We present the case of an 80-year old man with a Stanford Type A dissecting thoracic aortic aneurysm
plus the unusual CT finding of extramural haemorrhage along the pulmonary vessels. The clinical and radiological
picture has an extremely high mortality
Public awareness of hospital misadventure is now common. In response, we describe our integrated hospital safety system, which is dependent on the linkage of multiple individual safety committees, and the presence on each committee of senior and junior multidisciplinary healthcare professionals to provide feedback to their peer groups on required improvements.
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