Colin Moulton
10 Jul 2015 · Coroner Simon Nelson · Manchester (North)
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. critical information not transferred to triage nurse
“When Mr [name redacted] was admitted to A & E on the 13”
2. ambulance staff unable to locate patient in hospital grounds
“At approximately 5pm on the 13”
Linked reports
Closely relatedConfidence 0.85 · high
This report
“When Mr [name redacted] was admitted to A & E on the 13”
Later report
“Evidence heard that the handover system in [the deceased]'s case was reliant on both ambulance and Accident and Emergency personnel making and receiving a verbal handover.”
Responses
2015-0267-Response-by-Department-of-Health.pdf ↗· Department of Health and Social Care
Stated action
“the Trust has now implemented improved handover procedures between paramedics and A&E staff which should ensure that the triage nurse sees any patient notes made by the paramedics and documents this action.”
Stated action
“NWAS has advised that its staff always leave a patient report form (PRF) at every hospital following a patient transfer. A copy of this form also remains with the patient following admission”
Stated action
“FGH has very specific patient handover procedures which require NWAS to leave a copy of the PRF with the hospital receptionist for placing with hospital documentation which is subsequently passed to the triage nurse once the patient has been booked in”