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Alaanuloluwa Joseph

Ref: 2017-0189 Date: 14 Jun 2017 Coroner: Sean Cummings Area: London (West) Responses identified: 0 / 1 View PDF

Inaccurate monitoring and recording of fluid intake and output, a critical aspect of sepsis management, was not undertaken.

Date 14 Jun 2017
56-day deadline 4 Oct 2017 est.
Responses identified 0 of 1
Hospital Death (Clinical Procedures and medical management) related deaths

Coroner's concerns

AI summary
Inaccurate monitoring and recording of fluid intake and output, a critical aspect of sepsis management, was not undertaken.
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.

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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).

Sent to

Hillingdon Hospitals NHS Trust

Source links

Judiciary.uk page → Report PDF →

Data: judiciary.uk under OGL.