Inaccurate and incomplete clinical records

Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals. ?Every quote shown was checked by code to appear word for word in the original report.

• 2020 → 2026Margaret Templeman5 years 10 months after Frederick Terry · different coronerIdentical hazardConfidence 0.95 · high

  Identical hazardConfidence 0.95 · high

  Both reports highlight problems with the accuracy and completeness of clinical record keeping. They describe how inadequate records hinder patient safety and investigations.

  Frederick Terry · 9 Sept 2020

  “Accuracy of record keeping - Training and procedures in respect of how communications should occur between all clinical personnel in the delivery theatre”

  Check it in the source

  Margaret Templeman · 20 Jul 2026

  “During the course of this investigation I heard evidence of significant deficiencies in the maintenance of clinical records relating to hydration, nutrition, communication, observations, medication management and aspects of clinical decision making.”

  Check it in the source

  Stated action in the response to the earlier report

  “The guidelines have been updated to reflect the Royal College of Obstetricians and Gynaecologists recent guideline on Assisted Vaginal Birth (April, 2020)1, this includes a risk assessment to assist with decision making for an assisted vaginal birth, an improved documentation pro forma following an assisted vaginal birth and reference to ensuring that the baby's head is checked immediately at birth for signs of trauma when obstetric instruments have been applied.”

  Earlier report in the app · Later report in the app