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Jonathan Szczepanski

17 May 2024 · Coroner Jayne Wilkes · Lincolnshire
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The coroner's concerns

  1. 1. lack of local practitioner guidance on practical implementation of NICE NSAIDs prescribing issues documentation

    “There is a lack of local practitioner guidance on the practical implementation of the NICE NSAIDs - prescribing issues documentation”

  2. 2. software does not generate warning flag for NSAID prescribing considerations

    “The software being used to prescribe NSAIDs did not automatically generate a specific warning flag to alert the prescriber to the considerations and risk factors in the prescription of NSAIDs (including the use of PPI)”

  3. 3. no warning on discharge documentation for NSAID prescribing considerations

    “Where repeat prescriptions were issued on discharge of a patient from hospital back to community primary care, there was no warning on the discharge documentation to alert the prescriber to the considerations and risk factors in the prescription of NSAIDs (including the use of PPI)”

Responses

2024-0271-Response-from-Lincolnshire-Integrated-Care-Board.pdf ↗

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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Jonathan Szczepanski · Recurance