A recent BBC report
has revealed that across NHS hospitals there have been more than 750
‘never events’. These are medical accidents which have serious
implications but which are also quite preventable and therefore should
never happen.
These ‘never events’ include:
• Retained foreign object post operation – where surgical sponges, swabs or utensils are left behind in a patient.
• Wrong site surgery – when the wrong body part is operated on.
•
Misplaced naso-or oro-gastric tubes – where a tube going from the nose
or mouth to the stomach is inserted in such a way that it is misplaced.
• Wrong implant/ prosthesis – the wrong implant of prosthesis being used.
• Air embolism – when an air bubble gets into the circulatory system causing obstructions.
The worst offending hospitals listed by the BBC are below:
Barts
Health NHS Trust - 11 errors, four cases of retained foreign object
post-operation, three wrong site surgery errors, two misplaced naso-or
oro-gastric tubes, one wrong implant/prosthesis and one air embolism.
Guy's
and St Thomas' NHS Foundation Trust had 15 errors, eight of these were
wrong site surgery and there were an additional four cases of retained
foreign objects and two cases where the wrong implant/prosthesis were
used, additionally there was also a misplaced naso-or oro-gastric tube
error.
Imperial
College Healthcare NHS Trust had 11 errors, including eight retained
foreign object post-operation, two were wrong site surgery and one cases
of a misplaced naso-or oro-gastric tube.
Mid Essex Hospital
Services NHS Trust had 11 incidents, being being retained foreign object
post-operation, two were misplaced naso-or oro-gastric tubes, and they
had one case of maladministration of Insulin, and also one wrong site
surgery.
Nottingham
university hospitals NHS Trust had 13 errors, eight retained surgical
objects post-operation, four wrong site surgeries and one wrong route
administration of chemotherapy.
Plymouth
Hospitals NHS Trust had 14 errors, six being retained foreign bodies,
four cases of the wrong body part being operated on, two patients had
misplaced naso-or oro-gastric tubes, maladministration of insulin to one
patient and maladministration of potassium fluids to another.
West
Hertfordshire Hospitals had 11 errors in total, five were wrong site
surgery, five were retained foreign objects and they had one case of a
misplaced naso/oro-gastric tube.
The
United Lincolnshire Hospitals NHS Trust had 12 errors, four of which
were objects left in after surgery, three were wrong site surgery, two
were wrong implants, two were transfusions of incompatible blood types
and the maladministration of potassium fluids to one patient.
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