Desrae Tucker

PFD Report Historic (No Identified Response) Ref: 2014-0032
Date of Report 23 January 2014
Coroner Wendy James
Coroner Area Gwent
Response Deadline est. 20 March 2014
Hospital Death (Clinical Procedures and medical management) related deaths
Judiciary.uk Report PDF
Coroner's Concerns (AI summary)
Inadequate recording of anti-embolic stocking use, no consideration for discharging the patient with them, and failure to prescribe anti-coagulant medication upon discharge were issues.
View full coroner's concerns
_ The lack of recording in the patient's notes as to whether the patient was wearing the anti-embolic stockings prescribed No consideration given as to whether the patient should be discharged home with anti-embolic stockings gall

(3) No anti-coagulant medication prescribed to the patient upon discharge
Sent To
  • Aneurin Bevan Health Board
Response Status
Linked responses 0 of 1
56-Day Deadline 20 Mar 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

Report Sections
Investigation and Inquest
On 28-03-13 commenced an investigation into the death of DESRAE REGINA TUCKER (do.b 18/06/44). The investigation concluded at the end of the inquest on the 04-12-13. The conclusion of the inquest was that Desrae Regina Tucker died as result recognised complication following necessary surgical procedure the medical cause of death being: (a) Pulmonary embolism Deep vein thrombosis Recent Cholecystectomy (operated)
Circumstances of the Death
On 12-03-13 Mrs. Tucker was admitted as an emergency to the Royal Gwent Hospital with abdominal pain: She subsequently underwent surgery for removal of her bladder on 20-03-13_ She was discharged home on 24-03-13 and died at home on 26-03-13.
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you and your organisation have the power to take such action.
Copies Sent To
14 WJam . duty either =
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.