Source · Prevention of Future Deaths

Kay Sheard

Date: 21 Dec 2015 Coroner: John Gittins Area: North Wales (East and Central) Responses identified: 0 / 1 View PDF

Pulse oximeter alarm settings are fixed at a routine level rather than being adjusted to individual patient baselines, risking unnoticed significant oxygen desaturation.

Date 21 Dec 2015
56-day deadline 15 Feb 2016
Responses identified 0 of 1
Hospital Death (Clinical Procedures and medical management) related deaths

Coroner's concerns

AI summary
Pulse oximeter alarm settings are fixed at a routine level rather than being adjusted to individual patient baselines, risking unnoticed significant oxygen desaturation.
View full coroner's concerns
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 patients 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. Kay

Report sections

Investigation and inquest
On the 8th of January 2015 commenced an investigation into the death of 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
Circumstances of the death
The Circumstances of the death are that on the 6th 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,
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.

Similar PFD reports

Shared signals

Related inquiry recommendations

Similar themes

Report details

Date of report
21 December 2015
Coroner
John Gittins
Coroner area
North Wales (East and Central)

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: 15 Feb 2016.

Sent to

BCUHB, Ysbyty Gwynedd

Source links