Edith Robinson
19 Jul 2017 · Coroner Lisa Hashmi · Manchester (North)
This report repeats 1 earlier warning, and was raised again 1 time later. See the linked reports.
The coroner's concerns
1. lack of consultant weekend review
“patients such - as the deceased are not seen or reviewed by a Consultant over the weekend”
2. inaccurate early warning score calculation
“Registered Nurses' ability to calculate early warning scores accurately”
3. poor record keeping
“standard of record keeping by both doctors and nurses was poor”
Linked reports
Closely relatedConfidence 0.80 · moderate
Earlier report
“It was also apparent that there had been a miscalculation of the Early Warning Score, by more than one individual.”
This report
“there - were problems with the Registered Nurses' ability to calculate early warning scores accurately”
Identical hazardConfidence 0.95 · high
This report
“the standard of record keeping by both doctors and nurses was poor.”
Later report
“During the hearing it was noted that on a number of occasions record keeping was poor.”
Responses
Edith-Robinson-Response.pdf ↗· Department of Health and Social Care
Stated action
“the Trust has agreed that all patients will be reviewed daily by the medical team and that the Trust is currently looking to ensure that all trauma patients with severe systemic illness will be reviewed daily by a medical doctor. This will be monitored through Trust audits.”