Annie Mercer
Determination PDF ↗ Scottish Courts FAI page ↗ Response tracker Statistics By year
Recommendations
Recommendations (the sheriff's words)Bearing that qualification in mind, I recommend that consideration be given to the following measures as a means whereby errors of the kind in this case might be avoided, and where, in the event of an error being made, it might more readily be detected and its consequences avoided, or at least mitigated. First, in the case of acute emergency patients, medical staff should be encouraged to scrutinise drug kardexes on a daily basis even where there has been no change in the patient’s clinical condition. Second, in the case of drugs where dosage is determined by reference, inter alia, to the patient’s weight, consideration should be given to devising a form of drug kardex which would include a section setting out the calculation whereby the dosage has been arrived at.
Under section 28 of the 2016 Act, each recipient of a recommendation must respond within 8 weeks. The 8-week window is counted from the publication date. See how we track responses.
Section 28 responses
Overall status, as assessed by this site: Response pending
No response has been identified on the case landing page yet. The 8-week window has closed without a published response or non-response notice.
About Fatal Accident Inquiries
Fatal Accident Inquiries are held under the 2016 Act before a sheriff. They are mandatory for deaths in custody and at work. The sheriff may make recommendations under s.26(1)(b); recipients must respond within 8 weeks under s.28. See the methodology page for detail.
Data: scotcourts.gov.uk.