Alun Walters
9 Jul 2015 · Coroner Sarah Jane-Richards · Powys, Bridgend and Glamorgan Valleys
The coroner's concerns
1. lack of computer software support for prescription decisions
“failed to use any computer software programmes to support its prescription decisions”
2. failure to maintain anticoagulation treatment register
“breached its contract with the Aneurin Bevan University Health Board in the development and maintenance of an anti-coagulation treatment register”
3. no notification system for missed INR appointments
“failed to put into place a system of notification to the GP and the Health Care Assistant of a patient's failed attendance for INR testing”
4. failure to inform pharmacy of warfarin withdrawal
“failed to advise the Rhymney Pharmacy Ltd. that Warfarin had been withdrawn due to a lack of INR safety testing”
Responses
No published response was found on judiciary.uk.