Annette Lewis
6 Mar 2025 · Coroner Kerrie Burge · South Wales Central
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. discharge without surgical review
“[the deceased] should have been referred for surgical review rather than being discharged”
Linked reports
Closely relatedConfidence 0.80 · moderate
Earlier report
“(3) Premature discharge post-operatively from the recovery unit with the missed opportunity to recognise the adverse effect of sepsis when they occurred.”
This report
“[the deceased] should have been referred for surgical review rather than being discharged.”