Case Studies

  • Failure to prevent MRSA results in Amputation December 7, 2018 Posted in: Case studies - Mrs K slipped on ice injuring her left knee.   At hospital she was told she needed surgery to repair her patella tendon was required. Unfortunately the hospital failed to follow their own infection control procedures and did not properly decolonise her.  This means they did not clean the relevant areas where she may have been Continue Reading
  • Delay in Diagnosing Stomach Cancer November 1, 2018 Posted in: Case studies - Catherine was 53 when she died of stomach cancer.  2 years earlier her GP had referred her to hospital after she went to see him complaining of a feeling of fullness in her tummy.  She had an endoscopy, and biopsy, and was told all was clear and that she probably just had an ulcer.  This Continue Reading
  • District Nurses mismanagement of pressure sore leads to death of disabled patient October 4, 2018 Posted in: Case studies - Mrs R was a mother of 3 in her early 50s and suffering from Multiple Sclerosis when she developed a pressure sore to her sacrum.  This was identified during an admission to hospital.  When she was fit to be discharged arrangements were made for the community nursing team to manage the sore. Despite identifying the Continue Reading
  • Failing to act on abnormal Echocardiogram leads to heart failure September 3, 2018 Posted in: Case studies - Mr P was referred to a Consultant Respiratory Physician at James Cook University Hospital after developing shortness of breath and a cough in 2014.  Over the next 3 months the Consultant arranged a series of investigations including an Echocardiogram (Echo).  This showed Mr P had a mild left ventricular systolic impairment. Mr P was told Continue Reading
  • Avoidable pressure injuries admitted by hospital as part of their duty of candour September 3, 2018 Posted in: Case studies - Mrs P, an 80 year old lady at the time of treatment, developed severe pressure injuries to her heels and buttock whilst an inpatient at the James Cook University Hospital.  The pressure sore to her right heel was particularly serious, requiring multiple courses of antibiotics due to infection of the bone, hospitalisation, surgical debridement and Continue Reading
  • No action on suspicious chest x-rays at James Cook University Hospital in the Summer of 2016 July 2, 2018 Posted in: Case studies - SB was only 54 when she died of lung cancer.  A Wife and Mother.  Five months earlier she had been admitted to hospital complaining of chest pains.  She had a chest x-ray which revealed a tumour with a recommendation for an urgent CT scan.  Regrettably SB was not informed of the results and advice for Continue Reading
  • Premature death of County Durham lung cancer patient June 1, 2018 Posted in: Case studies - Mrs N was aged 69 when she developed pain in her right shoulder blade.  Her GP arranged for her to have a chest x-ray at a local hospital in April 2013 and this was reported as normal. Mrs N’s back pain continued.  By the end of 2013 she was suffering some breathing difficulties which were Continue Reading
  • Failure to monitor fetal heart beat leads to stillbirth March 8, 2018 Posted in: Case studies - Mrs P was 38 weeks pregnant with her second child, a daughter, when she became concerned that she that she had not felt the baby move.  She was referred to hospital by her community midwife and a Consultant Obstetrician admitted her to hospital for the her labour to be induced.  This decision was reversed later Continue Reading
  • Surgery abandoned due to a lack of beds October 9, 2017 Posted in: Case studies - Due to abdominal pain Mr M was scheduled to have his gall bladder removed at the James Cook University Hospital in early 2015. It was intended that this procedure would be “keyhole” surgery with the option to convert to open surgery should this become necessary. If the “keyhole” surgery was successful then Mr M would Continue Reading
  • Pressure sores whilst in intensive care August 4, 2017 Posted in: Case studies - Mrs J was admitted to hospital in October 2012 with sepsis and multi organ failure and she was not expected to survive.  She required admission to the intensive care unit where she remained for 2 months, for much of which she was in a coma.  Fortunately, she pulled through but when she regained consciousness, she Continue Reading