Learning from Experience

 
Below are a selection of bulletins that have been produced within the network and the MTC to share learning from our experience and from where the care we provide could potentially have been better. All incidents are fictional, but based on real events. Relevant RCEM safety alerts are also included.

Handlebar injuries in Children - RCEM Safety Alert - Nov 2024

What's New in Major Trauma - June 2023

Learning from Incidents - June 2023

Improving communication in the WYMTN part 2 - pre alert calls - June 2022

Improving communication in the WYMTN - March 2021

Safety alert - Sedation in Head injuries - November 2020

Learning Bulletin - Chest Injuries - January 2020

​CRASH 3 - TXA in Traumatic Brain Injury - Nov 2019

Tranexamic acid - the earlier, the better - Nov 2017​

Learning from Incidents September 2016 - missed splenic injury

Pancreatic trauma May 2016

Tetanus prevention May 2016

Learning from incidents April 2016 - delayed care

March 2016 - Hypothermia in Trauma

October 2015 - MTC Learning Points

2014/14 WYMTN learning from incidents

June 2015 - MTC Learning Points

An SBAR on MTC Closure (and why it doesn't happen)
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WYMTN quality improvement update April 2013