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Coroner’s Prevention Of Future Deaths Report
We have been made aware of a Prevention of Future Deaths Report which was issued by the Senior Coroner at St Pancras Coroner’s Court.
Wed 26th August 2020
The PDA
| The failings, in this case, were so wide-ranging that the Coroner addressed the report to 13 different organisations and individuals including the GP, local CCG, NHS 111 and London Ambulance Service. We are circulating the report to our members who work in primary care because the identified failings had serious effects and have potential implications for the safe management of switching exercises.
We would also encourage pharmacists who may be involved at any stage in the provision of adrenaline pens to patients to reflect on the advice and support they could provide to patients to avoid similar deaths in future – we are therefore sharing this report with all PDA members.
We are circulating this report together with information from the Anaphylaxis Campaign aimed at ensuring all pharmacists administering flu vaccinations this year are prepared to deal with cases of anaphylaxis should they occur. |
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