There have been 12 serious adverse incidents registered within the Western Health Trust since 2017 in relation to cervical screening, BBC News NI has learned.SAIs are declared for events or circumstances that could have led to harm or damage, including loss of life.
Mary agreed but did not think much more about it as she was more worried about her cancer diagnosis, treatment and whether she was going to live.She had major surgery - a radical hysterectomy - in December 2021. She was also not put on hormone replacement therapy , which is commonly used to treat women going through menopause.
In a statement, the Western Health Trust said it records any cervical screening process issues, including "false negatives or minor process or management shortcoming", in line with a framework called the Audit of Invasive Cervical Cancers and Disclosure of Findings.It added that some results which constitute a patient safety incident were identified and taken through the appropriate SAI process.
When her last smear in 2020 was reviewed, it was found that high-grade changes were also present but had not been included in the original result.The review said that "if high grade changes had been seen at this time it would not have affected Mary's management as she was referred to colposcopy".
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