Source · Prevention of Future Deaths
Nihad Ousta
Ref: 2016-0378
Date: 25 Oct 2016
Coroner: Chinyere Inyama
Area: London (West)
0 responses identified · 1 indexed addressee
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AI-generated concerns summaryThe coroner noted the absence of a protocol or written guidance for managing head injuries, including specified frequencies and ranges for general and neurological observations.
Date
25 Oct 2016
56-day deadline
20 Dec 2016 est.
estimated from the report date
Responses identified
0 of 1
Coroner's concerns
The coroner noted the absence of a protocol or written guidance for managing head injuries, including specified frequencies and ranges for general and neurological observations.
View full coroner's concerns
In the my circumstances it is my statutory duty to report to you: There was not and currently is not a protocol or other written guidance or policy for the management of head injury (to include frequency and range of general and neuro observations)
Report sections
Investigation and inquest
On 3rd of January 2015 commenced an investigation into the death of Nihad Ousta: The investigation concluded at the end of the inquest on 25ih October 2016 with a narrative conclusion returned by the jury:
Circumstances of the death
Nihad Ousta was admitted to Coniston Ward; West London Mental Health Trustsunder szhdentalsHaealah Act 1983. He suffered visibie head trauma o 2 separate occasions before deteriorating being transferred to Ealing General Hospital for further treatment Whilst there he acutely deteriorated necessitating transfer to Charing Cross Hospital for a neurosurgical procedure. He was returned to Ealing General post procedurer(ateetransterred to a nursing home for further management and then several months later admitted into St George's Hospital where he passed away:
Action should be taken
In opinion action should be taken to prevent future deaths and believe you and your my organisation have the power to take such action:
Similar PFD reports
Report details
- Reference
- 2016-0378
- Date of report
- 25 October 2016
- Coroner
- Chinyere Inyama
- 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: 20 Dec 2016 (estimated from the report date).
Sent to
- West London Mental Health Trust