Prevention of Future Deaths reports · 2016

Harry Glibbery

Regulation 28 report to prevent future deaths, reference 2016 – 0292, written 16 Aug 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report16 Aug 2016
Reference2016 – 0292
DeceasedHarry Glibbery
CoronerAndrew Cox
Coroner areaPlymouth, Torbay and South Devon
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Organisation namedUniversity Hospitals Plymouth NHS 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.

ANDREW JAMES COX
Assistant Coroner for Plymouth Torbay and South Devon

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO: | Medical Director, Plymouth Hospitals
NHS Trust, Derriford, Plymouth

CORONER
lam ANDREW JAMES COX, Assistant Coroner for Plymouth Torbay and South Devon
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.

http://Awww.legislation.gov.uk/ukpga/2009/25/schedule/5/paragraph/7
http://Awww.legislation.gov.uk/uksi/2013/1629/part/7/made

INVESTIGATION and INQUEST

On 15/04/2016 | commenced an investigation into the death of Harry Glibbery. The investigation
concluded at the end of an inquest on 15 August 2016. The narrative conclusion of the inquest
was that Mr Glibbery died from a known complication (bleeding) of a necessary medical
procedure (anti-coagulation)

4 CIRCUMSTANCES OF THE DEATH

Mr Glibbery suffered with a chronically infected left total hip replacement. He was under the care
of a Consultant Orthopaedic Surgeon whose efforts were greatly appreciated by
the family. Mr Glibbery had a number of wash-outs as well as two first-stage revisions.

On 26th February 2016 he underwent a Girdlestone procedure.

On 4 March Mr Glibbery complained of shortness of breath and chest pain. A CT PA on 8 March
revealed multiple pulmonary embolii as a consequence of which Mr Glibbery was started on
Clexane. At Inquest | was advised that the Derriford Protocol provides for patients to be
prescribed 1.5 milligrams per 1 kilogram once daily. As a matter of fact, | found that Mr Glibbery
was prescribed 1 milligram per kilogram administered twice daily. Upon admission into hospital
Mr Glibbery weighed 80 kilograms and, as a consequence, he received 160 milligrams of
Clexane daily instead of 120 milligrams.

| was advised that the prescription was reviewed on 3 separate occasions by Pharmacy
clinicians but the error was not identified.

On 5 April Mr Glibbery deteriorated acutely and a CT scan revealed a catastrophic intracerebral
haemorrhage from which he died on 7 April 2016.

As a matter of fact | found that the over-administration of Clexane did not cause the death but it
may have contributed to the outcome in the sense that once the intracerebral haemorrhage
started it bled more profusely that would otherwise have been the case.

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) The doctor who originally prescribed the Clexane did not do so in accordance with Derriford

Protocol;
2) The doctor's prescription error was not identified during Pharmacy reviews intended to

1 Derriford Park, Derriford Business Park, Plymouth, PL6 5QZ
Tel 01752 204636 | Fax

up precisely this sort of shortcoming;
(3) | was advised that during Mr Glibbery’s admission he lost_a substantial amount of weight
estimated at between 6 — 10 kilograms. (who gave
evidence) expressed their difficulties in having patients weighed. This is particularly difficult for
patients who have undergone hip replacements where, | was told, a hoist that is available is not
high enough to return patients back to their beds. The importance of this is obvious in patients
whose medication is weight-dependent. It is believed that Mr Glibbery was on the cusp of
requiring a downward review of the amount of Clexane prescribed to him.

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe you Dr. P Hughes
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
10 October 2016. |, 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 Persons -
wife of the deceased.

| am 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.

Dated 16 August

Signature
Assistant Coroner Yo

Plymouth Torbay and South Devon

1 Derriford Park, Derriford Business Park, Plymouth, PL6 5QZ
Tel 01752 204636 | Fax

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 Plymouth Hospital NHS Trust (PDF)
Plymouth Hospitals NHS)

NHS Trust

MBBS MRCP FRCR

Medical Director and Cons Radiologist
Department of Clinical Management, Level 7
Derriford Hospital, Plymouth, Devon PL6 8DH

Tel: 01752 439488
Fax:
E-mail:

11" October 2016

PRIVATE & CONFIDENTIAL

Mr A J Cox

Assistant Coroner

Her Majesty’s Coroner for the County of Devon
Plymouth, Torbay and South Devon

1 Derriford Park

Derriford Business Park

Plymouth PL6 5QZ

Dear Mr Cox
Re: Harry GLIBBERY

Thank you for your letter of 16" August 2016 outlining a Regulation 28 notice in relation to the
aforementioned patient.

You have identified a number of points in your letter which | will respond to in order.

