Case studies

Treatment Injury case studies

Event

Treatment injury

Date

Delay in diagnosis (PDF 344K)

Progression of slipped capital femoral epiphysis (SCFE)

December 2011

Delay in diagnosis (PDF 370K)

Progression of cervical cancer

November 2011

Failure to prescribe anticoagulation (PDF 377K)

Embolic stroke

October 2011

Failure to treat neonatal hypoglycaemia (PDF 344K)

Brain damage

September 2011

Urinary catheterisation (PDF 221K)

Urethral damage

August 2011

Patient transfer (PDF 263K)

Hip fracture

July 2011

Delay in diagnosing subarachnoid haemorrhage (PDF 362K)

Brain damage

June 2011

Delay in treatment of neonatal jaundice (PDF 359K)

Kernicterus

May 2011

Nursing care (PDF 411K)

Pressure ulcer

April 2011

Delay in diagnosis (PDF 224K)

Progression of breast cancer

March 2011

Hysterectomy (PDF 220K)

Ureteric injury

February 2011

Total knee joint replacement (PDF 252K)

Surgical site infection

December 2010

Central venous cannulation (PDF 251K)

Catheter-related bloodstream infection

November 2010

Heat treatment (PDF 228K)

Burns

October 2010

Unsterile equipment and wrong patient (PDF 194K)

No treatment injury

September 2010

Delay in delivery (PDF 192K)

Neonatal encephalopathy

August 2010

Delay in treatment (PDF 219K)

Brain damage/injury

July 2010

Delay in diagnosis (PDF 210K)

Progression of lung cancer

June 2010

Warfarin and aspirin (PDF 243K)

Cerebral haemorrhage

May 2010

Long-term lithium treatment (PDF 124K)

Chronic renal failure

April 2010

Phosphate-containing bowel preparation (PDF 122K)

Renal failure

March 2010

IV cannulation (PDF 124K)

Cellulitis and nerve damage

February 2010

Medication administration error (PDF 122K)

No treatment injury

December 2009

Failure to diagnose epidural abscess (PDF 142K)

Tetraplegia

November 2009

Laparoscopic cholecystectomy (PDF 140K)

Bile duct injury

October 2009

Alleged delay in diagnosis of spinal TB (PDF 140K)

No treatment injury

September 2009

Feedback from health professionals on how previous treatment injury case studies are being used

August 2009

Failure to follow up report results (PDF 126K)

Recurrent appendicitis

July 2009

Nursing care (PDF 138K)

Pressure ulcers

June 2009

Failure to diagnose temporal arteritis (PDF 139K)

Blindness

May 2009

Steroid therapy (PDF 126K)

Osteonecrosis

April 2009

Failure to diagnose varicella pneumonia (PDF 131K)

Death

March 2009

Dispensing error (PDF 130K)

Symptoms of possible prednisone overdose (no injury)

February 2009

Gynaecological mesh placement (PDF 133K)

Infection

November 2008

Erythromycin and simvastatin interaction (PDF 153K)

Rhabdomyolysis

October 2008

Intravenous infusion (PDF 131K)

Osmotic myelinolysis or extra pontine myelinolysis

September 2008

Medication (PDF 132K)

Hyponatraemia resulting in extra pontine myelinolysis

August 2008

Splitting of plaster cast (PDF 131K)

Volkmann’s contracture

July 2008

Gastroscopy and colonoscopy (PDF 151K)

Perforated bowel

June 2008

Testicular torsion (PDF 151K)

Orchidectomy

May 2008

Ear syringing (PDF 570K)

Perforated eardrum

April 2008

Last updated: 14 September 2011