June Rose
PFD Report
Historic (No Identified Response)
Ref: 2014-0267
Coroner's Concerns (AI summary)
A lack of training on the correct dosage and morphine equivalent of fentanyl patches led to an erroneous prescription, contributing to the patient's death through respiratory depression.
Sent To
- Royal College of General Practitioners
Response Status
Linked responses
0 of 1
56-Day Deadline
6 Aug 2014
About PFD responses
Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.
Source: Courts and Tribunals Judiciary
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.