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Margaret Hions

12 Feb 2016 · Coroner Jonathan Layton · Carmarthenshire and Pembrokeshire
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The coroner's concerns

  1. 1. inappropriate tinzaparin prescribing and monitoring

    “review of the current Health Board practice in the prescribing of tinzaparin medication and the monitoring of blood levels”

  2. 2. failure to monitor creatinine clearance

    “the importance of monitoring creatinine clearance as per Health Board clinical pharmacy policy to be reiterated to medical team and pharmacists”

Responses

Margaret-Hions-Response.pdf ↗

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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Margaret Hions · Recurance