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recurance

Cuthbert Hingert

1 Aug 2018 · Coroner Caroline Sumeray · Isle of Wight

The coroner's concerns

  1. 1. duplicate medication administration

    “The evidence revealed that the Medical Registrar did not check the JAC medicines database to see that Mr [name redacted] had already been administered a stat dose of antiplatelets and anticoagulant medication before prescribing second dose of these medications.”

Responses

No published response was found on judiciary.uk.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error

Cuthbert Hingert · Recurance