Surekha Shivalkar
7 Jan 2022 · Coroner Graeme Irvine · East London
The coroner's concerns
1. lack of formal risk assessment tool
“No formal risk assessment tool was adopted to assess preoperative risk prior to Mrs [name redacted] total hip replacement revision surgery”
2. poor communication between surgical teams
“Poor communication between the orthopaedic surgical team and the anaesthetist during surgery led to a collective failure to identify a critically ill patient”
3. surgeon left surgery early
“The Senior Consultant surgeon left the surgery prior to its conclusion”
Responses
No published response was found on judiciary.uk.