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recurance

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Paul Reynolds

21 Sept 2020 · Coroner Ian Arrow · Plymouth, Torbay and South Devon
Check this reportOriginal

The coroner's concerns

  1. 1. incomplete appreciation and understanding of patient's underlying medical condition leading to incorrect monitoring and

    “The full set of patient medical records must be obtained as soon as possible following admission particularly when a procedure involving anaesthesia is planned”

Responses

2020-0178-Response-from-University-Hospitals-Plymouth_Redacted.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.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error