Coroner reports

Articles in this category

1. Prevention of Future Deaths report – Mary Bush (20 October 2021)

   • Mental health
   • Self harm/ suicide
   • (and 5 more)

     Tagged with:

     • Mental health
     • Self harm/ suicide
     • Long waiting list
     • Mental health - psychotherapy
     • Additional staff required
     • Patient death
     • Mental health - CAMHS

   By Patient-Safety-Learning, 3 January, 2022

   • 0 comments
   • 1,580 views
   • 
   • Added by Patient-Safety-Learning
   • 3 January, 2022

2. Prevention of Future Deaths report – Jane Bruce (29 October 2021)

   • Sepsis
   • Deterioration
   • (and 4 more)

     Tagged with:

     • Sepsis
     • Deterioration
     • Community care
     • Nurse
     • Patient death
     • Coroner reports

   By Patient-Safety-Learning, 27 December, 2021

   • 0 comments
   • 1,321 views
   • 
   • Added by Patient-Safety-Learning
   • 27 December, 2021

3. Prevention of Future Deaths report – Rhian Rose (3 November 2021)

   • Sepsis
   • Pregnancy
   • (and 2 more)

     Tagged with:

     • Sepsis
     • Pregnancy
     • Consent
     • Patient death

   By Patient-Safety-Learning, 20 December, 2021

   • 0 comments
   • 1,917 views
   • 
   • Added by Patient-Safety-Learning
   • 20 December, 2021

4. Prevention of Future Deaths report – Serena Roberts (22 October 2021)

   • Cancer
   • Obstetrics and gynaecology/ Maternity
   • (and 4 more)

     Tagged with:

     • Cancer
     • Obstetrics and gynaecology/ Maternity
     • Diagnostic error
     • Human error
     • Long waiting list
     • Patient death

   By Patient-Safety-Learning, 15 December, 2021

   • 0 comments
   • 1,269 views
   • 
   • Added by Patient-Safety-Learning
   • 15 December, 2021

5. Prevention of Future Deaths: Unrecognised oesophageal intubation (Royal College of Anaesthetists)

   • Coroner reports
   • Anaesthesia
   • (and 1 more)

     Tagged with:

     • Coroner reports
     • Anaesthesia
     • Medicine - Respiratory

   By Sam, 10 December, 2021

   • 0 comments
   • 1,095 views
   • 
   • Added by Sam
   • 10 December, 2021

6. Christopher Collinson: Prevention of future deaths report (26 October 2021)

   • Deep vein thrombosis
   • Medication
   • (and 5 more)

     Tagged with:

     • Deep vein thrombosis
     • Medication
     • Human error
     • Technology
     • Flawed processes
     • UK
     • Coroner reports

   By Patient-Safety-Learning, 4 November, 2021

   • 0 comments
   • 1,481 views
   • 
   • Added by Patient-Safety-Learning
   • 4 November, 2021

7. Prevention of Future Deaths report – Hannah Royle (4 October 2021)

   • Patient death
   • Care assessment
   • (and 2 more)

     Tagged with:

     • Patient death
     • Care assessment
     • ED admission
     • Autism

   By Mark Hughes, 26 October, 2021

   • 0 comments
   • 1,735 views
   • 
   • Added by Mark Hughes
   • 26 October, 2021

8. Prevention of Future Deaths report – Poppy Harris (20 October 2021)

   • Patient death
   • Baby
   • (and 3 more)

     Tagged with:

     • Patient death
     • Baby
     • Maternity
     • Obstetrics and gynaecology/ Maternity
     • Consent

   By Mark Hughes, 26 October, 2021

   • 0 comments
   • 1,547 views
   • 
   • Added by Mark Hughes
   • 26 October, 2021

9. Prevention of Future Death report: Brooke Martin (9 September 2021)

   • Coroner reports
   • Coroner
   • (and 8 more)

     Tagged with:

     • Coroner reports
     • Coroner
     • Patient death
     • Self harm/ suicide
     • Mental health
     • Risk assessment
     • Autism
     • Observations
     • System safety
     • Care record

   By Patient Safety Learning, 25 October, 2021

   • 0 comments
   • 1,040 views
   • 
   • Added by Patient Safety Learning
   • 25 October, 2021

10. Prevention of Future Deaths report – Mary Land

    • Ventilators
    • Medical device / equipment
    • (and 2 more)

      Tagged with:

      • Ventilators
      • Medical device / equipment
      • Patient death
      • Human factors

    By Mark Hughes, 6 October, 2021

    • 0 comments
    • 1,472 views
    • 
    • Added by Mark Hughes
    • 6 October, 2021

11. Prevention of Future Deaths report: Hazel Wiltshire (1 September 2021)

    • Coroner reports
    • Coroner
    • (and 6 more)

      Tagged with:

      • Coroner reports
      • Coroner
      • Patient death
      • Falls
      • Virus
      • Pandemic
      • Safe staffing
      • Risk assessment

    By Patient Safety Learning, 24 September, 2021

    • 3 comments
    • 2,467 views
    • 
    • Comment by Denise44
    • 5 January, 2023

12. Prevention of Future Deaths report – Joshua Sahota

    • Mental health
    • Self harm/ suicide
    • (and 3 more)

      Tagged with:

      • Mental health
      • Self harm/ suicide
      • Relative
      • Patient
      • Communication