1. The doctor who originally prescribed the Clexane did not do so in accordance with
Derriford protocol.

We have reviewed the records and can identify that the original prescription of Clexane
was in the form of prophylactic treatment at 40 milligrams once a day, and this dose was
continued for some months from the patient's admission in January until he developed a
pulmonary embolism in March 2016.

At this point he was commenced on a therapeutic dose of Clexane at 80 milligrams twice
daily (160 milligrams total in the day). This is at variance with the Trust’s protocol of 120
milligrams once a day, which is | would point out dependant on weight. This dose was
continued, but on review it would appear that on 21* March the patient's weight had
reduced from 83 kilograms to 75 kilograms and at this time it would have been
appropriate to have reduced the dose to 100 milligrams once a day. The dose was
therefore higher than expected but still at the extreme of therapeutic dosage.

Working in Partnership with the Peninsula Medical School

Chairman Chief Executive: Ann James

There are currently three protocols for the use of “therapeutic” Clexane (i.e. not
prophylactic use) — DVT / PE protocol; “Bridging therapy” protocol for patients that are
routinely prescribed warfarin prior to admission; protocol for the management of Acute
Coronary Syndrome.

In response to this incident, these protocols will be reviewed by the Thrombosis
Committee and clear guidance disseminated across the Trust.

Furthermore, the Trust will be investing in the implementation of an electronic
prescribing and medicines administration (ePMA) system during 2017. This system will
include the use of “order sets” linked to diagnosis, which will ensure that the correct
protocol is chosen. For weight specific dosing the patient’s weight will have to be entered
in to the system and the dose will be automatically calculated. It will be possible for this
functionality to be time limited, such that a new weight would have to be entered at a
defined point in time (e.g. every 7 days) and a new dose calculated.

. The doctor's prescription error was not identified during pharmacy reviews intended to
pick up precisely this sort of shortcoming.

Your assertion is correct. We have reviewed the pharmacist that checked this - there
were at least two pharmacists and we believe that the secondary pharmacist had
accepted that the primary review had confirmed that the dose of Clexane was correct.
There is no record of whether the initial pharmacist had challenged / confirmed the dose
of Clexane being at variance with the DVT / PE protocol.

In response to this incident we have developed a learning package which is being
delivered by the Deputy Senior Pharmacist to all pharmacists within the department
emphasising the following points:

|. Correct dose of 120 milligrams BD.

Il. The fact this this is weight dependant. Difficulties in weighing patients following
operations which could result in a failure to appreciate a significant loss of weight
which would modify medication dosage.

In addition, steps are being taken to ensure that the pharmacists make appropriate
records in the medical notes when challenging / confirming treatments. In the future, this
will be required to be input into the ePMA system.

All patients are screened on admission using the MUST assessment tool to identify
patients who are malnourished, or at risk of becoming malnourished.

All patients are then weighed weekly during their hospital admission, and this is recorded
on the MUST Risk Assessment document. The weights are currently updated not on the
Drug Chart but on the Observation Chart and at the time of the ward rounds when
patients information, clinical circumstances are discussed between medical and nursing
staff, any significant changes in weight are discussed and any modifications made as a
secondary step to the pharmacist updating the Drug Chart.

As highlighted above, with the implementation of ePMA (2017) it will be possible to set
time limits for weight dependant drugs, so that a new weight has to be recorded at pre-
defined points in time. This will ensure the doses of drugs are always matched to an
accurate and up to date weight.

In relation to weighing patients who have had operations, this can be difficult particularly
with hip operations because of the risk of damaging the hip with a hoist system and
secondly that the hoist with the weighing scales in place does not clear the beds. We
have discussed this with the nursing staff and identified the importance of these weight

Working in Partnership with the Peninsula Medical Schoo!

Chairman: fF Chief Executive: Ann James

measurements being taken, even if there are considerable technical issues. We will
monitor this with the Senior Nurses. This does represent significant challenges, both as
a result of the patient's condition and the various mechanisms which are common to
patients in this particular.

Medical Director

Working in Partnership with the Peninsula Medical School

Chairman; Chief Executive: Ann James

Related reports

Other reports by Andrew Cox

See all →

More reports categorised “Hospital Death (Clinical Procedures and medical management) related deaths”

See all →

Track University Hospitals Plymouth NHS Trust

See every Prevention of Future Deaths report matching University Hospitals Plymouth NHS Trust, and how often a new one appears.

What would an alert for this have sent me? Search the full text

Free to try — the preview shows the real matches and how many arrived in the last 12 months. Your first email alert is free.

These reports are published by the Chief Coroner's office at judiciary.uk and are © Crown copyright. The text here is reproduced from the published PDF so it can be searched. If something on this page is wrong, or you are a person named in it and want it reviewed, email drcjar@gmail.com and we will act promptly.