Recurance · prevention of future deaths reports
Pre-inquest brief
Incomplete nursing records
The earlier warning
Geoffrey Ellis · 13 May 2016 · Andrew Bridgman, Manchester South
“During the course of the evidence it was discovered that nursing records and other Clinical documents were not being written up adequately or at all.”
judiciary.uk/prevention-of-future-death-reports/geoffrey-ellis
What was promised
Stated action 1 · response to Geoffrey Ellis (13 May 2016) · stated timescale: 2017
“The Trust is currently in the process of installing an electronic patient record system (EPR); this is a computerised version of the entire healthcare record. Instead of hospital staff using a mixture of paper and electronic records, information will be available to them online in one place. We already use a variety of electronic systems to help staff look after our patients but the EPR will bring all this information about our patients together into one system for better and safer care.”
judiciary.uk/…/2016-0186-Response-by-Stockport-NHS-Trust.pdf
What recurred
- 26 Apr 2017 · John Davies · Alison Mutch · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Geoffrey Ellis · 13 May 2016
“During the course of the evidence it was discovered that nursing records and other Clinical documents were not being written up adequately or at all.”
Later · John Davies · 26 Apr 2017
“Patient records completed by the District Nursing Team lacked detail and were not completed in the required timescales.”
What happened next
No web check of the stated actions has been published for this chain.