Table.
Case no | Doctor's origin | Doctor's age and sex* | Position | Patient's age and sex | Where death occurred | Agent | Nature of problem† | Outcome of case | Year |
---|---|---|---|---|---|---|---|---|---|
1 | South Asian | M | Locum anaesthetist | 9 M | Hospital | Anaesthesia | Mistake: nasotracheal tube passed orally | Convicted | 1974 |
2 | South Asian | 28 F | Junior doctor | 4 M | Hospital | Methotrexate | Slip: drug given intracerebrally in intravenous dose | Acquitted | 1978 |
3 | European | 36 M | Private general practitioner | 42 M | Surgery | Methohexitone | Unclear, possible slip: methohexitone given for diazepam | Acquitted | 1981 |
4 | South Asian | 37 | Locum junior anaesthetist | 33 M | Intensive care unit | Dopamine, verapamil, and β blocker | Mistakes: failure to regulate dosage and lack of knowledge of drug interaction | Abandoned before trial | 1986 |
5 | African | 49 M | Locum junior anaesthetist | 33 M | Operating theatre | Lack of oxygen | Mistakes: failure to recognise clinical signs; mistake in interpreting alarm | Convicted | 1990 |
6 | European | 68 M | Locum anaesthetist | 55 F | Operating theatre | Excessive oxygen | Probable slip: tube connected to wrong oxygen supply | Convicted | 1990 |
7 | South Asian | 54 M | Police surgeon | 23 M | Police custody | Opiates and sedatives | Mistakes: lack of accurate drug history and failure of communication between doctors | Both convicted, one pardoned on appeal | 1992 |
South Asian | 54 M | Police surgeon | |||||||
8 | European | 25 M | Junior doctor | 16 M | Hospital | Vincristine | Slip: vincristine for intravenous use given intrathecally | Both convicted, both pardoned on appeal | 1991 |
European | 27 M | Junior doctor | |||||||
9 | European | F | Consultant | 1 F | Paediatrics department | Insulin/glucose | Mistake: overzealous correction of hypoglycaemia | Trial abandoned at committal | 1994 |
South African (white) | M | Locum junior doctor | |||||||
10 | South Asian | 59 M | General practitioner | 9 M | Surgery | Opiate | Possible slip: confusing diamorphine and dihydrocodeine | Pleaded guilty | 1994 |
11 | South Asian | 39 M | General practitioner | 30 F | Home | β blocker | Mistake: prescribing without adequate knowledge of patient | Acquitted (convicted of another offence) | 1994 |
12 | South East Asian | 25 F | Junior doctor | 36 M | Hospital | Penicillin | Slip: confusing intracerebral and intravenous lines | Acquitted | 1995 |
13 | South Asian | 55 M | General practitioner | 41 F | Home | Opiate | Slip: given diamorphine in a dosage appropriate to pethidine | Convicted | 1998 |
14 | South Asian | 70 M | Police surgeon | 22 M | Custody | Opiate | Unknown: dosage error | Too ill to stand trial | 1999 |
15 | South Asian | 65 M | Anaesthetist | 14 M | Dentist's surgery | Nitrous oxide | Mistakes: failure to check equipment and failure to obtain relevant medical history | Convicted | 1999 |
16 | South East Asian | 34 M | Junior doctor | 12 M | Pediatrics department | Vincristine | Series of errors leading to a slip: vincristine for intravenous use given intrathecally | No evidence offered | 1999 |
European | 34 M | Junior doctor | |||||||
17 | European | 46 F | General practitioner | 77 M | Nursing home | Opiate | Slip by nurse: correct (large) dose of morphine given to wrong patient plus other errors | Judge ordered acquittal | 1999 |
Where stated. †Classified as mistakes (errors in planning an action) and slips (errors in its execution).