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Fisher JD, Freeman K, Clarke A, et al. Patient safety in ambulance services: a scoping review. Southampton (UK): NIHR Journals Library; 2015 May. (Health Services and Delivery Research, No. 3.21.)

Cover of Patient safety in ambulance services: a scoping review

Patient safety in ambulance services: a scoping review.

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Appendix 7Case descriptions for cases awarded ≥ £100,000 in damages from 1995/96 to 2010 (n = 15)

AwardOutcomeDescription of incident
£100,000FatalityCalled to a 35-year-old male with pain in his arm and chest. The patient suffered cardiac arrest and died
£100,000FatalityCalled to a patient who subsequently suffered a cardiac arrest; the patient was not transferred to further care
£100,000Fatality (child)/psychiatric/psychological damage (parents)Called to a patient (child) with breathing difficulties. Parents attempted to clear airway. A paramedic and technician transferred patient to hospital but did not initiate resuscitation; resuscitative efforts at hospital were unsuccessful
£120,000Brain damageCalled to a patient (child) not breathing; CPR undertaken. The patient sustained brain damage
£120,000FatalityCalled to a patient but not transferred to further care; a second call 23 days later found the patient dead
£142,408Brain damageDelay in transferring the patient to further care
£150,000FatalityCalled to a patient (adult) with a muscular injury. The patient was advised to consult their GP the next day; the patient consulted after 4 days and radiographs demonstrated a fractured hip. Failure to transfer the patient to further care was cited as negligence
£150,000FatalityCalled to a patient (adult) who was a known asthmatic. The patient inhaled furniture polish and was suffering increased breathlessness. The ambulance crew administered steroids and the patient was requested to walk to the ambulance. While being transferred to further care, the patient suffered a convulsion that led to respiratory and then cardiac arrest; advanced life support was undertaken en route
£115,000Unnecessary painCalled to a patient; the crew did not transfer the patient to further care or complete the paperwork. The patient died the same day with an overdose of prescription medicine and alcohol abuse
£174,574FatalityCalled to a patient (child) suffering an asthmatic attack. Delayed response was cited as the cause of death
£190,000FatalityFailure to transfer the patient to further care
£300,000Brain damageCalled to a patient (adult) in cardiac arrest. A delay in attending resulted in the patient, who is now in a permanent vegetative state, suffering brain damage. No details of the cause of the delay
£300,000Unnecessary painPatient suffered cardiac arrest while being transferred to further care
£500,000Brain damageCalled to an intoxicated patient with a head injury. The patient was transferred to further care without ‘back boarding’. The patient was found to have a fracture of the cervical spine and is now tetraplegic/quadriplegic
£2.8MBrain damageCalled to a patient with an overdose. An airway adjunct was incorrectly inserted and the patient sustained irreversible brain damage
Copyright © Queen’s Printer and Controller of HMSO 2015. This work was produced by Fisher et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

Included under terms of UK Non-commercial Government License.

Bookshelf ID: NBK294024

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