Source · Prevention of Future Deaths

Phillip Pratt

Ref: 2013-0174 Date: 30 Jul 2013 Coroner: Elisabeth Bussey-Jones Area: West Sussex Responses identified: 0 / 1 View PDF

A Root Cause Analysis Investigation Report identified a number of areas of concern arising from the investigation.

Date 30 Jul 2013
56-day deadline 24 Sep 2013 est.
Responses identified 0 of 1
Hospital Death (Clinical Procedures and medical management) related deaths

Coroner's concerns

AI summary
A Root Cause Analysis Investigation Report identified a number of areas of concern arising from the investigation.
View full coroner's concerns
During the course of the inquest, , Head of Nursing for St Richards Hospital, gave evidence in relation to a “Root Cause Analysis Investigation Report”. The stated purpose of the report was “To identify the root causes and key learning from an incident and use this information”. The report covered a number of areas of concern arising from the investigation. gave

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Report details

Reference
2013-0174
Date of report
30 July 2013
Coroner
Elisabeth Bussey-Jones
Coroner area
West Sussex

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: 24 Sep 2013 (estimated).

Sent to

Western Sussex Hospitals NHS Trust

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