National CEPOD has repeatedly emphasised the need for the development
of multi-professional and multidisciplinary teams to provide
optimum care for the most seriously ill patients. In this report,
based on deaths within three days of an intervention, NCEPOD
looks at how far team working has developed and, most particularly,
at weaknesses in the systems which create barriers to change.
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Individual Report
Sections
Main Report Includes: Section 1 - General Data (75KB) Section 2 - Clinical Data (79KB) Section 3 - Preoperative Care (88KB) Section 4 - Decision-making & Surgery (48KB) Section 5 - Postoperative Care (46KB) Section 6 - Complications (60KB) Section 7 - The Autopsy (86KB) References (21KB) Appendices (208KB) Includes: A Reported Deaths by Trust/Hospital Group B Glossary C Abbreviations D NCEPOD Corporate Structure E Data Collection & Review Method F Local Reporters and Study Contacts G Participants (anaesthetists) H Participants (consultant surgeons & gynaecologists) I Exclusions J Case Studies Data Supplement to the 2002 Report (246Kb) |
