Graham Smith
7 Sept 2023 · Coroner Simon Brenchley · Birmingham and Solihull
The coroner's concerns
1. lack of awareness of Myasthenia Gravis and Gentamicin interaction
“During the course of the inquest I heard evidence from the author of a Serious Investigation Report commissioned by the Trust (University Hospitals Birmingham) that the errors with regard to medication were, in part, due to a lack of awareness on the part of clinicians within the Trust as to the seriousness of Myasthenia Gravis as well as the interaction between Gentamicin and this condition.”