Terence Sullivan
13 Mar 2024 · Coroner David Reid · Worcestershire
The coroner's concerns
1. anticoagulant medication management
“Since June 2023, Mr [name redacted] had been on a single anticoagulant medication ( Rivaroxaban ) to prevent previously inserted coronary stents from blocking. The clinicians who carried out the endoscopic procedure on 8.8.23, however, ensured that he had not taken any Rivaroxaban for the previous 48 hours. This was in accordance with Worcestershire Acute Hospital NHS Trust (WAHT)'s own guidance, itself based on NICE guidance”
2. guideline relevance
“I am concerned to hear that current guidance on this specific issue from both NICE and BSG may not now reflect current best practice.”