Christina Witney
7 Apr 2017 · Coroner Ian Singleton · Wiltshire and Swindon
The coroner's concerns
1. inaccurate urine output measurement
“The keeping of patient records in relation to a urine chart and the accurate measuring of output.”
2. delayed patient review
“The period before a review of a patient is carried out where there has been no improvement in condition.”
3. inadequate sepsis guideline review
“Review of the sepsis guidelines in the light of the "Acute care toolkit 9: sepsis" produced by The Royal College of Physicians”
4. inadequate training of temporary staff
“The training of locums and other temporary staff”
Responses
No published response was found on judiciary.uk.