article_snippet: Nurse Susan Brown said Nurse Susan Brown accepted it was 'an oversight' and that a checklist had not been completed on the patient's discharge notes.
article_snippet: Coroner Jacqueline Lake said Coroner Jacqueline Lake was satisfied that the operation had been conducted appropriately.
article_snippet: The trust commissioned an independent review in order to identify any ways in which we could improve we services. '
article_snippet: Once we have the coroner's recommendations we will review these to identify any further opportunities for improvement.'