NOTTINGHAMSHIRE
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If the Coroner feels that evidence gives rise to a concern that circumstances creating a risk of other deaths will occur or continue to exist, he/she may make a Rule 43 report which is sent to the organisation that has responsibility for the circumstances. A recipient of a Rule 43 report must send a written response within 56 days to the Ministry of Justice.
The Coroner has sent a Rule 43 to the following organisation/s ..
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HOSPITAL DEATHS: CLINICAL PROCEDURES AND MEDICAL MANAGEMENT
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DONCASTER AND BASSETLAW HOSPITALS NHS FOUNDATION TRUST
Recommendation - Published May 2012
1. To consider whether all patients on Warfarin are reviewed by a specialist nurse or Pharmacist before discharge:
providing specific written instructions to GPs and patients when patients are discharged on a drug with significant
interaction and the need for a robust method of highlighting such instructions.
2. To consider a review of procedures regarding the administration and documentation of GP prescribed drugs.
RESPONSE
From: Doncaster and Bassetlaw Hospitals NHS Foundation Trust
Click here to view the response ...
SHERWOOD FOREST HOSPITALS
Recommendation - Published May 2012
1. To consider a review of the hospital protocol on procedures to be followed when the police are called to the hospital to
deal with an incident and to ensure that staff and police are aware of this protocol and are trained in its application.
2. To consider introducing a policy which ensures any material changes of opinion between a radiolist's verbal and written
report is communicated to the relevant clinician at the time the written report is made.
RESPONSE:
From: Sherwood Forest Hospital NHS Foundation Trust
Click here to view the response ...
QUEEN'S MEDICAL CENTRE, Nottingham
Recommendation - Published May 2012
To consider a review to ensure all observations are properly recorded and patients see a doctor before leaving hospital.
RESPONSE:
Nottingham University Hospitals NHS Trust
Click here to view the response ...
HOSPITAL DEATHS: OTHER
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CASTLEBECK CARE LTD
Recommendation - Published May 2012
To consider a review of the systems and procedures for caring for, escorting and restraining patients at Cedar Vale Hospital.
____________________________________________________________________________________
If the Coroner feels that evidence gives rise to a concern that circumstances creating a risk of other deaths will occur or continue to exist, he/she may make a Rule 43 report which is sent to the organisation that has responsibility for the circumstances. A recipient of a Rule 43 report must send a written response within 56 days to the Ministry of Justice.
The Coroner has sent a Rule 43 to the following organisation/s ..
________________________________________________________________________________________________________________
HOSPITAL DEATHS: CLINICAL PROCEDURES AND MEDICAL MANAGEMENT
________________________________________________________________________________________________________________
DONCASTER AND BASSETLAW HOSPITALS NHS FOUNDATION TRUST
Recommendation - Published May 2012
1. To consider whether all patients on Warfarin are reviewed by a specialist nurse or Pharmacist before discharge:
providing specific written instructions to GPs and patients when patients are discharged on a drug with significant
interaction and the need for a robust method of highlighting such instructions.
2. To consider a review of procedures regarding the administration and documentation of GP prescribed drugs.
RESPONSE
From: Doncaster and Bassetlaw Hospitals NHS Foundation Trust
Click here to view the response ...
SHERWOOD FOREST HOSPITALS
Recommendation - Published May 2012
1. To consider a review of the hospital protocol on procedures to be followed when the police are called to the hospital to
deal with an incident and to ensure that staff and police are aware of this protocol and are trained in its application.
2. To consider introducing a policy which ensures any material changes of opinion between a radiolist's verbal and written
report is communicated to the relevant clinician at the time the written report is made.
RESPONSE:
From: Sherwood Forest Hospital NHS Foundation Trust
Click here to view the response ...
QUEEN'S MEDICAL CENTRE, Nottingham
Recommendation - Published May 2012
To consider a review to ensure all observations are properly recorded and patients see a doctor before leaving hospital.
RESPONSE:
Nottingham University Hospitals NHS Trust
Click here to view the response ...
HOSPITAL DEATHS: OTHER
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CASTLEBECK CARE LTD
Recommendation - Published May 2012
To consider a review of the systems and procedures for caring for, escorting and restraining patients at Cedar Vale Hospital.