Peter Tye
15 Feb 2016 · Coroner Ian Arrow · Plymouth, Torbay and South Devon
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. misplaced central venous line
“improvements at Derriford Hospital had been made following the events during which a central venous line was misplaced into an artery”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“improvements at Derriford Hospital had been made following the events during which a central venous line was misplaced into an artery”
Later report
“Absence of a national policy on the placement of CVC's”
Responses
Peter-Tye-Response.pdf ↗· Department of Health and Social Care
Stated action
“The ICM training programme requires trainees to understand and recognise complications from line insertions however, the number of procedures required for sign off is not mandated nor do we believe that this type of complication would be prevented if this were the case.”