Ethel Smith Leese
PFD Report
Historic (No Identified Response)
Ref: 2013-0184
Coroner's Concerns (AI summary)
Chaotic address verification procedures by the hospital post-discharge led to significant issues with the monitoring of Mrs. Leese's warfarin levels after her move to a care home and new GP practice.
View full coroner's concerns
(1) There was one matter of concern which relates to the monitoring of Mrs Leese’s warfarin levels. The move to the care home required Mrs
Leese to be changed to a different GP practice. The checking by the hospital of Mrs Leese’s address (including the address for posting for the yellow booklet) appears to have been fairly chaotic. Her address on the paperwork seems to have remained unchanged, there appears
Leese to be changed to a different GP practice. The checking by the hospital of Mrs Leese’s address (including the address for posting for the yellow booklet) appears to have been fairly chaotic. Her address on the paperwork seems to have remained unchanged, there appears
Sent To
- Stafford Hospital
Response Status
Linked responses
0 of 1
56-Day Deadline
7 Oct 2013
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.