Removal of a rectal foreign body (FB) has become increasingly common in the recent times. Nature of rectal FB is limited only by the imagination of the patient concerned. Many techniques have been described for removal and various theories have been put forward to explain the mechanics of the procedure. We report a case where a new technique had been employed.
Abstract Introduction In 2018 in our OMFS out-patients department there were two wrong tooth extraction (WTE) events- at a Clinical Governance meeting we identified that TCI (‘to come in’ forms) were being completed incorrectly; from December 2018 to February 2019 there were 6 separate forms where the teeth listed for extraction was different to the teeth that were planned for extraction. As a result, our first stage audit involved data collection and root cause analysis of the incorrectly completed forms. As a result of the findings of the first stage audit, we decided to implement a change to TCI forms. Aim To assess whether TCI forms were being correctly completed following on change to TCI forms. Data collection Retrospective data collection from September 2019- January 2020 analysing any occurrences of incorrect TCI forms Results No further incidents of incorrect TCI forms since September 2019 and WTE since the last occurrence in 2018. Conclusions Although an incorrect TCI form was not listed as a potential cause for the two WTE events that occurred within the department, incorrect documentation is a known risk factor for WTEs. This completed audit cycle demonstrates successful learning from the WTEs and the implementation of beneficial changes.
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