Resuscitation mistakes are not just clinical errors – they are leadership failures that demand urgent action
“Action should be taken.” – Coroner Darren Stewart OBE
The tragic death of 74-year-old Kathleen Gregory at Beccles Care Home should haunt every health and social care leader in the UK. She choked on her lunch and was not resuscitated – the attending paramedic wrongly assumed she was not for resuscitation after misreading her ReSPECT form.
The coroner’s Prevention of Future Deaths Report…
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