One man has been mistakenly circumcised when surgeons mixed his notes up with a different individual, an NHS report has revealed.
The individual, who has not been named, was scheduled to have a cystoscopy – a process that uses a thin camera to test within the bladder. Quitedifferent to having your foreskin removed afterward, yeah?
How did this possibly happen though? Well, it might seem that surgeons wrongly mixed up his medical notes with another patient last September.
The mistake was among eight’never occasions’ which happened at University Hospital of Leicester NHS Trusts final year.
Leicester City Clinical Commissioning Group (LCCCG) also revealed a swab was left inside a child after nasal surgery in a few of those events which should’never’ happen.
Back in April, another patient also had surgery planned for another guy with a similar name.
The report said:”Failure to demonstrate learning never events has been an issue for Leicester, Leicestershire and Rutland commissioners and partners for some time.
“The CCG plays an significant part in continuing to support UHL to attain their quality and security ambitions and intends to perform this modelling the thorough and collaborative approach described inside the CQC report.
“This will be accomplished through continuing to reinforce our relationships and aligning our advancement approach around a common group of clinical priorities”
The trust say never occasions are’serious, largely preventable security incidents which should not happen if the available preventative measures are implemented’.
Moira Durbridge, director of safety and risk in Leicester’s Hospitals stated:”We remain deeply and really accountable to all those patients involved, and of course we’ve apologised to each and every one.
“We are dedicated to improving and learning and also have enshrined this work to our medical priorities within our Quality Strategy for 2019/20.”
Listed below are eight of the never events out of 2018: First up is January – if a patient was wrongly attached to atmosphere flow-meter rather than oxygen.
I had an surgery, my surgeon came to see me y’understand, to check exactly what he was doing, put my mind at ease – the normal, I believed.
1 man was not as lucky though after he had been wrongly circumcised when bungling surgeons blended his notes up with a different individual, an NHS report has revealed.
The individual, who has not been named, was advised to have a cystoscopy – a procedure which uses a slender camera to examine inside the bladder. Quitedifferent to getting your foreskin removed afterward, yeah?
How did this happen though? It might seem that surgeons wrongly mixed his medical notes with a different patient last September.
The mistake was one of eight’never occasions’ which took place at University Hospital of Leicester NHS Trusts final year.
The circumcision was carried out last year (picture is stock). Charge: PA
Back in April, another patient also had surgery planned for another guy with a similar name.
The report said:”Attempting to demonstrate learning from never events has been a concern for Leicester, Leicestershire and Rutland commissioners and spouses for some time.
Stock picture of NHS hint.
“The CCG plays an significant role in continuing to support UHL to achieve their quality and safety ambitions and plans to do this modelling the comprehensive and collaborative approach described inside the CQC report.
“This can be achieved through continuing to reinforce our relationships and aligning our improvement approach around a frequent set of clinical priorities”
The trust say never events are’severe, largely preventable security events that should not happen if the accessible preventative measures are implemented’.
Moira Durbridge, director of safety and risk at Leicester’s Hospitals stated:”We remain deeply and really accountable to those patients involved, and of course we’ve personally apologised to each and every one.
Here are all eight of those never events from 2018: First up is January – if a patient has been wrongly connected to air flow-meter instead of oxygen. A air flow-meter measures how much air is flowing through a tube…
The second incident happened in March when a swab was left in child who had adenoidectomy (sinus surgery ).
Next up occurred a month later in April: that the patient was wrongly connected to air flow-meter rather than oxygen. Are you getting déjà vu too, or is it only me?
Then there was another never event in April in which medics mixed-up notes of men with similar names meaning that a patient had the wrong operation.
In May if a patient had the incorrect surgery after there was a blunder with the consent form process.
Shortly after in June, surgeons wrongly indicated a patient to get an angiogram – that is a test that allows your doctor to check inside your coronary arteries. Your coronary artery transport blood into and out of their cardiac muscle.
Eventually comes November if a patient had a cool nail implanted in the wrong side.
Featured Picture Credit: SWNS