Prevention of Future Deaths reports · 2014

Nicos Michael

Regulation 28 report to prevent future deaths, reference 2014-0168, written 14 Apr 2014. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report14 Apr 2014
Reference2014-0168
DeceasedNicos Michael
CoronerRebecca Cobb
Coroner areaNorth East Kent
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Organisation namedEast Kent Hospitals University NHS Foundation Trust
Sourcejudiciary.uk record · original PDF
Responses published1

The report

Text recovered by OCR from a scanned PDF. OCR is imperfect: check anything you rely on against the source PDF. Reproduced verbatim, including the scan's own layout.

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REGULATION 28: REPORT TO PREVENT FUTURE DEATHS

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:

The Chief Executive, East Kent Hospitals University NHS Foundation Trust

1 | CORONER

| am Rebecca Margaret COBB, Senior Coroner, for the Coroner area of North-East Kent

2 | CORONER’S LEGAL POWERS

| make this report under paragraph 7, Schedule 5, of the Coroners and Justice Act 2009
and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013.

3 | INVESTIGATION and INQUEST

On 25" July 2013 | commenced an Investigation into the death of Nicos Andreas
MICHAEL, aged 65 years. The Investigation concluded at the end of the Inquest on
1s April 2014, The conclusion of the Inquest was a Narrative (as set out in the first
paragraph of box 4 below, the clinical cause of death being :

ta. Acute Anaphylaxis to intravenous penicillin.

2. Abdominal aortic aneurism (operated).

4 | CIRCUMSTANCES OF THE DEATH

Mr. Michael died on 1st November 2013 in Kent and Canterbury Hospital, Ethelbert
Road, Canterbury, Kent as a result of an acute anaphylactic reaction to Augmentin that
was administered intravenously to him at the hospital at around 5.15pm on 30 October
2013 in Kent Ward despite the existence of an old hospital record of a reaction to
Augmentin, although there was conflicting evidence as to whether Mr. Michael had on
this admission given information of penicillin being one of his allergies. He had informed
his dentist of that allergy, but his GP only had a record of an adverse reaction to

Ibuprofen.

Mr MICHAEL was admitted to the hospital on 28!" October 2013 for an elective repair of
his abdominal aortic aneurism, which was carried out later that day. On 30'" October
2013 his blood pressure was elevated, his oxygen saturations were low and he
complained of feeling hot, dizzy and nauseous, although his temperature was within
normal range. Uitimately, he was administered intravenous Augmentin antibiotic and
almost immediately suffered a cardiac arrest which caused a significant brain injury from
which recovery was not possible. Active treatment was withdrawn, with the consent of
his family, and he died on the Intensive Care Unit on 1st November 2013.

5 | CORONER’S CONCERNS

During the course of the inquest the evidence revealed matters giving rise to concern. in
my opinion there is a risk that future deaths will occur unless action is taken. In the
circumstances it is my statutory duty to report to you.

The MATTERS OF CONCERN are as follows. —

(1) There was no clear evidence (such as a document signed by Mr MICHAEL or a
family member) detailing medication to which he/they was/were aware he was allergic.
This led to there being conflicting evidence between his having (according to his son)
highlighted his penicillin and Ibuprofen allergies to hospital staff and the allergy
information for this admission recorded by hospital staff (which did not include penicillin

but did include Ibuprofen).

(2) The Root Cause Analysis conducted by the hospital into this death identified that
Mr MICHAEL had three sets of hospital notes, in one of which there was a solitary entry
to suggest that at a past medical attendance a reaction to Augmentin was noted. That
information does not appear to have been translated in any subsequent entries nor to

have been passed to his GP.

(3)The importance of known or suspected allergies that have been recorded on previous
contacts with a hospital being readily available to the hospital's staff when next treating
that patient cannot be over-emphasised. There was evidence that the RCA team have
sought learning from this event and how to record accurately and continuously highlight
all known allergies or reported allergies, and how that information can be kept and made
available on every patient at presentation. However, the evidence also showed that the
medical reporting and computer systems for patient tracking do not currently allow this
facility in such a way, although the relevant Trust teams are investigating how this data

recording can be made more accurate.

(4) Although the Trust has indicated that electronic prescribing should now be
prioritised (which it considers could potentially have flagged up the historic allergy
documentation), the RCA gave no indication that this would be compulsory for the
future, or that any steps were being taken to encourage or make compulsory the
checking of earlier paper records for information contained therein on allergies.

ACTION SHOULD BE TAKEN

in my opinion, urgent action should be taken to prevent future deaths and | believe you
and your organisation have the power to take such action.

YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report,
namely by 9!" June 2014. I, the Coroner, may extend the period.

Your response must contain details of action taken or proposed to be taken, setting out
the timetable for action. Otherwise you must explain why no action is proposed.

COPIES and PUBLICATION

| have sent.a copy of my report to the Chief Coroner and to the following Interested
a | | have also sent it to the Chief Executive of the
Care Quality Commission and the Secretary of State for Health, Department of Health.
1am also under a duty to send the Chief Coroner a copy of your response.

The Chief Coroner may publish either or both in a complete or redacted or summary
form. He may send a copy of this report to any person who he believes may find it useful

or of interest. You may make representations to me, the coroner, at the time of your
response, about the release or the publication of your response by the Chief Coroner.

14" April 2014 ~ .
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Responses

1 response published against this report on judiciary.uk. A response is a body's written reply to the coroner's concerns; publication is at the discretion of the Chief Coroner's office, so an absent response does not mean nobody replied.

Response from East Kent Hospitals University (PDF)
East Kent Hospitals University NHS

NHS Foundation Trust

Trust Offices

Miss R Cobb 3
HM Senior Coroner North East Kent Area Kent & Canterbury Hospital
5 Lloyd Road see pterbay
Broadstairs Kent CT1 3NG
Kent

CT10 1HX Tel: 01227 866308

Your ref RC/MAB/MIC/T
Our Ref: SB/HG/hp

30 April 2014

From the Chief Executive: Stuart Bain

Dear Ms Cobb
Re: Nicos Andreas MICHAEL deceased

Following the conclusion of the Inquest hearing into the death of Mr Nicos Andreas MICHAEL on
01 April 2014 and your subsequent letter dated 14 April 2014 pursuant to paragraph 7, Schedule
5 of the Coroners and Justice Act 2009 and Regulations 28 and 29 of the Coroners
(Investigations) Regulations 2013, | write to inform you of the actions and considerations taken ~
by East Kent Hospitals University NHS Foundation Trust.

| note the concerns raised in your letter regarding the recording of a reported allergy to penicillin
throughout the healthcare records pertaining to Mr Michael. | am concerned that the issues that
you highlight are based solely on the findings of the Root Cause Analysis undertaken into this
case and the various statements provided by the staff involved in the care and treatment of Mr
Michael. There were no members of staff called to the Inquest into Mr Michael’s death who may
have been able to respond to your specific questions on this matter and explain the current
process for recording allergies to you more clearly.

| will comment on your findings in the order they appear in your report.

1. There was no consistently recorded allergy to penicillin contained in the healthcare records
held by the Trust. Indeed the patient himself did not articulate an allergy to penicillin at his
pre-operative assessment; he did state allergies to Ibuprofen and Aspirin and red “known
allergy” wristbands were applied from the date of his admission. The staff on ICU and on
Kent Ward were all aware of Mr Michael’s reported allergies.

2. There was a single reference to an allergy recorded in one volume of records embedded
within the Surgical Integrated Care Pathway. The type of allergy/sensitivity was not
quantified in any way. The allergy was not documented in any prior or subsequent set of

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