Source · Prevention of Future Deaths
Alison Dallow
Ref: 2022-0238
Date: 3 Aug 2022
Coroner: Hugh Bricknell
Area: Herefordshire
0 responses identified · 1 indexed addressee
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AI-generated concerns summaryThe coroner identified unclear clinical advice regarding weight-bearing status and an ambiguous hospital policy for reducing Venous Thromboembolism risk, especially for outpatients with fractures. Additionally, evidence of information provided to the patient was unavailable.
Date
3 Aug 2022
56-day deadline
28 Sep 2022
stated in the report
Responses identified
0 of 1
Coroner's concerns
The coroner identified unclear clinical advice regarding weight-bearing status and an ambiguous hospital policy for reducing Venous Thromboembolism risk, especially for outpatients with fractures. Additionally, evidence of information provided to the patient was unavailable.
View full coroner's concerns
(1) It was unclear whether the clinical advice was to 'toe touch' or stay non-weight bearing.
(2) The current hospital policy in connection with reducing the risk of Venous Thromboembolism was unclear especially regarding outpatients who apparently account for the majority of fractures treated.
(3) Evidence of any information given to the patient was unavailable at the Inquest.
(2) The current hospital policy in connection with reducing the risk of Venous Thromboembolism was unclear especially regarding outpatients who apparently account for the majority of fractures treated.
(3) Evidence of any information given to the patient was unavailable at the Inquest.
Report sections
Investigation and inquest
On 13 October 20211 commenced an investigation into the death of Alison June Dallow. The investigation concluded at the end of the inquest on 20 July 2022. The conclusion of the inquest was the following Narrative: Mrs Dallow fractured her Left Tibial Plateau following a fall. A brace reduced her mobility as did the fracture. She was not prescribed prophylaxis. Mrs Dal low died from the medical causes given. Mrs Dallow was diagnosed with Covid 19 shortly before her death.
Circumstances of the death
Alison June Dal low died from a Pulmonary Thromboembolism due to Deep Vein Thrombosis. She had restricted mobility following a fracture and fitting of a knee brace.
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Report details
- Reference
- 2022-0238
- Date of report
- 3 August 2022
- Coroner
- Hugh Bricknell
- Coroner area
- Herefordshire
Responses identified
Responses identified
0 of 1
1 response not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 28 Sep 2022 (stated in the report).
Sent to
- Wye Valley NHS Trust