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Welcome to the latest issue of Clinical Risk Insights brought to you by the Clinical Risk Unit of the State Claims Agency (SCA). In this issue you will find articles on surgical injury of the spinal accessory nerve, safe management of peripheral intravenous cannulae, a clinical claim case study on postpartum haemorrhage and some updates on NIMS, the National Incident Management System.

In this issue


Dr Cathal O'Keeffe, Head of Clinical Risk, reflects on the impact of the IT cyber attack on the delivery of care in Ireland, on opportunities to sustain change in health and social care delivery, and provides a reminder on the reporting of Covid-19 incidents. Read more.

Surgical injury of the spinal accessory nerve

Professor Patrick Broe, retired Consultant Surgeon and Clinical Director at the RCSI Hospital Group, highlights the causes of surgical injury to the spinal accessory nerve, which is frequently not recognised, and discusses the risks with performing surgical cervical lymph node biopsy. Read more.

Peripheral intravenous cannulae - reducing the risks

Cliodhna Grady, Clinical Risk Advisor, describes the complications associated with peripheral intravenous cannula (PIVC) management and how health and social care professionals can avoid them. Read more.

Closed claim case study - postpartum haemorrhage

In this closed claim case study, Emmajane O’Halloran, Solicitor and Clinical Claims Manager, outlines the details of a case relating to postpartum haemorrhage with a second degree perineal tear in a regional hospital. Read more.

Managing the risks of postpartum haemorrhage events

Cliodhna Grady, Clinical Risk Advisor, sets out risk management advice on the management of postpartum hameorrhage. Read more.

NIMS and NIRF updates

In this short article, we highlight upcoming changes to the clinical care section of the National Incident Report Form (NIRF - 01). Read more.

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