Winston Llewellyn Johns
30 Oct 2013 · Coroner Louise Hunt · Powys Bridgend and Glamorgan Valleys
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. low blood sugar not accounted for in advice
“Mr [name redacted] son clearly confirmed the low blood sugar at the beginning of the call. This critical important information was not factored into the advice provided to him by the operator.”
2. incorrect CPR advice due to software limitation
“The computer programme used by the ambulance service does not take into account critical clinical information as a result the operator incorrectly advised CPR despite the risks that entails.”
Linked reports
Identical hazardConfidence 0.90 · high
This report
“The computer programme used by the ambulance service does not take into account critical clinical information as a result the operator incorrectly advised CPR despite the risks that entails.”
Later report
“During the inquest evidence was given that the Pathways system, a computerised system piloted in the North East and since rolled out for use by 6 other Healthcare Trusts nationally, has a fault in that it does not advise non Clinical call handlers to issue CPR advice unless a patient has stopped breathing.”
Responses
No published response was found on judiciary.uk.