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recurance

Susan Warby

25 Sept 2020 · Coroner Nigel Parsley · Suffolk

The coroner's concerns

  1. 1. incorrectly labelled intravenous fluids used in arterial lines

    “packaging and visual identification aids available for intravenous fluids to be used in arterial line transducer sets were not sufficiently distinctive”

Responses

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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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