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[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.24.0″ _module_preset=”default” custom_padding=”33px|||||” global_colors_info=”{}” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on” da_disable_devices=”off|off|off”][et_pb_row column_structure=”2_3,1_3″ _builder_version=”4.24.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”2_3″ _builder_version=”4.24.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_image src=”https:\/\/www.pacenet.com\/uk\/wp-content\/uploads\/2018\/03\/clinician@2x-1.jpg” title_text=”clinician@2x” _builder_version=”4.24.0″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_image][et_pb_text _builder_version=”4.24.0″ _module_preset=”default” text_text_color=”#666666″ text_font_size=”17px” text_line_height=”1.6em” global_colors_info=”{}”]<\/p>\n
The problem At a major hospital a patient attended for a pacemaker generator replacement. The pacing notes were unavailable. The operating consultant did not realise that one of the pacemaker leads was malfunctioning and required replacement. The generator was replaced without replacing the lead. This error was detected at the next pacing follow up. The event could be considered Wrong Implant surgery under the Never Event classification scheme. The patient sued.<\/p>\n
The absence of clinical records on the day of surgery was identifi ed as the major contributory factor. The patient\u2019s main notes were available, but the pacing clinic notes were not. The lack of incorporation of these pacing notes into the main clinical record was also contributory. The Trust approached Clinical Network Systems to provide a solution which would ensure that all pacing records were always available at the time of surgery, and were also automatically incorporated into the Trust\u2019s main electronic medical record, available to all clinicians.<\/p>\n
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The Trust approached Clinical Network Systems to provide a solution which would ensure that all pacing records were always available at the time of surgery, and were also automatically incorporated into the Trust\u2019s main electronic medical record, available to all clinicians.[\/et_pb_text][et_pb_blurb title=”Your Contact” image=”https:\/\/www.pacenet.com\/uk\/wp-content\/uploads\/2023\/10\/karl.png” image_icon_width=”36%” _builder_version=”4.27.0″ _module_preset=”default” header_level=”h5″ header_text_align=”center” header_text_color=”gcid-75938496-ab20-45cc-a233-9282d2d29269″ header_font_size=”24px” body_text_align=”center” body_text_color=”#666666″ body_font_size=”19px” custom_margin=”||20px||false|false” custom_padding=”||0px||false|false” global_colors_info=”{%22gcid-75938496-ab20-45cc-a233-9282d2d29269%22:%91%22header_text_color%22%93}” global_module=”2059″ theme_builder_area=”post_content”]<\/p>\n
Karl Ballard<\/strong> [\/et_pb_blurb][et_pb_text _builder_version=”4.27.0″ _module_preset=”default” text_text_color=”gcid-75938496-ab20-45cc-a233-9282d2d29269″ text_line_height=”0.3em” text_orientation=”center” custom_margin=”0px||||false|false” custom_padding=”0px||||false|false” global_colors_info=”{%22gcid-75938496-ab20-45cc-a233-9282d2d29269%22:%91%22text_text_color%22%93}” global_module=”2060″ theme_builder_area=”post_content”]<\/p>\n contact@pacenet.com<\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" Clinical risk \u2013 Never EventClinical risk \u2013 Never Event The problem At a major hospital a patient attended for a pacemaker generator replacement. The pacing notes were unavailable. The operating consultant did not realise that one of the pacemaker leads was malfunctioning and required replacement. The generator was replaced without replacing the lead. This error […]<\/p>\n","protected":false},"author":14,"featured_media":0,"parent":65,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-1929","page","type-page","status-publish","hentry"],"yoast_head":"\n
Head of Operations<\/p>\n