Saif Hussain
25 Nov 2021 · Coroner Heidi Connor · Berkshire
The coroner's concerns
1. inconsistent drug administration without safeguards
“The trust should consider : 1. A single system for record keeping and monitoring. 2. How the system could incorporate appropriate limits on the administration of certain drugs within that system. 3. Whether software like Guardrails should be implemented more widely, and consideration given to when and how it is possible to override this, and how that should then be documented. 4. Adopting a system of flagging up where prescription and administration of drugs is different.”