Khadija Kerri
25 Feb 2025 · Coroner Louise Slater · South Yorkshire (East)
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. delayed or missed critical radiological findings
“There is no clear internal policy/procedure within Doncaster Royal Infirmary for disseminating either an addendum report and/or the information contained within the addendum report from the external third party radiology service to the treating clinical team. If this is not addressed there is potential for similar delays and incorrect management of patient care.”
Linked reports
Closely relatedConfidence 0.80 · moderate
Earlier report
“No current system for recording a discussion about a child, in the Radiology meetings (where important investigations are planned)”
This report
“There is no clear internal policy/procedure within Doncaster Royal Infirmary for disseminating either an addendum report and/or the information contained within the addendum report from the external third party radiology service to the treating clinical team.”