Skip to content
recurance

Guided path, Step 1 of 4

See a chainStart

Diana Reay

15 Sept 2021 · Coroner Emma Serrano · Stoke-on-Trent & North Staffordshire Coroner's Court
Check this reportOriginal

The coroner's concerns

  1. 1. misinterpretation of scans leading to unnecessary re-catheterisation

    “Numerous doctors failed to interpret the scans that [the deceased] had correctly. It was accepted that they were wrongly interpreted so that a fluid filled cyst was mistaken for a full bladder. This resulted in numerous re-catheterisations of Mrs [name redacted] when this was un-necessary.”

Responses

No published response was found on judiciary.uk.

  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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

Diana Reay · Recurance