Prevention of Future Deaths reports · 2017

Joyce Rumming

Regulation 28 report to prevent future deaths, reference 2017-0182, written 6 Jun 2017. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report6 Jun 2017
Reference2017-0182
DeceasedJoyce Rumming
CoronerDavid Ridley
Coroner areaWiltshire and Swindon
CategoryHospital Death (Clinical Procedures and medical management) related deaths
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.

DAVID W. G. RIDLEY
Senior Coroner for Wiltshire and Swindon

[ REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:
Ms Nerissa Vaughan
Chief Executive
Great Western Hospitals NHS Foundation Trust
Great Western Hospital
Marlborough Road
Swindon
SN3 6BB

1 CORONER
|! am DAVID RIDLEY, Senior Coroner for Wiltshire and Swindon

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

3 INVESTIGATION
On 14/12/2016 | commenced an investigation into the death of Joyce Violet Rumming who was
born on 2 September 1931. Violet died at The Great Western Hospital in Swindon on 12"
December 2016. The Investigation was commenced as information was supplied in order to
make the decision that a post mortem was required that whilst at The Great Western Hospital
Joyce may have been given antibiotics in respect of which she was allergic to. | was informed
that there had been a previous occasion that resulted in a reaction. As such the investigation
post mortem itself was carried out at Salisbury District Hospital because of the possible conflict
of interest.

4 CIRCUMSTANCES OF THE DEATH

Joyce had arrived at the Accident and Emergency Department of The Great Western Hospital
late on the 11 December 2016, she was alert and orientated and appeared to respond clearly to
questioning. She had previously been diagnosed with a chest infection in respect of which she
had recently completed a course of antibiotics. The Ambulance Acute Referral Form identified
that Joyce was allergic to Amoxicillin but it does not appear that this was conveyed to those in
the Emergency Department room at handover. The allergy does not appear to have been picked
up by the Emergency Department room staff when considering the Ambulance Acute Care
Referral Form. Shortly before midnight one of the nurses in consultation with the patient’s son
and husband present documented an allergy to Amoxicillin on the reverse of the Care Plan.
Joyce, to confuse matters had also stated to another nurse when asked that she had no allergies
although there appears to have been a concern that she may have been concerned. A Doctor
having checked the internal Medway System and a ED CAS card went on to prescribe
Amoxicillin in respect of which Joyce apparently had an allergy following a previous reaction. It
would appear that the allergy following a previous admission was recorded on the EPMA System
(not used in the ED) and not on Medway which is accessible in the ED. It would appear that on
the previous admission that the allergy had also been documented on the drugs chart. The
Amoxicillin and Clarithromycin were administered at 01.45 on the 12" December 2016 and sadly
Joyce passed away just over % hour later. Having made further enquiries the cause of death |

Wiltshire & Swindon Coroner's Office, 26 Endless Street, Salisbury, Wiltshire, SP1 1DP
Tel 01722 438900 | Fax 01722 332223

highlighted that Joyce’s death was due to respiratory failure but that it did not appear to be
related to an allergic reaction to the Amoxicillin. It will shortly be the case that the investigation
will be discontinued on the basis that the cause of death appears to be natural and —
suggests the following as a cause of death which | have no reason to reject:-

1a) Type Il respiratory failure and respiratory acidosis
1b) Large sliding hiatus hernia
2) Chronic asthma, recent lower respiratory tract infection and coronary artery atherosclerosis.

CORONER’S CONCERNS

Helpfully a Route Cause Analysis was undertaken which highlighted as a care service delivery
problem the fact that an antibiotic, Amoxicillin, in respect of which it was believed that Joyce was
allergic to following a previous allergic reaction had been given to her shortly before her death.
The Route Cause Analysis in relation to items (bullet points) under contributory factors
documents a number of areas that give rise for concern. It essentially amounts to right hand not
communicating with the left hand in that for example unless a Doctor looks in a specific location
due to issues as regards the communication between various software packages that the
existence of an allergic marker could easily be missed as was the situation in relation to Joyce’s
case. A number of recommendations have been highlighted which have been documented at
items 1-4 in the action plan. | share the concerns highlighted by the Route Cause Analysis and
the purpose of this Regulation 28 Report is to enable a mechanism whereby your Trust feeds
back both to myself and to the family the results of the recommendations and provides details in
respect of what changes will be made and if changes cannot be made as to why they cannot be
made. Proceeding in this way will allow the family to secure a full death certificate following
discontinuance which will take place a few days after this Regulation 28 Report is sent out. |
have attached for ease of reference Appendix A which contains the 4 recommendations.

