Source · Prevention of Future Deaths
Cyril Anderton
Ref: 2018-0065
Date: 1 Mar 2018
Coroner: Sean McGovern
Area: Warwickshire
Responses identified: 0 / 1
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Medical staff failed to attempt CPR due to a critical error, consulting and acting upon the wrong set of patient medical notes.
Date
1 Mar 2018
56-day deadline
3 Aug 2018 est.
Responses identified
0 of 1
Coroner's concerns
Medical staff failed to attempt CPR due to a critical error, consulting and acting upon the wrong set of patient medical notes.
View full coroner's concerns
_ _ (1) the failure of the medical staff to attempt CPR having consulted the wrong set of medical notes
Report sections
Investigation and inquest
concluded the investigation into Mr Anderton's death at an Inquest held on 1st March 2018.The conclusion of the inquest was a Narrative Verdict (Copy attached).
Circumstances of the death
See Narrative Verdict
Action should be taken
In my opinion action should be taken to prevent future deaths and believe you as Chief Executive of the Trust have the power to take such action
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Report details
- Reference
- 2018-0065
- Date of report
- 1 March 2018
- Coroner
- Sean McGovern
- Coroner area
- Warwickshire
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: 3 Aug 2018 (estimated).
Sent to
- George Eliot Hospital