Coroner reports

Articles in this category

1. Prevention of Future Deaths reports - Impact of revised guidance? (10 November 2020)

   • Coroner
   • Coroner reports
   • (and 4 more)

     Tagged with:

     • Coroner
     • Coroner reports
     • Organisational learning
     • Patient death
     • Recommendations
     • Organisation / service factors

   By Patient Safety Learning, 20 February, 2021

   • 0 comments
   • 661 views
   • 
   • Added by Patient Safety Learning
   • 20 February, 2021

2. Regulation 28: Prevention of Future Deaths report – Susan Warby

   • Coroner reports
   • Coroner
   • (and 1 more)

     Tagged with:

     • Coroner reports
     • Coroner
     • Investigation

   By Patient Safety Learning, 2 November, 2020

   • 0 comments
   • 1,440 views
   • 
   • Added by Patient Safety Learning
   • 2 November, 2020

3. Prevention of Future Deaths Report: Harry Richford (3 February 2020)

   • Coroner reports
   • Coroner
   • (and 6 more)

     Tagged with:

     • Coroner reports
     • Coroner
     • Maternity
     • Organisational culture
     • Patient death
     • Staff factors
     • Organisation / service factors
     • Labour

   By Patient Safety Learning, 18 October, 2020

   • 0 comments
   • 896 views
   • 
   • Added by Patient Safety Learning
   • 18 October, 2020

4. Prevention of Future Deaths report: Karanbir Cheema

   • Allergies
   • Medicine - Allergy
   • (and 5 more)

     Tagged with:

     • Allergies
     • Medicine - Allergy
     • Asthma
     • Patient death
     • School / university
     • Coroner reports
     • Children and Young People

   By PatientSafetyLearning Team, 17 August, 2020

   • 0 comments
   • 2,833 views
   • 
   • Added by PatientSafetyLearning Team
   • 17 August, 2020

5. Prevention of Future Deaths report – Shanté Turay-Thomas

   • Patient death
   • Communication
   • (and 5 more)

     Tagged with:

     • Patient death
     • Communication
     • Training
     • Medicine - Allergy
     • Allergies
     • Medical device / equipment
     • Coroner reports

   By PatientSafetyLearning Team, 17 August, 2020

   • 0 comments
   • 2,321 views
   • 
   • Added by PatientSafetyLearning Team
   • 17 August, 2020

6. Patient Safety Learning: Learning from coroners’ reports could prevent deaths (11 August 2020)

   • Coroner reports
   • Organisational learning
   • (and 2 more)

     Tagged with:

     • Coroner reports
     • Organisational learning
     • Patient death
     • Information sharing

   By Patient Safety Learning, 11 August, 2020

   • 0 comments
   • 1,765 views
   • 
   • Added by Patient Safety Learning
   • 11 August, 2020

7. Regulation 28: Prevention of Future Deaths report – Mitica Marin

   • Coroner reports
   • Coroner
   • (and 4 more)

     Tagged with:

     • Coroner reports
     • Coroner
     • Medicine - Cardiology
     • Emergency medicine
     • Patient death
     • Investigation

   By PatientSafetyLearning Team, 8 August, 2020

   • 0 comments
   • 2,392 views
   • 
   • Added by PatientSafetyLearning Team
   • 8 August, 2020

8. Regulation 28: Prevention of Future Deaths report – Najeeb Katende

   • Coroner
   • Coroner reports
   • (and 4 more)

     Tagged with:

     • Coroner
     • Coroner reports
     • Patient death
     • Tests / investigations
     • Paramedic
     • Emergency medicine

   By PatientSafetyLearning Team, 8 August, 2020

   • 0 comments
   • 2,516 views
   • 
   • Added by PatientSafetyLearning Team
   • 8 August, 2020

9. Spotlight on Prevention of Future Deaths Reports (February 2018)

   • Coroner reports
   • Coroner
   • (and 3 more)

     Tagged with:

     • Coroner reports
     • Coroner
     • Patient death
     • Organisational learning
     • Systematic review

   By PatientSafetyLearning Team, 7 August, 2020

   • 0 comments
   • 1,076 views
   • 
   • Added by PatientSafetyLearning Team
   • 7 August, 2020

10. Prevention of Future Deaths: Alexander Davidson (29 July 2019)

    • Coroner
    • Coroner reports
    • (and 8 more)

      Tagged with:

      • Coroner
      • Coroner reports
      • Patient death
      • Investigation
      • Organisational learning
      • Adolescent
      • Accident and Emergency
      • Care assessment
      • Treatment
      • Medicine - Gastreoenterology

    By Patient Safety Learning, 25 May, 2020

    • 0 comments
    • 1,045 views
    • 
    • Added by Patient Safety Learning
    • 25 May, 2020

11. Prevention of Future Deaths: Sebastian Hibberd (23 August 2019)

    • Coroner
    • Coroner reports
    • (and 8 more)

      Tagged with:

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

    By Sam, 25 May, 2020

    • 0 comments
    • 845 views
    • 
    • Added by Sam
    • 25 May, 2020

12. Report to Prevent Future Deaths: Regulation 28 – Eileen Pollard

    • Coroner reports
    • Care home
    • (and 3 more)

      Tagged with:

      • Coroner reports
      • Care home
      • Recognition
      • Omissions
      • Older People (over 65)

    By Claire Cox, 11 March, 2020

    • 0 comments
    • 1,842 views
    • 
    • Added by Claire Cox
    • 11 March, 2020

13. BBC Radio 4 You & Yours: Learning from Coroners' Prevention of Future Deaths reports (26 February 2020)

    • Coroner reports
    • Coroner
    • (and 3 more)

      Tagged with:

      • Coroner reports
      • Coroner
      • Organisational learning
      • Recommendations
      • Patient safety incident

    By Patient Safety Learning, 27 February, 2020

    • 0 comments
    • 1,656 views
    • 
    • Added by Patient Safety Learning
    • 27 February, 2020

14. Patient Safety Learning blog: Learning from Prevention of Future Deaths reports (26 February 2020)

    • Coroner reports
    • Coroner
    • (and 3 more)

      Tagged with:

      • Coroner reports
      • Coroner
      • Patient death
      • Action plan
      • Recommendations

    By Patient Safety Learning, 26 February, 2020

    • 0 comments
    • 1,630 views
    • 
    • Added by Patient Safety Learning
    • 26 February, 2020

15. Coroner's case of Maureen Brown

    • Coroner reports
    • Coroner
    • (and 4 more)

      Tagged with:

      • Coroner reports
      • Coroner
      • Patient
      • Relative
      • Handover
      • Falls

    By Claire Cox, 25 February, 2020

    • 0 comments
    • 1,636 views
    • 
    • Added by Claire Cox
    • 25 February, 2020

16. Coroners, post-mortems and inquests

    • Coroner
    • Perception / understanding
    • (and 1 more)

      Tagged with:

      • Coroner
      • Perception / understanding
      • Training

    By Claire Cox, 24 February, 2020

    • 0 comments
    • 1,144 views
    • 
    • Added by Claire Cox
    • 24 February, 2020