Delayed patient infection risk notification
Inconsistent guidance leading to delayed notification of patients about infection risks from surgery (e.g., Mycobacterium Chimaera).
7 items
1 source
3 inquiries
Source spread
Where this theme appears
Delayed patient infection risk notification has been flagged across 1 independent accountability source:
7 inquiry recs
This theme has been identified in one data source. As more data is added, cross-references may emerge.
Browse by source
Source-grouped records are useful for tracing where a concern came from. Large sections show the 50 strongest matches for that source; counts still show the full theme total.
Inquiry Recommendations (7)
R41 — Laboratory specimen processing
Recommendation: Health Boards should ensure that there is no unnecessary delay in processing laboratory specimens, in reporting positive results and in commencing specific antibiotic treatment.
Gov response: Section 3.2 of the Scottish Government's response highlights that NHS board antimicrobial management teams (AMTs) drive comprehensive approaches to education on antimicrobial stewardship for clinical staff and promote application of antimicrobial policies. Section 4.2 details …
Accepted
R37 — CDI senior assessment and treatment
Recommendation: Health Boards should ensure that any patient with suspected CDI receives full clinical assessment by senior medical staff, that specific antibiotic therapy for CDI is commenced timeously.
Gov response: Section 4.1 of the Scottish Government's response acknowledges that recommendation 37 addresses delays in diagnosing and treating C. diff infection. Section 2.1 details that Scotland's Health Protection Network published C. diff guidance, revised in 2014, …
Accepted
IBI-8a — Pre-1996 Transfusion Testing
Recommendation: When doctors become aware that a patient has had a blood transfusion prior to 1996, that patient should be offered a blood test for Hepatitis C.
Gov response: UK Government NHS England is committed to identifying all those infected with a bloodborne disease, however it is transmitted. We would like to reassure the public that evidence shows the likelihood of contracting Hepatitis C …
Accepted
R65 — Isolation for infectious diarrhoea
Recommendation: Health Boards should ensure that appropriate steps are taken to isolate patients with potentially infectious diarrhoea.
Gov response: Section 2.1 of the Scottish Government's response details the Standard Infection Control Precautions (SICPs), which are basic measures to reduce the risk of germ transmission. Among the 10 SICPs is "Patient placement in wards and …
Accepted
R63 — Effective CDI patient isolation
Recommendation: Health Boards should ensure that there is effective isolation of any patient who is suspected of suffering from CDI, and that failure to isolate is reported to senior management.
Gov response: Section 3.1 of the Scottish Government's response addresses patient isolation through the requirement for all planned new-build hospitals to provide 100% single-room accommodation, and refurbished builds at least 50%. This measure significantly reduces the risk …
Accepted
IR2-2 — Eligibility Conditions for Infected Persons
Recommendation: I recommend that the conditions of eligibility for admission of relevant infected persons to the scheme should be that: a) they have been diagnosed as being infected with one or more of HCV (including natural clearers who have suffered loss), …
Gov response: In accordance with recommendations 1 and 2 of the Second Interim Report, the Government is clear that both those who have been infected and affected by this scandal are eligible for compensation and is compensating …
Accepted
PENROSE-1 — HCV Testing for Pre-1991 Transfusion Recipients
Recommendation: The Scottish Government takes all reasonable steps to offer an HCV test to everyone in Scotland who had a blood transfusion before September 1991 and who has not been tested for HCV.
Gov response: No formal government response published. Scottish Government established Short-Life Working Group with Health Protection Scotland and Scottish National Blood Transfusion Service to implement testing programme.
Accepted