Birmingham
University Hospitals Birmingham NHS Foundation Trust is investigating the allegation
A doctor has been suspended over allegations he "branded" his initials on to a patient's liver.
University Hospitals Birmingham NHS Foundation Trust confirmed it is investigating the claims made against a surgeon at the Queen Elizabeth Hospital in Birmingham.
The letters were reportedly found by a colleague during a routine operation.
The trust said the surgeon had been suspended until an internal investigation is completed.
Queen Elizabeth Hospital surgeon suspended over 'branding' claim
http://www.bbc.co.uk/news/uk-england-bi ... m-25508672
Queen Elizabeth Hospital, Birmingham
University Hospitals Birmingham NHS Foundation Trust is investigating the allegation
A doctor has been suspended over allegations he "branded" his initials on to a patient's liver.
University Hospitals Birmingham NHS Foundation Trust confirmed it is investigating the claims made against a surgeon at the Queen Elizabeth Hospital in Birmingham.
The letters were reportedly found by a colleague during a routine operation.
The trust said the surgeon had been suspended until an internal investigation is completed.
OneWingedBird
Beloved of Ra
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- Aug 3, 2003
- Messages
- 15,431
Sweet mother of god. :shock: And the rest of the theatre team stood there and watched him do that presumably? :shock: :shock:
- Joined
- Jul 31, 2001
- Messages
- 5,823
No nurse, I said prick his boil.
- Joined
- Aug 7, 2001
- Messages
- 54,631
Sir Lancelot Spratt is still going strong!escargot1 said:
https://twitter.com/spratt_lancelot
"Can't be doing with CT scans when you can have a look for yourself."
escargot
Disciple of Marduk
- Joined
- Aug 24, 2001
- Messages
- 43,455
- Location
- HM The Tower of London
One of my nieces is a senior operating theatre technician. When she was training one of the surgeons used to grab her and thrust it into patients' abdomens, roaring 'Get in there, girl! FEEL that tumour!'
That may've been him. :lol:
That may've been him. :lol: