Maureen Brown
4 Feb 2020 · Coroner Emma Serrano · Derby and Derbyshire
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. incomplete handover information
“Evidence emerged during the inquest that the electronic transfer information is the only information that the receiving ward is given before a patient is transferred. Other relevant information, that is necessary for an effective handover to take place, can be missed as the electronic transfer system limits how much information can be recorded.”
Linked reports
Closely relatedConfidence 0.85 · high
This report
“Evidence emerged during the inquest that the electronic transfer information is the only information that the receiving ward is given before a patient is transferred.”
Later report
“Evidence emerged during the inquest 1. That patient electronic and paper based transfer information is not kept on one database.”
Responses
2020-0021-Response-from-NHS-England-and-NHS-Improvement-Redacted.pdf ↗· NHS England
Stated action
“the Trust has responded to address the specific learning with regard their own internal patient transfer processes.”