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.

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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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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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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