Linda Fisher
9 May 2014 · Coroner Alan Wilson · Blackpool & Fylde
The coroner's concerns
1. inaccurate medication dosage
“patients may be prescribed medications at a dosage which is inaccurately determined due to the fact that a patient has incorrectly assessed their own weight”
2. inadequate information sharing
“if such information is not obtained appropriately from patients and is not communicated effectively to other hospital staff then decisions pertaining to clinical care may be made erroneously”
Responses
2014-0226-Response-by-Blackpool-Teaching-Hospitals.pdf ↗· Blackpool Teaching Hospitals NHS Foundation Trust
Stated action
“Under the Trust procedural documentation for the prescribing of Dalteparin for treatment of venous thromboembolism the patient's exact weight is not required.”
Stated action
“The familial history was in fact obtained, albeit not until several days after the patient's admission.”