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Amirah Khalifa

2023-0481
Prevention of Future Deaths Report

Coroner

Coroner's area

Date of report

Read the PFD report for

Anita Bhardwaj

Liverpool and Wirral

27 November 2023

Report recipients

GP practice

Hospitals and other NHS acute settings

The current SCR model does not appear to automatically flag drugs such as steroids, which are known to have potentially fatal side effects if used for the long term without appropriate monitoring. It is understood that some drugs do have these flags, but that steroids do not.

In addition, the SCR does not have a space recording for clinical indication for initiation of the drugs, to aid a future prescriber to consider whether the drug is still clinically indicated.

Issues raised
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