“The evidence at the inquest was that IV Tazocin should be given by slow IV injection”
Dated 28 Apr 2014, from the coroner for Inner South London. Sent to 1 organisation or person.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
Deadline passedReplies were due by 23 Jun 2014. A reply may have been sent and not yet published.
Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk.
- Report dated28 Apr 2014
- Deadline23 Jun 2014
- Published on judiciary.uk28 Apr 2014
- Today27 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| King's College Hospital NHS Foundation TrustNamed in the report as “Kings College Hospital NHS Foundation Trust” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 23 Jun 2014. A reply may have been sent and not yet published. |
The coroner’s concerns
This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.
— (1) The evidence at the inquest was that IV Tazocin should be given by slow IV injection. vidence was that he administered this drug over a period of 7 minutes. Even allowing for some uncertainty as to exact timings, the evidence (as set out in the timings given above) suggests that the drug was in fact administered too quickly. | am therefore concerned that there may be training issues relating to the administration of IV medications in this case. (2) gave evidence that the IV vancomycin infusion was stopped early and before it had been fully administered. My concern is that both witnesses said that this fact would not be routinely documented in the drug administration records, and may not be recorded at all. There was no record in this case that the infusion was stopped early. The evidence at the inquest was that Ms Tompkins’ death was not caused by either of these matters. However, | am concerned that any repetition would cause a risk in other cases.
An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.
- Source
- judiciary.uk, Prevention of Future Deaths reports, 2014-0188
- Added to Minute Book
- 8 Oct 2026
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0
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