Philip Ashton
14 May 2018 · Coroner Thomas Osborne · Milton Keynes
The coroner's concerns
1. warfarin administration error
“warfarin was administered to the deceased in error and the home should review their medication procedures and put in place a robust system for the administration of anti coagulation medication”
2. inadequate emergency response
“staff were not able to deal with an emergency situation”
3. lack of patient information for emergency responders
“ambulance staff were not given any information about the deceased as to his medical history or medication”
Responses
No published response was found on judiciary.uk.