Maxwell Frame
14 Nov 2023 · Coroner Peter Merchant · West Yorkshire (Western)
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. lack of national standard for central venous catheter placement
“Absence of a national policy on the placement of CVC's”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“improvements at Derriford Hospital had been made following the events during which a central venous line was misplaced into an artery”
This report
“Absence of a national policy on the placement of CVC's”
Responses
2023-0449-Response-from-Association-of-Anaesthetists-Royal-College-of-Anaesthetists-Intensive-Care-S.pdf ↗· Association of Anaesthetists
2023-0449-Response-from-Department-of-Health-and-Social-Care.pdf ↗· Department of Health and Social Care
2023-0449-Response-from-National-Infusion-and-Vascular-Access-Society.pdf ↗· National Infusion and Vascular Access Society
2023-0449-Response-from-National-Institute-for-Health-and-Care-Excellence.pdf ↗· National Institute for Health and Care Excellence