John Follon
14 Oct 2024 · Coroner Gaynor Kynaston · South Wales Central.
The coroner's concerns
1. silencing alarm without patient check
“Changes to the alarm system have been made following Mr [name redacted] death such as making the alarm louder and ensuring a yellow ribbon appears and remains at the top of the monitoring screen until the alarm is reactivated. However, it is still possible for a member of staff to silence the alarm without checking on the patient and the alarm will remain silent until it is physically reactivated by a member of staff.”