Recurance · prevention of future deaths reports
Pre-inquest brief
Inadequate clinical record keeping
The earlier warning
Daniel McCallum Keane · 9 Jun 2014 · Kevin McLoughin, Manchester (West)
“He accepted in the course of his evidence that his record keeping was inadequate.”
What was promised
Stated action 1 · response to Daniel McCallum Keane (9 Jun 2014) · stated timescale: none stated
“A review of record keeping at HEE practice”
judiciary.uk/…/2014-0260-Response-by-Department-of-Health.pdf
What recurred
- 8 May 2017 · David Sheppard · Louise Hunt · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Daniel McCallum Keane · 9 Jun 2014
“He accepted in the course of his evidence that his record keeping was inadequate.”
Later · David Sheppard · 8 May 2017
“Staff failed to keep an acute and contemporaneous note of the events that occurred with timings.”
What happened next
No evidence found either way · a stated action in a response
“Utilize the checklist below to complete your initial incident report.”
[PDF] Choking Incident Report Checklist - NJ.gov · nj.gov/…/choking-checklist.pdf
“FirstAidTraining can teach you to: ✓Identify and treat a choking incident”
First Aid training can teach you to: 1️⃣Identify and treat a ... · facebook.com/…/1390380509940641
No evidence found does not mean the action did not happen.