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.

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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B-Lynch Suture

The Significance of Placing a B-Lynch Suture Correctly

A B-Lynch Suture is a form of ‘uterine compression’ suture used in Obstetrics. B-Lynch Sutures are not the most common form of care when faced with a haemorrhaging patient, and in fact, are often only used when a uterus is post-delivery and the uterine atony has not resolved following the use of uterotonics.

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Side Effects of Mirtazapine

Mirtazapine is an antidepressant medicine which is used to treat depression and sometimes Obsessive Compulsive Disorder and anxiety. It is used to improve a person’s mood and well-being. It works by restoring the balance of neurotransmitters in the brain. This is a prescription only medication which can come in either tablet or liquid form.

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a Series: COVID-19 and its Impact on the NHS - Obstetrics

The Significance of Initiating Further Tests for Children Presenting with Lethargy

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 mucocutaneous lymph node syndrome – mainly affecting children under 5). Lethargy in children should be seen as an emergency and the patient should not be discharged without the cause of this being fully investigated.

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X-ray hand

The Importance of Flagging Abnormal X-ray Findings that are Not Detected in the Emergency Department

THEMIS’ Lead Clinical Partner, 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 minimize any further damage.

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Wound Packing

A Reminder of The Significance of Removing Wound Packing

Packing wounds is integral to the patients 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 obstructing the pus from leaving the cavity.

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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