Angela Maguire
1 Jun 2022 · Coroner Lydia Brown · West London
The coroner's concerns
1. lack of shared radiology system
“no system to share radiology across the Region”
2. missed comparison of previous images
“opportunity was missed to see and compare previous images”
3. inadequate oversight of anticoagulation
“lack of senior oversight regarding her anticoagulation medication”
4. increased clinician workload
“lack of a shared portal also creates further work for clinicians who have to contact the previous hospitals to access this information”