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Diana Ritchie

Ref: 2016-wp25376 Date: 18 Aug 2016 Coroner: Veronica Hamilton-Deeley Area: Brighton and Hove Responses identified: 1 / 1 View PDF

Mrs Ritchie was recovering from major surgery and on her second day post operatively was suspected of having an Ileus.

Date 18 Aug 2016
56-day deadline 13 Oct 2016 est.
Responses identified 1 of 1
Hospital Death (Clinical Procedures and medical management) related deaths

Coroner's concerns

AI summary
Mrs Ritchie was recovering from major surgery and on her second day post operatively was suspected of having an Ileus.
View full coroner's concerns
(1) Mrs Ritchie was recovering from major surgery and on her second day post operatively was suspected of having an Ileus. Overnight on the 5th and 6th

Responses

1 respondent
Brighton and Sussex University NHS Trust NHS / Health Body
PDF
Action Taken

Brighton and Sussex University NHS Trust has provided additional training to ward staff on National Early Warning Scores (NEWS) and escalation, used internal communications to highlight the importance of NEWS, and established a "Deteriorating Patient Steering Group." They are also working towards implementing an electronic NEWS system in 2017. (AI summary)

Report sections

Investigation and inquest
On 9th August 2016 I commenced an investigation into the death of Diana Maxine RITCHIE. The investigation concluded at the end of the inquest on 9th August 2016. The conclusion of the inquest was Narrative Conclusion.
Circumstances of the death
See Record of Inquest
Copies sent to
1. Clinical Quality Commission2. Clinical Commissioning GroupSoline Jarram3. Secretary of State for Health, Department of Health4. Simon StevensChief Executive NHS England5. National Patient Safety Agency6. Medico Legal Services Manager

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Report details

Reference
2016-wp25376
Date of report
18 August 2016
Coroner
Veronica Hamilton-Deeley
Coroner area
Brighton and Hove

Responses identified

Responses identified 1 of 1
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 13 Oct 2016 (estimated).

Sent to

Brighton and Sussex University Hospitals NHS Trust

Source links

Judiciary.uk page → Report PDF →

Data: judiciary.uk under OGL.