Phyllis Kerry
23 Oct 2014 · Coroner Heidi Connor · Nottinghamshire
The coroner's concerns
1. responsibility for deciding immediate reversal
“Which specialty takes responsibility for deciding when immediate reversal is needed?”
2. absence of clear guidelines for intra-cerebral bleeds on Warfarin
“The absence of clear guidelines for dealing with patients presenting with intra- cerebral bleeds whilst on Warfarin or similar medication”
3. inadequate communication of relevant guidelines
“The communication of relevant guidelines to relevant staff”
Responses
2014-0457-Response-by-Nottingham-University-Hospitals-NHS-Trust2f.pdf ↗· Nottingham University Hospitals NHS Trust
Stated action
“The new guideline to assist with the prompt and appropriate treatment of patients who are on warfarin presenting with Intra Cranial Haemorrhage has now been agreed by all parties involved and accompanies this letter.”
2014-0457-Response-by-Nottingham-University-Hospitals-NHS-Trust.pdf ↗· Nottingham University Hospitals NHS Trust
Stated action · by the start of 2015
“A new guideline has been prepared which I am confident will provide more rapid intervention in the management of anticoagulation and will clarify which specialty is responsible for this element of care.”