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recurance

Marian Grant

15 Sept 2018 · Coroner Darren Salter · Oxfordshire

The coroner's concerns

  1. 1. outlying patients not receiving trauma nurse oversight

    “In the circumstances it is my statutory duty to make this report to you”
  2. 2. ignoring VTE prophylaxis alerts on EPR

    “The first concerned the training, experience and knowledge of nursing staff on the trauma wards who are very familiar with the requirements for VTE prophylaxis and a tendency for the nurses to pick up and deal with any omissions in this regard”

Responses

Marion-Grant-Response.pdf ↗· Oxford University Hospitals NHS Foundation Trust

Stated action · January 2019

“the Trust has undertaken a number of steps to address your concerns, details of which are set out below.”
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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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