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recurance

Epsom General Hospital

2
reports received
1
with a published response found
0
recurrence chains
0
reports in those chains
  • Coroner Caroline Topping · Surrey · in 1 recurrence link

    No published response from this organisation found.

  • Rita Taylor12 Jun 2018

    Coroner Karen Henderson · Surrey

    Response · 5 stated actions
    2018-0225-Response-by-Epsom-and-St-Helier-University-Hospitals-NHS-Trust.pdf ↗
    “The Trust has moved the handbook of medical emergencies, which includes guidance on the management of hyponatraemia, to the Trust intranet, which can be more easily accessed by staff. (See Recommendation 4 of the Action Plan). This was completed in August 2018.”
    “the Trust will be ensuring that adherence to the policy for the Management of the Acutely Ii! Patient is monitored at the divisional Morbidity and Mortality meetings.”
    “Recommendation 5 of the Action Plan sets out that; 'Desmopressin should be notified as a high risk drug that should not be discontinued without specialist advice.' The specialist providing the advice to discontinue the drug will ensure that there is a plan in place to reintroduce the drug at an appropriate time. This action has been implemented by the Medicines Management Committee with input from the pharmacy department.”
    “The updated guidance on the management of hyponatraemia will set out the importance of ensuring that patients with hyponatraemia have regular monitoring of their fluid balance charts.”
    “The Trust is reviewing how we monitor compliance with our Health Record Content policy which outlines the record keeping standards for Trust staff. There are 14 standards set out within this policy which have been taken from the guidance provided by the Royal College of Physicians. There will be a twice annual audit of the 14 standards set out within the policy which will include an assessment of the r”
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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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