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recurance

Gemma Ralph

8 Nov 2024 · Coroner Daniel Howe · Staffordshire and Stoke-on-Trent

The coroner's concerns

  1. 1. unmonitored removal of sevoflurane bottles

    “bottles of sevoflurane, whether unopened or partially used after theatre, does not appear to be robustly monitored to the degree that it was possible for a bottle of sevoflurane to be removed from Cannock Chase Hospital without this being flagged by the auditing system”

Responses

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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.

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