• | Failure to initiate prophylactic treatment for or follow up a patient with gout resulted in a hospital admission |
• | Patient with a significant drug allergy [prescribed the same medication] resulting in a further allergic reaction |
• | ‘Patient given inappropriate dosages of anti-diabetic medication with resultant renal injury’ |
• | ‘Patient’s [misunderstanding] of warfarin dose led to increased requirement for monitoring’ |
• | ‘Delayed diagnosis of ischaemic heart disease led to avoidable admission’ |
• | ‘Lack of monitoring LFTs of a patient taking anti-fungal medication [resulted in] intensive follow-up’ |
• | Patient became symptomatically bradycardic as a result of a drug known to have this side effect and required review and medication adjustment |
• | ‘Change in medication with known side effects [may have] resulted in a fall and hospital admission’ |
• | Hospital admission for abdominal problem (overflow) due to incomplete assessment of patient by primary healthcare team |
• | A delay in monitoring after an increased dosage of nephrotoxic medicine leading to a significant decrease in renal function – with increased monitoring requirements |
• | Admission for transfusion from potentially avoidable delay in monitoring |
• | Potential delayed diagnosis in symptomatic atrial fibrillation leading to hospital admission |