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

This case study considers the delay in the diagnosis and management of a suspected caesarean section scar pregnancy and the subsequent risks of potential recurrence and risks to patient health.

In this Clinical Risk Alert, THEMIS’ Lead Clinical Partner, TMLEP highlight this case from an alleged failure by a rehabilitation team to refer a patient back to the surgical team and/or involve an infectious diseases specialist following a post-operative complication of a MRSA infection to a knee replacement.

This case arises from an alleged failure to update local guidance in a timely fashion following changes to national guidance. The patient, who had sadly suffered a stillbirth, developed a DVT following delivery. She had not received postnatal thromboprophylaxis in accordance with current national guidance.

A team of clinicians have studied the incidence and significance of pharyngolaryngeal and oesophagogastric cancer referrals initially presenting within other specilities such as gastroenterology and otolaryngology.

In this Clinical Risk Alert, THEMIS’ Lead Clinical Partner, TMLEP looks at Incorrect catheter changes in males and trauma to the urethra/prostate have the potential not only to cause discomfort and bleeding but also serious urinary tract infections which can be very dangerous, particularly to elderly patients.

In this Clinical Risk Alert, THEMIS’ Lead Clinical Partner, TMLEP, highlights that mental health is a complex issue. Suicide is the single most common cause of death in correctional settings. The challenge for suicide prevention is to identify those people who are most vulnerable and intervene effectively.