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Showing results for tags 'Patient death'.
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News Article
Respiratory syncytial virus kills 100,000 under-fives every year
Patient Safety Learning posted a news article in News
Respiratory syncytial virus is killing 100,000 children under the age of five every year worldwide, new figures reveal as experts say the global easing of coronavirus restrictions is causing a surge in cases. RSV is the most common cause of acute lower respiratory infection in young children. It spreads easily via coughing and sneezing. There is no vaccine or specific treatment. RSV-attributable acute lower respiratory infections led to more than 100,000 deaths of children under five in 2019, according to figures published in the Lancet. Of those, more than 45,000 were under six mont- Posted
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- Influenza / pneumonia
- Infection control
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News Article
Blackpool death: Abortion sepsis risk training inadequate
Patient Safety Learning posted a news article in News
Doctors are receiving "inadequate" training about the risk of sepsis after a mother-of-five died following an abortion, a coroner has warned. Sarah Dunn, 31, died of "natural causes contributed to by neglect" in hospital on 11 April 2020, an inquest found. Assistant coroner for Blackpool and Fylde, Louise Rae, said Ms Dunn had been treated as a Covid patient even though the "signs of sepsis were apparent". Her cause of death was recorded as "streptococcus sepsis following medical termination of pregnancy". In her record of inquest, the coroner noted Ms Dunn was admitted to- Posted
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Content Article
Matter of concerns: Inadequate training of doctors and other medical professionals re the risk of sepsis following Early Medical Terminations. Evidence from a wide range of clinicians who had cared for Sarah in March and April 2020 echoed each other. The clinician evidence revealed a common theme of lack of training, knowledge or experience on the part of physicians and medical staff (including GPs, pharmacist and acute hospital doctors) regarding the rare risk of sepsis following Early Medical Termination. The hospital trust accepted that at the time of Sarah’s death, there was confirmat- Posted
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- Coroner
- Coroner reports
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News Article
Shrewsbury and Telford NHS Trust admits failures after two patients die
Patient Safety Learning posted a news article in News
A hospital trust has pleaded guilty to failures in care that contributed to the deaths of two patients. One of the charges related to the death of patient Mohammed Ismael Zaman in 2019 at the Royal Shrewsbury Hospital. The 31-year-old died of severe blood loss while undergoing dialysis, Telford Magistrates' Court heard. Max Dingle, in his 80s, died after his head became trapped between a mattress and bed rail while he was being treated at the Royal Shrewsbury Hospital. Shrewsbury and Telford Hospital NHS Trust (SaTH) admitted three counts of failing to provide treatment and- Posted
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- Patient death
- Patient harmed
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News Article
Death toll of autism and learning disability patients revealed
Patient Safety Learning posted a news article in News
Fourteen patients with autism or learning disabilities have died since 2015 while detained in psychiatric facilities in Scotland, figures reveal. The statistics were released for the first time by Public Health Scotland (PHS) following a parliamentary question by Scottish Conservative MSP Alexander Burnett, who has campaigned to end the “national scandal” of otherwise healthy people being locked up for months or years due to a lack of community-based support. The PHS report does not detail the causes of death, but does show that seven of the deaths occurred in patients who had been- Posted
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- Patient death
- Autism
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News Article
RaDonda Vaught was sentenced to three years of supervised probation on the 13 May for a fatal medication error she made in 2017 while working as a nurse at the Vanderbilt University Medical Center in the USA. In remarks made during the sentencing hearing, Ms. Vaught expressed concerns over what her case means for clinicians and patient safety reporting. "This sentencing is bound to have an effect on how [nurses] proceed both in reporting medical errors, medication errors, raising concerns if they see something they feel needs to be brought to someone's attention," she said. "I worry -
News Article
Scandal-hit heart surgery unit warned for third time over ‘toxic’ culture
Patient Safety Learning posted a news article in News
