Prevention of Future Deaths reports · 2015

Kay Sheard

Regulation 28 report to prevent future deaths, written 21 Dec 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report21 Dec 2015
DeceasedKay Sheard
CoronerJohn Gittins
Coroner areaNorth Wales (East and Central)
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Sourcejudiciary.uk record · original PDF
Responses publishednone published

The report

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REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:

BCURB, Ysbyty Gwynedd, Penrhosgarnedd, Bangor, Gwynedd LL57 2PW

1 | CORONER

lam JOHN ADRIAN GITTINS, senior coroner, for the coroner area of North Wales (East
and Central)]

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 the 8' of January 2015 | commenced an investigation into the death of Kay Michelle
Sheard (DOB 6.1.73, DOD 6.1.15). The investigation concluded at the end of the
inquest on the 16th of December 2015. The cause of death was 1(a) Unascertained
and | recorded an Open Conclusion.

4 | CIRCUMSTANCES OF THE DEATH

The Circumstances of the death are that on the 6'* of January 2015 the Deceased
underwent an outpatient procedure under sedation at Glan Clwyd HGospital for the
removal of gall stones form the bile duct. Upon completion of the procedure she went
into cardiorespiratory failure for reasons which could not be established at a Post
Mortem nor from evidence at the inquest.

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 :-

During the procedure the Deceased’s oxygen saturations were being monitored
by a pulse oximeter for which | was advised that the alarm settings are routinely
set at 85%. However all evidence indicated that it was not the actual level of
reading which would be significant for a patient but rather the amount by which
saturations had dropped from the patient's normal base level. Notwithstanding
this, the evidence indicated that this would not be taken into account when fixing
an alarm setting level and | am therefore concerned that there exists a potential
risk to patients which could be reduced or eliminated by ensuring that the alarm
level correctly reflects the individual patient’s condition.

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe your
organisations 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 15th February 2016 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
Person ‘TEE | sb2rc of the Deceased)

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.

[DATE] 21st December 2015 [SIGNED BY CORONER]

CckALK

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