Other cases involved missed pulmonary embolism in a new mother leading to her death and missed congenital heart disease in a baby. In another case, NHS 111 staff failed to diagnose a pregnant woman with premature rupture of membranes and instead she was taken down a “urinary problems algorithm”. The telephone patient deteriorated and died at home that afternoon. In one case, a woman in her 70s experiencing sudden breathlessness was told by a GP receptionist she would be called back but this never happened as the receptionist became distracted by a patient in the waiting room. Especially when subsequent consultations were remote, such errors could become ingrained, leading to diagnostic over-shadowing and missed or delayed diagnosis.” It added: “Several safety incidents involved clinicians assuming that a diagnosis made on a remote consultation was definitive rather than provisional. Some of the errors made related to serious conditions such as congenital heart disease, pulmonary oedema, sepsis, cancer and diabetic foot complications “which would likely have been readily diagnosed with an in-person examination”, the study said. These included things such as complaints, settled compensation claims and reports as well as interviews with practice staff. The study, published in BMJ Quality and Safety, looked at data from 95 UK safety incidents between 20, which included during the pandemic. Researchers said mistakes via remote consultation are rare, but there is a risk of patients being under-diagnosed, GPs being swayed by what has been said previously, and less qualified staff not acting on signs of illness. Now a new study has warned GP appointments over the phone or online can miss serious illnesses and put patients at risk. The teenager is one of several people who have died after being misdiagnosed in either telephone or online appointments. Tragically it was a mistake and the youngster had sepsis - a life-threatening reaction to an infection which killed her. The doctor spoke to the teenager's older sister and diagnosed her as having glandular fever. A 16-year-old girl died after her sepsis was misdiagnosed by a GP in a telephone consultation.
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