Prevention of Future Deaths reports · 2017

Sarah Poole

Regulation 28 report to prevent future deaths, reference 2017-0176, written 30 May 2017. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report30 May 2017
Reference2017-0176
DeceasedSarah Poole
CoronerZafar Siddique
Coroner areaBlack Country
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Sourcejudiciary.uk record · original PDF
Responses published1

The report

Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.

REGULATION 28:  REPORT TO PREVENT FUTURE DEATHS  

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS 

THIS REPORT IS BEING SENT TO: 

1. Chief Executive, Royal Wolverhampton NHS Trust. 
2. Chief Coroner 

1 

CORONER 

I am Zafar Siddique, Senior Coroner, for the coroner area of the Black Country. 

2 

CORONER’S LEGAL POWERS 

I 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 the 4 April 2017, I commenced an investigation into the death of the late Mrs Sarah 
Poole.  The  investigation  concluded  at  the  end  of  the  inquest  on  16  May  2017.  The 
conclusion  of  the  inquest  was  a  narrative  conclusion:  Natural  causes  contributed  to  by 
neglect. 

The cause of death was:   

1a Cardiac Dysrhythmia (Ventricular Fibrillation) 
  b Cerebral Anoxia/Brain Injury 
  c  Acute  Aortic  Dissection  with  Aortic  Rupture  and  Cardiac  Tamponade  (Operated  
29/10/2016) 
  ll Hypertension 

4 

CIRCUMSTANCES OF THE DEATH 

i)  Ms Poole was admitted to New Cross hospital after complaining of sudden 
onset  of  headache  and  back  pain  on  the  28  October  2016  shortly  after 
11pm.   

ii)  An  ECG  performed  by  ambulance  staff  was  abnormal.    She  was  then 
triaged  by  nursing  staff  and  assessed  at  Level  4  before  being  given  pain 
relief medication.  

iii)  She was seen by a doctor at 1:50am who recorded a history of anxiety and 
panic attacks, headaches and pain in her back and chest.  Her observations 
were  normal  and  it  was  incorrectly  concluded  that  her  ECG  was  normal 
when the wrong ECG was examined relating to another patient.  

iv)  She was later discharged home and no discharge papers were given to the 

family.  

v)  Her condition continued to decline and she was readmitted back to hospital 
on the 29 October at around 1pm; a scan and further investigation revealed 
an aortic dissection. 

vi)  She  then  had  emergency  surgery  which  was  a  complex  operation  with 

1 

[IL1: PROTECT] 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 associated risks.  

vii)   She  developed  further  complications  post  operatively  and  by  the  3 
November  a  CT  brain  scan  revealed  minimal  brain  activity.    She  sadly 
passed away on the 5 November 2016. 

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.  Evidence  emerged  during  the  inquest  that  there  were  failures  to  record  and 
endorse  the  name  of  the  Doctor  reviewing  the  ECG  and  a  failure  to  take  into 
account  previous  abnormal  ECG  results  during  the  handover  from  the 
paramedic staff.  

6 

ACTION SHOULD BE TAKEN 

In my opinion action should be taken to prevent future deaths and I believe you have the 
power to take such action.  

1. 

I  understand  that  since  this  incident  a  number  of  measures  have  been 
introduced including reinforcing the requirement to sign all ECG’s.  However, a 
recent audit (May 2017) indicated that out of twenty cases examined there were 
still two failures by the clinician to endorse the ECG. 

2.  You may  wish to consider setting up a review of the  policy and training for the 
relevant  staff  concerned  and  a  consideration  of  an  escalation  policy  for  those 
who continue to fail to adhere to policy and instructions. 

7 

YOUR RESPONSE 

You are under a duty to respond to this report within 56 days of the date of this report, 
namely by 25 July 2017. 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. 

8 

COPIES and PUBLICATION 

I  have  sent  a  copy  of  my  report  to  the  Chief  Coroner  and  to  the  following  Interested 
Persons; Family. 

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. 

9 

 30 May 2017                                                   

Mr Zafar Siddique
Senior Coroner 
Black Country Area 

2 

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 3 

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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 The Royal Wolverhampton NHS Trust (PDF)
The Royal Wolverhampton INHS|

NHS Trust

JO/LNR New Cross Hospital
Wolverhampton Road

Wolverhampton

West Midlands

WV10 0QP.

Tel: 01902 307999
Private and Confidential

For the attention of Mr Z Siddique
HM Senior Coroner

Black Country Coroner’s Court
Jack Judge House

Halesowen Street

Oldbury

B69 2AJ 19 July 2017

Dear Mr Siddique

RE: PATIENT SARAH POOLE - DECEASED - HOSPITAL NUMBER H19006_ DOB 01/03/1978

ee OE SE EE NEED IU VB VEY NIL

Firstly, please may | express my condolences on the death of Sarah Poole.

| write this letter in response to the regulation 28 report to Prevent Future Deaths dated 30" May
2017.

The concerns raised at the inquest on the 4" April 2017 relate to Miss Sarah Poole, and are that
there were failures to record and endorse the name of the Doctor reviewing the ECG and the
failure to take into account previous abnormal ECG results.

The Emergency Department has instigated a policy that all ECGs must be reviewed and signed off
by a Senior Decision Maker, i.e. a middle grade Doctor or Consultant.

This policy will be audited on a monthly basis with 20 sets of ECGs being reviewed to ensure that
each ECG has been signed off by a Senior Decision Maker and also to audit whether
documentation relating to the ECGs is being made in the patients notes.

We have just completed the audit for June 2017 and this shows a 100% compliance with a Senior
Decision Maker signing and reviewing the ECG, and 90% compliance with documentation being
made in the notes. Where there have been omissions the individuals concerned are identified and
advised of the requirement to comply with the measures. However, if they persist in not complying
then the Trust will instigate misconduct proceedings.

Chairman:
Chief Executive: David Loughton CBE
Preventing Infection - Protecting Patients

A Teaching Trust of the University of Birmingham

Safe & Effective | Kind & Caring | Exceeding Expectation

eS

Mi 2382414 12.10.16

The department has also developed an algorithm for how to manage an abnormal ECG, which has
been approved by the Consultant Body and will be taken to the departmental Governance Meeting
for ratification and will be in place for the next Junior Induction in August 2017. This process will
be reinforced during a “Focus Fortnight” for Nurses during July 2017. Also, the message will be
delivered using the Departmental Safety Briefings twice daily as a way of reinforcing the new
process. This will also be backed up by posters describing the new process.

With regards to the ambulance handover there have been problems with the new electronic
handover system producing lengthy documents. However, we have now introduced a way of
summarising this information into 1 to 2 sheets which will be printed off and attached to the ED
patient documentation. To ensure that medical staff review this information we have included in
the discharge checklist (shared at the inquest) a statement which will ask the clinician to confirm
that they have read the pre-hospital information. The checklist has been agreed by the Senior
Team in ED and is in the process of being incorporated electronically into the printed element of
ED patient documentation. We cannot confirm at this time the exact implementation date but it will
be within the next month, and along with the ECG process we plan to audit the compliance with the
discharge checklist on a monthly basis.

Please let me know if you require any additional information.

Yours sincerely

Dr Jonathan Odum
MEDICAL DIRECTOR

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