Peter Patrick Adrian Barnes
PFD Report
Historic (No Identified Response)
Ref: 2013-0291
Coroner's Concerns (AI summary)
Hospital systems were inadequate for communicating observed patient information and serious incidents from nursing staff to the Responsible Clinician, leading to incomplete or outdated data for care decisions.
View full coroner's concerns
(1) The hospital’s systems by which information about patients relating to matters which had been observed by nursing staff - including in particular information about serious incidents
- were communicated to the patients’ Responsible Clinician appeared to be inadequate to ensure that such information was full and/or accurate and/or up to date.
(2) The hospital’s systems by which decisions about patients’ care made by the Responsible
- were communicated to the patients’ Responsible Clinician appeared to be inadequate to ensure that such information was full and/or accurate and/or up to date.
(2) The hospital’s systems by which decisions about patients’ care made by the Responsible
Sent To
Response Status
Linked responses
0 of 1
56-Day Deadline
13 Feb 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.