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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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
A study by TMLEP shows that in these instances when a child is presenting with prolonged headaches, vomiting, and dizziness, a CT scan should be considered. It is important to consider that a CT scan can not only diagnose, but also rule out differential diagnoses such as tumours or other…
Read Article 13 Apr 2021
Before COVID-19, long waiting lists for plastic surgery for non-urgent cases were not unheard of, with clinic appointments taking place anywhere between 1-12 weeks from referral and from thereon, up to 6 months waiting for the operation itself.
Read Article 30 Mar 2021
The field of acute medicine has historically been extremely busy, even before COVID-19, with clinicians accustomed to patients presenting with an array of medical issues and complications, all requiring a quick diagnosis so that they can be cared for by the right clinicians.
Read Article 15 Mar 2021