Patrick Carrick
9 Oct 2015 · Coroner Karen Dilks · Newcastle Upon Tyne
The coroner's concerns
1. departure from patient management plan
“There was a significant departure from a patients management plan without explanation”
2. compounded rapid deterioration
“The above was compounded as it occurred in a period of rapid deterioration”
3. unactioned blood analysis results
“Crucial blood analysis results were not actioned”
4. inadequate nursing and medical notes
“Inadequate completion of nursing and medical notes”