Jude Kliem
29 Aug 2014 · Coroner Ian Arrow · Plymouth, Torbay & South Devon
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. breakdown in communication
“There appears to have been a breakdown in communication. There could be an improvement by way of standardisation of documentation”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“Breakdown in communication between the junior doctor and consultant. - The lack of recognition of the pneumothorax on the x ray and the subsequent delayed medical treatment”
This report
“There appears to have been a breakdown in communication. There could be an improvement by way of standardisation of documentation”