Source · Prevention of Future Deaths
Desrae Tucker
Ref: 2014-0032
Date: 23 Jan 2014
Coroner: Wendy James
Area: Gwent
0 responses identified · 1 indexed addressee
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AI-generated concerns summaryConcerns included insufficient recording and consideration for anti-embolic stockings in the patient's notes, and the absence of prescribed anti-coagulant medication upon discharge.
Date
23 Jan 2014
56-day deadline
20 Mar 2014 est.
estimated from the report date
Responses identified
0 of 1
Coroner's concerns
Concerns included insufficient recording and consideration for anti-embolic stockings in the patient's notes, and the absence of prescribed anti-coagulant medication upon discharge.
View full coroner's concerns
_ The lack of recording in the patient's notes as to whether the patient was wearing the anti-embolic stockings prescribed No consideration given as to whether the patient should be discharged home with anti-embolic stockings gall
(3) No anti-coagulant medication prescribed to the patient upon discharge
(3) No anti-coagulant medication prescribed to the patient upon discharge
Report sections
Investigation and inquest
On 28-03-13 commenced an investigation into the death of DESRAE REGINA TUCKER (do.b 18/06/44). The investigation concluded at the end of the inquest on the 04-12-13. The conclusion of the inquest was that Desrae Regina Tucker died as result recognised complication following necessary surgical procedure the medical cause of death being: (a) Pulmonary embolism Deep vein thrombosis Recent Cholecystectomy (operated)
Circumstances of the death
On 12-03-13 Mrs. Tucker was admitted as an emergency to the Royal Gwent Hospital with abdominal pain: She subsequently underwent surgery for removal of her bladder on 20-03-13_ She was discharged home on 24-03-13 and died at home on 26-03-13.
Action should be taken
In my opinion action should be taken to prevent future deaths and believe you and your organisation have the power to take such action.
Copies sent to
14 WJam . duty either =
Similar PFD reports
Report details
- Reference
- 2014-0032
- Date of report
- 23 January 2014
- Coroner
- Wendy James
- Coroner area
- Gwent
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: 20 Mar 2014 (estimated from the report date).
Sent to
- Aneurin Bevan Health Board