Junior doctors have been prevented from returning to scandal hit heart surgery unit previously criticised over “toxic” culture, The Independent has learned. A coroner defended cardiac surgery at St George’s University Hospital, criticising an NHS-commissioned review into 67 deaths that warned of poor care. However, The Independent has learned the unit received a critical report from Health Education England (HEE), the body responsible for healthcare training, just last year. The NHS authority was so concerned about culture problems and “inappropriate behaviour” within the unit t- Posted
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- Surgery - Cardiothoracic
- Organisational culture
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Content Article
Kit Tarka, my beautiful baby boy, was born healthy but admitted into special care shortly after birth. He died from the herpes virus (HSV-1) at just 13 days old. Herpes was not suspected in Kit until he arrived, extremely unwell, at the neonatal intensive care unit and someone asked if my partner James or I had had a cold sore recently. I had never had one in my life and my James hadn’t for many years. But by then it was too late. Kit never received the antivirals he needed to save his life. A diagnosis of herpes wasn’t confirmed until the day after he died. Seeking answers- Posted
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- Infection control
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Content Article
Coroner's concerns There were excessive delays in handing over patients at hospital. The West Midlands Ambulance Service Serious Incident report found that there were excessive handover of patients at the Royal Stoke University Hospital, with some holding for over 4 hours. This impacted on the ability of the West Midlands Ambulance Service getting to patients. Oral evidence was given to the effect that this was a national issue, and not limited to the acute trusts within the West Midlands.- Posted
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- Coroner
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News Article
Nurses take to streets ahead of RaDonda Vaught sentencing
Patient Safety Learning posted a news article in News
Nurses from across the country are heading to Washington, D.C., and Nashville, Tenn., this week to march for better working conditions and to show support for nurse RaDonda Vaught. Ms. Vaught, 38, was convicted of criminally negligent homicide and abuse of an impaired adult for a fatal medication error she made in December 2017 after overriding an electronic medical cabinet as a nurse at Vanderbilt University Medical Center in Nashville. Her case has spurred a national outcry from nurses who argue the ruling sets a dangerous precedent for the profession and will discourage nurses from sp -
News Article
US overdose deaths hit record 107,000 last year, CDC says
Patient Safety Learning posted a news article in News
More than 107,000 Americans died of drug overdoses last year, setting another tragic record in the nation’s escalating overdose epidemic, the Centers for Disease Control and Prevention (CDC) estimated Wednesday. The provisional 2021 total translates to roughly one U.S. overdose death every 5 minutes. It marked a 15% increase from the previous record, set the year before. The CDC reviews death certificates and then makes an estimate to account for delayed and incomplete reporting. Dr. Nora Volkow, director of the National Institute on Drug Abuse, called the latest numbers “truly stagg- Posted
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- USA
- Substance / Drug abuse
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News Article
Senegal midwives convicted over mother's death
Patient Safety Learning posted a news article in News
Three Senegalese midwives involved in the death of a woman in labour have been found guilty of not assisting someone in danger. They received six-month suspended sentences, after Astou Sokhna died while reportedly begging for a Caesarean. Her unborn child also died. Three other midwives who were also on trial were not found guilty The case caused a national outcry with President Macky Sall ordering an investigation. Mrs Sokhna was in her 30s when she passed away at a hospital in the northern town of Louga. During her reported 20-hour labour ordeal, her pleas to doctors to c -
News Article
Heart surgery patients in London have died “unnecessarily” and faced increased risk of death as botched NHS investigations into dozens of deaths reduced a hospital’s ability to treat people, a coroner has warned. “Unnecessary” patient deaths have occurred as a result of heart surgery at St George’s University Hospital Trust being restricted and emergencies diverted to other “over stretched” hospitals, following investigations by national NHS bodies. The warning that deaths have occurred and may occur in the future, comes following the conclusion of a series of inquest hearings in Mar- Posted
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- Investigation
- Medicine - Cardiology
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Content Article
