Source · Prevention of Future Deaths

Betty Addison

Ref: 2016-0071 Date: 25 Feb 2016 Coroner: Rachael Griffin Area: Manchester (West) Responses identified: 0 / 1 View PDF

A patient at a care home received five additional, unprescribed Dalteparin injections, with no clear explanation for their source or why they were administered.

Date 25 Feb 2016
56-day deadline 21 Apr 2016 est.
Responses identified 0 of 1
Care Home Health related deaths

Coroner's concerns

AI summary
A patient at a care home received five additional, unprescribed Dalteparin injections, with no clear explanation for their source or why they were administered.
View full coroner's concerns
During the inquest evidence was heard that: As a result of the surgical treatment Mrs Addison received at the Royal Albert Edward Infirmary, Wigan on the 15th October 2015, she was given prophylactic treatment in line with hospital policy in order to reduce the risks of a deep vein thrombosis occurring following the surgery. As part of this treatment Mrs Addison was prescribed Dalteparin which is a low molecular weight heparin administered by injection. This medication was started on the October 2015 and she was prescribed sufficient medication upon her discharge for the injections to continue until the November 2015. From the records relating to Mrs Addison's care at the Alexandra Court Care Home; Addison continued to be given Dalteparin injections until the 22nd November 2015. She therefore received an additional 5 injections than was prescribed to her, Addison left the Royal Albert Edward Infirmary with 24 injections and from the evidence given at the Inquest it was not known where the additional 5 injections had come from, or why were given to Mrs Addison: It was confirmed at the Inquest that these injections had been incorrectly given to Addison. From the evidence at the Inquest it was clear that this additional medication was not causative or contributory to Addison's death, however she was given medication that she should not have been:

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Report details

Reference
2016-0071
Date of report
25 February 2016
Coroner
Rachael Griffin
Coroner area
Manchester (West)

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: 21 Apr 2016 (estimated).

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Cuerden care Homes

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