Irene Whittingham
28 Feb 2020 · Coroner Rachel Syed · Manchester West
The coroner's concerns
1. inconsistent vitamin D blood level monitoring
“Conflicting guidance is provided to treating clinicians as to when Vitamin D and Calcium blood level monitoring should be undertaken especially in patients who are given higher (loading) doses of Vitamin D, which exceeds the recommended national guidelines”
2. confusing dropdown menu allowing incorrect dosing
“The WellSky and EMIS Software, had a confusing user drop down menu option, which allowed the user to click on a twice daily dose despite the loaded dosage, exceeding national guidelines”