Gemma Ralph
8 Nov 2024 · Coroner Daniel Howe · Staffordshire and Stoke-on-Trent
The coroner's concerns
1. unmonitored removal of sevoflurane bottles
“bottles of sevoflurane, whether unopened or partially used after theatre, does not appear to be robustly monitored to the degree that it was possible for a bottle of sevoflurane to be removed from Cannock Chase Hospital without this being flagged by the auditing system”