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#IamHadiza: GPs share stories of when it could have been them

’A sodium chloride drip would probably have saved him’

'A sodium chloride drip would probably have saved him’ 


'A colleague told me they happened to have checked a patient’s notes for something and they realised I had forgotten to send a 2 week wait urgent cancer referral form’ 


'I inexplicably sent him to a medical rather than a surgical ward where he almost exsanguinated… he survived, no thanks to me’ 


'I will never forget the scream from his daughter as he arrested in front of her in a cubicle' 


'I agreed it was a viral rash. The patient was later admitted with meningococcal septicaemia' 


'I diagnosed probable chest infection. Later that evening he was admitted with heart failure due to a myocardial infarction' 


'The list was unrelenting. And I overdosed a baby with antibiotics' 


'A baby on special care did not have blood results monitored properly and when eventually checked the bilirubin level was found to be extremely high' 


'A series of clinical errors involving several clinicians, together with the pressure of inadequate staffing levels leading to rushed care, had resulted in an avoidable death. It haunts me to this day' 


'A&E wanted the drunk patient out. After sobering up in the morning, the patient still had focal neurology. An MRI scan revealed a spinal cord lesion' 


'I was suturing up an episiotomy only having seen one done before. The stitches fell apart the next day'


'She had had serious type 1 reactions before and this incorrect information could have led to her death' 


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Readers' comments (25)

  • Consultants should be the ones leading reform by challenging the systems that currently exist. On occasion I have worked for ones who would refuse to discharge until the patient notes had been found for inpatients, and told all juniors to tell the discharge team to write in the notes themselves rather than bully juniors to do it. They invariably backed off taking responsibility themselves.
    But more often I have experienced Consultants more interested in hiding errors including negligence - especially if they might be exposed by an admission: overflow wards renowned for high mortality rates? Surely a matter for someone else.
    If consultants / GP Partners were to insist that all their teams were to work their hours, to protocol and in the best interest of patients there would very quickly be the need for reform.

    I am not surprised that the attitude appears to be that killing one or two should just be expected (after all, if everyone has done it, it isn't really a problem, is it?) and everyone in the general public should keep calm and carry on.

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  • @Rory
    If there was legal protection for significant event analysis, and a legal obligation for managers and politicians to consider and act on the outcomes in the interests of patient safety, it also might work.
    This is within the gift of our health secretaries to push through. I wonder if they will?

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  • The BMA is useless. If it was any good it would have immediatly insisted all doctors work to rule, only seeing a fraction of the patients we do each day to give us a half descent chance of not making a mistake- and even then we obvioulsy will make errors as we are human. We should never be criminally prosected for making a mistake at work. The only reason I am not in Dr BW position is luck, not that I havn't made any mistakes.After this case I have brought my retirement forward to age 55, and am seriously considering bringing it forward even more. I might be poor but at least I will be free.

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  • Well done pulse . This is excellent journalism. It makes me proud of my colleagues and I hope it goes some way to help Hadiza deal with it all.

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  • And not one criticism of the ACEI given. Giving an ACEI in sepsis almost certainly caused the death. Blame should lie where blame lies. Imagine if that was given by a nurse or anyone of us. We'll be hung big time.

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