Jade Revell
23 Mar 2023 · Coroner Sarah Huntbach · Derby and Derbyshire
The coroner's concerns
1. missed abnormal lab result
“The SystemOne computer programme used by the GP Practice can, when a clinician is reviewing the results (blood) from the laboratory with the screen in minimised mode (which is not unusual because of a need to work with a split screen), not show all the results. To do so would need the clinician to scroll down and a scroll feature is not available. This gives rise to the risk of an abnormal result being missed and unactioned.”