Thursday, January 08, 2009

Surgeons who leave operating equipment inside patients cost NHS 9m pounds

Patients who leave operating theatres with surgical equipment accidentally left inside them are being awarded millions of pounds in compensation. About two people a week find surgeons have left behind foreign objects such as surgical swabs, clips and screws, according to Government figures released after a Freedom of Information request. And with the average victim pocketing 17,900 pounds, the mistakes have cost the NHS a total of o9million over the past five years, with payouts made to more than 550 patients.

In the past year, the highest payouts were 115,000 to a person who had the tip of a needle left inside them, 75,000 to a patient who later found a surgical clip and 60,000 to someone who still had `packaging material' inside them after an operation. The total compensation bill during 2007-2008 for such incidents was 2.2million, considerably more than the 1.4million awarded in 2003-2004, even though the number of incidents has not increased. The average payment has also risen from 15,000 just under two years ago. In 2006-2007, the damages reached a record level of 2.6million paid to 149 patients, including 119,000 to one patient found to have had a swab left behind and 100,000 to another who had a clip left inside them.

One victim was grandmother Gladys Condlyffe, 71, from Porthill, Staffordshire, who died in 2005 after surgeons accidentally left a plastic stent - a small pipe - inside her for seven years after a routine gall bladder operation. She died 12 hours after an operation to have it removed at the University Hospital of North Staffordshire. In 2007, two new mothers were sent home from Birmingham's City Hospital with surgical swabs inside them after bungled emergency caesareans.

Experts suggest the level of claims is just the tip of the iceberg, as many people do not discover a mistake unless it causes a problem, often years later. The incidents generally happen as a result of oversights by doctors under pressure in `stressful situations', such as emergency operations. Overweight patients are also more likely to be affected because their extra body mass can make it more difficult to spot tools that have been left behind.

Peter Walsh, chief executive of the patients' charity Action Against Medical Accidents, said the figures were scandalous and disappointing. He added: `These incidents are all easily avoidable. They are only the cases where compensation has been paid. You can safely assume there are many more out there where people have not brought cases for compensation.' And Susie Squire, campaign manager at the TaxPayers' Alliance, said: `All available funds should be put into improving frontline health services, not spent on paying out for costly and easily avoidable cock-ups.'

A list of `never events' - those which are serious and largely preventable - drawn up by the National Patient Safety Agency after Lord Darzi's review of the NHS, is currently out for consultation. It includes objects being left in the body after an operation. Kevin Cleary, the NPSA's medical director, said: `The World Health Organisation has started a Safer Surgery Saves Lives campaign that includes a checklist for surgical teams to help avoid such blunders.'


Australia: Three deaths blamed on public hospital overcrowding

QUEENSLAND Health has linked three deaths of mental patients in the past two months to overcrowding at the crisis-ridden Logan Hospital . "Capacity management" issues have been blamed for the fatalities involving the hospital's mental health unit since late October. A leaked internal report prepared for Queensland Health hierarchy shows that the deaths were "potentially related" to overcrowding, with 16 patients waiting for a bed on December 4. "The number of presentations is consistently higher than the number of discharges," the report said.

The revelations come after a top Logan Hospital doctor enlisted by Premier Anna Bligh to advise her about health issues quit three months ago because the hospital was "too dangerous and dysfunctional".

Health Minister Stephen Robertson ordered independent coroner's and internal investigations into all three deaths. "I always feel very sad when I receive reports of mental health patients who, for one reason or another, treatment doesn't help," Mr Robertson said. "That's why I am keen to have these cases investigated."

The first patient absconded from the busy inpatient unit on October 28 and was later found dead at Brisbane's Fairfield Railway Station. Another patient escaped from the emergency department on November 11 during an assessment and was later found dead. The third on November 25 occurred shortly after a patient was sent to a motel due to "accommodation issues". The patient's family has lodged a complaint but Mr Robertson said his department went beyond what was required as the patient was homeless.

Opposition health spokesman Mark McArdle has questioned why the minister had not been transparent and told the public about the cases, given he had known about them for weeks. "These are people dying and it is this minister's and this Government's inability to plan and resource our public hospitals properly," Mr McArdle said.

Queensland Health has allocated an extra $6.6 million annually since 2007 to fund an extra 53 mental health staff across the southside of Brisbane. A 16-bed community care unit is also being planned.


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