ACTION SHOULD BE TAKEN

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

YOUR RESPONSE

You are normally under a duty to respond to this report within 56 days of the date of this report,
namely by the 1" August 2017. | am however aware that the due date in relation to dealing with
all the points is in the future and therefore | have extended the period for response until Friday
the 15" September 2017.

COPIES and PUBLICATION

| have sent a copy of my report to the Chief Coroner and to the following Interested Persons

| have also sent it to

Director of Commissioning (South Central)
NHS England

Bewley House

Marshfield Road

Chippenham

Wiltshire

SN15 1JW

Wiltshire & Swindon Coroner's Office, 26 Endless Street, Salisbury, Wiltshire, SP1 1DP
Tel 01722 438900 | Fax 01722 332223

who may find it useful or of interest.
lam 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 06 June 2017

No) DN a
Signature

Senior Coroner for Wiltshire and Swindon

Wiltshire & Swindon Coroner's Office, 26 Endless Street, Salisbury, Wiltshire, SP1 1DP
Tel 01722 438900 | Fax 01722 332223

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 Great Western Hospital NHS Trust (PDF)
Great Western Hospitals [i'/i FJ

Private and confidential
The Great Western Hospital

Mr David Ridley Marlborough Road
Senior Coroner for Wiltshire and Swindon
Swindon SN3 6BB
Wiltshire and Swindon Coroner's Office

26 Endless Street Tel: 01793 60 40 20
Salisbury

Wiltshire

SP1 1DP

11 September 2017

Dear Mr Ridley

Re: Regulation 28 Report to prevent future deaths
Joyce Violet Rumming (deceased)

Thank you for your letter addressed to PF dated 6 June 2017 where you
had detailed recommendations for the Trust. This letter sets out the Trust’s response to
your report.

The Trust takes patient safety seriously and has clinical risk processes in place to
investigate cases where a patient had or could have suffered harm and to identify areas of
potential learning. In your letter you opined that you had shared the same concerns which
were identified in the Trust’s own investigation (Root Cause Analysis). In this letter | will
endeavour to set out a summary of the progress the Trust has made with the
recommended actions in the Trust's own investigation.

Action One — Handover process between the ambulance service and the Trust

In October 2016, the ambulance service changed from a handwritten record detailing
patient care to an electronic system. With all new documentation it takes time to embed,
the Emergency Department staff are now familiar with the new ambulance documentation.

The Clinical Risk team had liaised with the local ambulance trust to see whether any
changes can be made to the electronic system so that key information, such as allergies,
is at the top of the handover document. Our local ambulance trust works with many acute
hospitals in the South West region. We have been advised that it is not possible to make

Our Values
Service Teamwork Ambition

this change as the electronic system cannot be tailored for each individual organisation
which the ambulation trust works with.

There is a future plan to introduce a joint IT system between ambulance trusts and
hospitals and we understand that a pilot is scheduled in the next couple of years.

Action Two — Review of documentation of allergies

The majority of documentation in the Emergency Department is electronic. On the
electronic patient record system there is an alert section where drug allergies are to be
noted. The alert notification tab is then flagged red on the patient’s home page.

The Emergency Department continuously review their documentation and there are future
plans to implement a new clinical note. The clinical note is an electronic record with
specific questions for the clinician to answer when assessing the patient. The new clinical
note is planned to include patient allergies.

Action Three — Explore the interface between IT systems
The IT infrastructure did not and still does not support sharing of information between the
electronic patient medication system and the electronic patient record system. Actions two
and four are to bridge this gap and ensure patient safety.

The Trust plans to explore the IT infrastructure further in the future relating to the interface
between the two systems.

In addition to this the Emergency Department are being migrated onto the same server
which the rest of the Trust uses. This will make it easier for Emergency Department staff
to have access to the electronic patient medication record to look up any allergies and with
the potential to prescribe medication using this system.

Action Four — Review the allergy alert system / process / policy

The Medications Safety Group has developed six factsheets relating to patient medication
allergies. The factsheets are available to all staff and are located on the Trust intranet.
The factsheets cover the assessment of an allergy, how to document and share this
information and how to treat the patient. The six factsheets are included with this letter for
your information.

The policy is currently being drafted however in the interim the factsheets provide
adequate guidance on allergies.

| hope that this provides you with assurance that the Trust has put measures into place to
improve systems around patient allergies.

Our Values
Service Teamwork Ambition §

If you require any further information please do not hesitate to contact me.

Deputy Chief Executive and Medical Director

encs

Our Values
Service Teamwork Ambition Respect

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