Recurance · prevention of future deaths reports
Pre-inquest brief
Communication breakdown between junior doctor and consultant
The earlier warning
Frederick Davidson · 14 Oct 2013 · Martin Flemimg, Surrey
“Breakdown in communication between the junior doctor and consultant. - The lack of recognition of the pneumothorax on the x ray and the subsequent delayed medical treatment”
What was promised
No published response from Department of Health and Social Care was found for the earlier reports.
What recurred
- 29 Aug 2014 · Jude Kliem · Ian Arrow · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Frederick Davidson · 14 Oct 2013
“Breakdown in communication between the junior doctor and consultant. - The lack of recognition of the pneumothorax on the x ray and the subsequent delayed medical treatment”
Later · Jude Kliem · 29 Aug 2014
“There appears to have been a breakdown in communication. There could be an improvement by way of standardisation of documentation”
What happened next
No web check of the stated actions has been published for this chain.