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Amanda Harris

Ref: 2015-0216 Date: 10 Jun 2015 Coroner: Andrew Walker Area: London (North) Responses identified: 0 / 1 View PDF

Mrs Harris was discharged from the Minor Injuries Unit without a doctor's review, consideration of anticoagulant therapy, or assessment of potential immobility effects from her injury.

Date 10 Jun 2015
56-day deadline 5 Aug 2015 est.
Responses identified 0 of 1
Hospital Death (Clinical Procedures and medical management) related deaths

Coroner's concerns

AI summary
Mrs Harris was discharged from the Minor Injuries Unit without a doctor's review, consideration of anticoagulant therapy, or assessment of potential immobility effects from her injury.
View full coroner's concerns
_ _ That Mrs Harris was not seen by a doctor before leaving the Minor Injuries Unit; that anticoagulant therapy was not considered and that when an appointment for the fracture clinic the potential immobility from the injury and effects of that immobility were not assessed_ the being get having fixing the

Her Majesty's Coroner for the Northern District of Greater London (Harrow; Brent; Barnet; Haringey and Enfield)

Report sections

Investigation and inquest
On the 13th November 2014 opened an inquest touching the death of Amanda Susan Harris aged 62 years old. The inquest concluded on the 26"h May 2015. The conclusion of the inquest was Narrative" the medical case of death was Ia Massive Pulmonary Thromboembolism 1b Immobility following fracture of the right metatarsal bone. And under paragraph 2 Obesity CIRCUMSTANCES @F THE DEATH On the 18h October 2014 Amanda Susan Harris fell at her care home and fractured a bone in her right foot: Mrs Harris was taken to the minor injuries unit where a cast was placed on her foot and an appointment made to a fracture clinic, there no such facility at the Minor Injuries Unit Mrs Harris returned to her care home where she was unable to out of bed; On the 1st November 2014 she was found died in her bed by care home staff:
Action should be taken
In my opinion action should be taken to prevent future deaths and believe you [ANDIOR your organisation] have the power to take such action:

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Related inquiry recommendations

Similar themes
Muckamore Abbey Inquiry Consultation before patient transfers Muckamore Abbey Inquiry Named person approval for transfers Muckamore Abbey Inquiry Independent living skills focus Muckamore Abbey Inquiry Higher-funded resettlement team for complex needs Muckamore Abbey Inquiry Time frame and financial information for families Muckamore Abbey Inquiry Continuing community support provision Muckamore Abbey Inquiry Key individual for resettlement communication Vale of Leven Inquiry Service change continuity plans Mid Staffs Inquiry Continuing responsibility for care Mid Staffs Inquiry Follow up of patients

Report details

Reference
2015-0216
Date of report
10 June 2015
Coroner
Andrew Walker
Coroner area
London (North)

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: 5 Aug 2015 (estimated).

Sent to

Mount Vernon Hospital

Source links

Judiciary.uk page → Report PDF →

Data: judiciary.uk under OGL.