Jennifer McKoy
11 Mar 2020 · Coroner Zafar Siddique · Black Country
The coroner's concerns
1. inadequate audit process for monitoring non-suspicious samples
“Evidence emerged during the inquest that there was an inadequate audit process in place for monitoring non-suspicious samples by way of dip-sampling.”
2. absence of protocol for anticoagulation management in community patients
“There was limited evidence of any protocol or policy in place for managing the anticoagulation/prophylaxis regime for community patients who have identifiable risk factors for developing complications.”