Everyone who works in health and social care should listen to this podcast in full. I've followed Will's search for justice and I am proud to know Will. A man of great integrity who is campaigning for an individual #dutyofcandour in #healthcare, for the benefit of us all. I remain shocked, when I teach on this, how few know Robbie's story. There has been so much lost learning, a failure of accountability, and a failure to deliver an effective statutory duty of candour. For me, this appalling story of failure and cover up highlights clearly why we have to recognise the value of w- Posted
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- Medication
- Patient death
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News Article
Families dismay at interim report plans despite review ‘chaos’
Patient Safety Learning posted a news article in News
Families involved in a major review into maternity failings at Nottingham University Hospitals Trust (NUH) have criticised the decision of the review team to press ahead with the publication of an interim report, despite serious concerns about its terms of reference and methodology. A “thematic review” into NUH was first announced last year after reports that dozens of babies died or were brain damaged after errors were made at the trust over the last decade. More than 460 families have since contacted the review team. The review has been overseen by NHS England and local commissione- Posted
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- Reporting
- Investigation
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News Article
Plymouth maternity staff missed chances to save baby’s life, report finds
Patient Safety Learning posted a news article in News
A baby died after maternity staff repeatedly missed chances to intervene to save his life, an official investigation has found. Giles Cooper-Hall was just 16 hours old when he died after a catalogue of errors in the maternity care of his mother, Ruth Cooper-Hall, at Derriford hospital in Plymouth. A Healthcare Safety Investigation Branch (HSIB) report into the incident has exposed how inexperienced and overstretched staff failed to carry out proper checks, recognise there was an emergency or seek help from senior doctors until it was too late. It comes just weeks after the indep -
Content Article
The independent review team found that patients, staff and visitors with compromised immune systems were exposed to risks which could have been lower if the correct design, build and commissioning had taken place. However, the report also says that since the building’s opening, measures have been put it place or are underway to ensure a sustained reduction in these risks. The report also identifies a number of other issues which arose as a result of the infections, including the effect on public confidence, disruption to treatments, additional workloads for infection prevention and c- Posted
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- Infrastructure / building / equipment
- Infection control
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News Article
‘Staff holidays’ delay death review by up to nine months
Patient Safety Learning posted a news article in News
A coroner has expressed ‘serious concern’ after a trust-wide safety review – prompted by the death of a young mother – was delayed by up to nine months due to ‘staff holidays’. An inquest heard that 25-year-old Natasha Adams, who died by suicide in August 2021, had had her level of care downgraded by Birmingham and Solihull Mental Health Foundation Trust a month earlier, in July, something her family suggested had a “dramatic impact”. She was moved from a “care programme approach” (known as CPA, which involves enhanced care for people with complex needs and/or safety concerns) to “ca- Posted
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- Coroner
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News Article
WHO claims true global death toll from pandemic is nearly 15 million
Patient Safety Learning posted a news article in News
Almost 15 million people have died as a result of the Covid-19 pandemic around the world, new figures from the World Health Organisation (WHO) reveal. Estimates from the WHO show that the number of excess deaths associated directly or indirectly with the pandemic between 1 January 2020 and 31 December 2021 was approximately 14.9 million – 13% more deaths than normally expected over a two-year period. Excess mortality is calculated as the difference between the number of deaths that have occurred and the number that would be expected in the absence of the pandemic, based on data from -
News Article
Baby death mother 'was not seen by obstetrician'
Patient Safety Learning posted a news article in News
A woman whose baby died after sustaining severe brain damage during labour was not seen by an obstetrician during her pregnancy, an inquest heard. It meant his mother Eileen McCarthy was unable to discuss her birthing options. Walter German was starved of oxygen during a long labour at the Royal Sussex County Hospital in Brighton. Lawyers at Fieldfisher are pursuing a civil negligence case, claiming a C-section should have been offered due to a previous third-degree tear. Walter was born in December 2020. His life-support was turned off after nine days, as his injuries were unre- Posted
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- Baby
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