Source · Prevention of Future Deaths
Alaanuloluwa Joseph
Ref: 2017-0189
Date: 14 Jun 2017
Coroner: Sean Cummings
Area: London (West)
0 responses identified · 1 indexed addressee
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AI-generated concerns summaryThe coroner noted a lack of accurate monitoring and recording of fluid intake and output, identifying its critical importance in sepsis management.
Date
14 Jun 2017
56-day deadline
4 Oct 2017 est.
estimated from the Judiciary.uk publication date
Responses identified
0 of 1
Coroner's concerns
The coroner noted a lack of accurate monitoring and recording of fluid intake and output, identifying its critical importance in sepsis management.
View full coroner's concerns
Evidence was heard that indicated that accurate monitoring and recording of fluid intake and output was not undertaken_ Evidence was also heard that fluid management in sepsis is of critical importance_
Report sections
Investigation and inquest
Inquest into the death of Alaanuloluwa Joseph
Circumstances of the death
Master Alaanuloluwa Joseph died from sepsis, lung abscess and bacterial pneumonia at Great Ormond Street Hospital on the 22nd December 2015. He had been admitted to the Hillingdon Hospital during the early hours of the same day:
Action should be taken
To review the management of sick children in the Paediatric Accident and Emergency Department to ensure that all those suspected of having infection or sepsis must have fluid balance charts completed.
Similar PFD reports
Report details
- Reference
- 2017-0189
- Date of report
- 14 June 2017
- Coroner
- Sean Cummings
- Coroner area
- London (West)
Responses identified
Responses identified
0 of 1
1 response not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 4 Oct 2017 (estimated from the Judiciary.uk publication date).
Sent to
- Hillingdon Hospitals NHS Trust