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Sarah Poole

30 May 2017 · Coroner Zafar Siddique · Black Country
Check this reportOriginal

The coroner's concerns

  1. 1. failure to record and endorse doctor's name and consider prior abnormal ECG results

    “failures to record and endorse the name of the Doctor reviewing the ECG and a failure to take into account previous abnormal ECG results during the handover from the paramedic staff”

Responses

2017-0176-Response-by-The-Royal-Wolverhampton-NHS-Trust.pdf ↗· The Royal Wolverhampton NHS Trust

Stated action · monthly audit

“The Emergency Department has instigated a policy that all ECGs must be reviewed and signed off by a Senior Decision Maker, i.e. a middle grade Doctor or Consultant.”
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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