Hospital failed to restart patient’s warfarin and sent discharge letter to wrong GP: coroner

A hospital that stopped an elderly man’s warfarin decided ‘inappropriately’ that his GP should restart it, a coroner has found.
According to Victorian coroner Katherine Lorenz, the hospital also sent the discharge summary — which incorrectly recommended the patient switch to a NOAC — to the wrong GP clinic.
And the discharge summary was not completed until 76-year-old Antonios Myrianthopoulos had been dead from a pulmonary embolism (PE) for nearly six weeks.
Mr Myrianthopoulos had a history of type 1 diabetes, chronic swelling post-thrombotic syndrome, DVT and PE, managed with lifelong warfarin.