Source · Prevention of Future Deaths

Audrey Daws

Ref: 2014-0318 Date: 9 Jun 2014 Coroner: Andrew Cox Area: Plymouth, Torbay & South Devon Responses identified: 0 / 1 View PDF

Initial medical assessment failed to order a chest X-ray despite tender abdomen and potential cardiac symptoms, indicating an incomplete diagnostic approach for the patient's condition.

Date 9 Jun 2014
56-day deadline 3 Sep 2014 est.
Responses identified 0 of 1
Hospital Death (Clinical Procedures and medical management) related deaths

Coroner's concerns

AI summary
Initial medical assessment failed to order a chest X-ray despite tender abdomen and potential cardiac symptoms, indicating an incomplete diagnostic approach for the patient's condition.
View full coroner's concerns
She took a sample of blood so that Mrs Daws’ troponin levels could be checked. She did not order a chest X-ray.

noted that Mrs Daws was tender in the upper abdomen. She admitted Mrs Daws into the Medical Assessment Unit.

At 18.15 hours Mrs Daws was examined again by another doctor in the MAU. She did not believe there was a cardiac cause to Mrs Daws’ symptoms but accepted that it was necessary to exclude this. She took a further

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Report details

Reference
2014-0318
Date of report
9 June 2014
Coroner
Andrew Cox
Coroner area
Plymouth, Torbay & South Devon

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 Sep 2014 (estimated).

Sent to

Plymouth Hospitals NHS Trust

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