Helping to improve clinical risk, reduce litigation risk and improve healthcare standards.

Helping Manage Clinical Risk, Reduce Litigation Risk and Improve Healthcare Standards

Our latest clinical risk alerts are based on advanced claims intelligence provided by our Lead Clinical Partner, TMLEP. These are provided to all our policyholders to help keep clinical practice reactive to emerging clinical risk trends, ensuring we can help create a safer clinical world. Please feel free to browse a selection of our recent alerts below.

Sepsis management in paediatrics

The Importance of Early Action in Sepsis Management with Paediatrics

Sepsis can lead to a range of complications. Most critically, it is commonly fatal, particularly if the diagnosis is delayed, or in patients with other significant health problems. Early recognition and interventions as above will give patients the best chance of survival.

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The Importance of Cautious Monitoring of the Fluid Balance in Patients with Acute Kidney Injury

The Importance of Cautious Monitoring of the Fluid Balance in Patients with Acute Kidney Injury

Acute kidney injury (AKI) is now the preferred term for what used to be called “acute renal failure”. It is defined by an acute change in kidney function determined either by changes in the serum creatinine or reduction in the urine output into the oliguria range.

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Hyponatraemia

Managing Hyponatraemia

It is imperative that if hyponatraemia is suspected or diagnosed that clinicians provide appropriate care by arranging appropriate investigations, arranging a referral to an appropriate specialist such as an endocrinologist and/or admitting the patient to hospital for treatment.

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Caudal Epidural

Undertaking Caudal Epidural in Patients on Rivaroxaban

Caudal epidural injections run the risks of infection, bleeding, nerve injury and intraspinal injection. These risks are higher when patients are on antiplatelet agents and Rivaroxaban, and such should be considered with the patient during the consenting process.

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Knee Surgery

Total Knee Replacement and its Alternatives

Total Knee Replacements (TKR) are a surgical procedure whereby an artificial joint/prosthesis replaces a damaged knee joint. It is important for all conservative measures to be exhausted before proceeding to this due to the likelihood of postoperative pain.

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Caesarean section

The Importance of Pre-Labour Counselling for Caesarean Section

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.

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Mr Charles Willis-Owen BM BCh MA (Hons Oxon) MFSEM (UK) FRCS (Tr & Orth), Consultant Orthopaedic Surgeon Royal Bournemouth Hospital

Enhancing Risk Management for Policyholders

By offering policyholders complimentary access to the very latest healthcare analytics updates from TMLEP, policyholders are kept up to date with access to clinical risk alerts that may impact their practice. As a THEMIS policyholder, this keeps clinical practice responsive to emerging trends that could lead to claims.

Mr Charles Willis-Owen BM BCh MA (Hons Oxon) MFSEM (UK) FRCS (Tr & Orth), Consultant Orthopaedic Surgeon Royal Bournemouth Hospital
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