Interventions that could have contributed to or prevented death
| Possibly contributing to death (Q4) | Possibly preventing death (Q5) |
|---|---|
| Gastrointestinal bleed following anticoagulant and antiplatelet treatment for myocardial infarction | Thrombolytic therapy not given for massive pulmonary embolism |
| Deterioration following percutaneous pericardial drainage | No anticoagulant given for pulmonary embolus and no operation for peritonitis |
| Deterioration associated with high flow oxygen in ambulance | Pacing wire not inserted for heart block |
| Postoperative bronchopneumonia after operation for fractured neck of femur | No prophylactic anticoagulation given to prevent pulmonary embolism |
| Delayed diagnosis of perforated duodenal ulcer following steroid therapy for chronic obstructive pulmonary disease | Delayed diagnosis of dissecting thoracic aneurysm |
| Emergency laparotomy not performed for peritonitis | |
| Patient refused antibiotics and blood transfusion | |
| No prophylactic anticoagulation given to prevent pulmonary embolism | |
| Anticoagulation for atrial fibrillation not given to prevent stroke | |
| Thrombolytic therapy not given for myocardial infarction |