Source · Prevention of Future Deaths
Peter Patrick Adrian Barnes
Ref: 2013-0291
Date: 8 Nov 2013
Coroner: Neil Cameron
Area: West Yorkshire (West)
Responses identified: 0 / 1
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Hospital systems were inadequate for communicating observed patient information and serious incidents from nursing staff to the Responsible Clinician, leading to incomplete or outdated data for care decisions.
Date
8 Nov 2013
56-day deadline
13 Feb 2014 est.
Responses identified
0 of 1
Coroner's concerns
Hospital systems were inadequate for communicating observed patient information and serious incidents from nursing staff to the Responsible Clinician, leading to incomplete or outdated data for care decisions.
View full coroner's concerns
(1) The hospital’s systems by which information about patients relating to matters which had been observed by nursing staff - including in particular information about serious incidents
- were communicated to the patients’ Responsible Clinician appeared to be inadequate to ensure that such information was full and/or accurate and/or up to date.
(2) The hospital’s systems by which decisions about patients’ care made by the Responsible
- were communicated to the patients’ Responsible Clinician appeared to be inadequate to ensure that such information was full and/or accurate and/or up to date.
(2) The hospital’s systems by which decisions about patients’ care made by the Responsible
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Report details
- Reference
- 2013-0291
- Date of report
- 8 November 2013
- Coroner
- Neil Cameron
- Coroner area
- West Yorkshire (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: 13 Feb 2014 (estimated).
Sent to
- Cygnet Healthcare Ltd.