    By Patient Safety Learning, 23 September, 2021

    • 0 comments
    • 1,384 views
    • 
    • Added by Patient Safety Learning
    • 23 September, 2021

13. Prevention of Future Deaths report – Ann Geraghty

    • Coroner reports
    • Coroner
    • (and 3 more)

      Tagged with:

      • Coroner reports
      • Coroner
      • Patient death
      • Medicine - Cardiology
      • Medical device / equipment

    By Patient Safety Learning, 7 September, 2021

    • 0 comments
    • 1,671 views
    • 
    • Added by Patient Safety Learning
    • 7 September, 2021

14. Prevention of Future Deaths report – Azra Hussain

    • Patient death
    • Pandemic
    • (and 2 more)

      Tagged with:

      • Patient death
      • Pandemic
      • Self harm/ suicide
      • Mental health

    By Mark Hughes, 16 August, 2021

    • 0 comments
    • 1,422 views
    • 
    • Added by Mark Hughes
    • 16 August, 2021

15. Prevention of Future Deaths report – Kishorkumar Patel and Kofi Aning

    • Patient death
    • Pandemic
    • (and 2 more)

      Tagged with:

      • Patient death
      • Pandemic
      • Medical device / equipment
      • Ventilators

    By Mark Hughes, 4 August, 2021

    • 0 comments
    • 1,796 views
    • 
    • Added by Mark Hughes
    • 4 August, 2021

16. Prevention of future deaths reports - Mary Mellor

    • Patient death
    • Medicine - Cardiology

    By Patient-Safety-Learning, 9 June, 2021

    • 0 comments
    • 1,151 views
    • 
    • Added by Patient-Safety-Learning
    • 9 June, 2021

17. Prevention of Future Deaths report: Myla Deviren (24 September 2019)

    • Coroner reports
    • Coroner
    • (and 7 more)

      Tagged with:

      • Coroner reports
      • Coroner
      • Investigation
      • Children and Young People
      • Patient death
      • Care assessment
      • Treatment
      • Ambulance
      • Communication

    By Patient Safety Learning, 25 May, 2021

    • 0 comments
    • 1,119 views
    • 
    • Added by Patient Safety Learning
    • 25 May, 2021

18. Prevention of future deaths report – Paul Sartori

    • Patient death
    • Medicine - Cardiology

    By PatientSafetyLearning Team, 5 May, 2021

    • 0 comments
    • 1,850 views
    • 
    • Added by PatientSafetyLearning Team
    • 5 May, 2021

19. Prevention of Future Deaths Reports – Stephen Oakes and Peter Hussey

    • Coroner reports
    • Medicine - Gastreoenterology
    • (and 1 more)

      Tagged with:

      • Coroner reports
      • Medicine - Gastreoenterology
      • Patient death

    By PatientSafetyLearning Team, 29 April, 2021

    • 0 comments
    • 2,246 views
    • 
    • Added by PatientSafetyLearning Team
    • 29 April, 2021

20. Prevention of Future Deaths Report – Gary Day

    • Coroner reports
    • Post-op period

    By PatientSafetyLearning Team, 28 April, 2021

    • 0 comments
    • 1,962 views
    • 
    • Added by PatientSafetyLearning Team
    • 28 April, 2021

21. Prevention of Future Deaths Report – Brandon-Robert Collins-Hayward

    • Coroner reports
    • Patient death
    • (and 1 more)

      Tagged with:

      • Coroner reports
      • Patient death
      • Organisational learning

    By PatientSafetyLearning Team, 14 April, 2021

    • 0 comments
    • 1,646 views
    • 
    • Added by PatientSafetyLearning Team
    • 14 April, 2021

22. Prevention of Future Deaths report – Jamie Poole

    • Coroner
    • Coroner reports
    • (and 3 more)

      Tagged with:

      • Coroner
      • Coroner reports
      • Medication
      • Medicine - Nephrology
      • Tests / investigations

    By Patient Safety Learning, 8 April, 2021

    • 0 comments
    • 1,546 views
    • 
    • Added by Patient Safety Learning
    • 8 April, 2021

23. Prevention of Future Deaths report – Brian Button

    • Patient death
    • Coroner
    • (and 5 more)

      Tagged with:

      • Patient death
      • Coroner
      • Coroner reports
      • Virus
      • Pandemic
      • Social distancing
      • Infection control

    By Patient Safety Learning, 30 March, 2021

    • 0 comments
    • 1,499 views
    • 
    • Added by Patient Safety Learning
    • 30 March, 2021

24. Prevention of Future Deaths report – Averil Hart

    • Coroner
    • Coroner reports
    • (and 2 more)

      Tagged with:

      • Coroner
      • Coroner reports
      • Eating disorder
      • Patient death

    By Patient Safety Learning, 17 March, 2021

    • 0 comments
    • 2,498 views
    • 
    • Added by Patient Safety Learning
    • 17 March, 2021

25. A thematic analysis of the prevention of future deaths reports in healthcare from HM coroners in England and Wales 2016–2019 (3 March 2021)

    • Coroner reports
    • Patient death
    • (and 3 more)

      Tagged with:

      • Coroner reports
      • Patient death
      • Data
      • Organisational learning
      • Coroner

    By Patient Safety Learning, 5 March, 2021

    • 0 comments
    • 2,631 views
    • 
    • Added by Patient Safety Learning
    • 5 March, 2021