Coroner slams 'serious failings' at hospital where woman Michael Kors mangomeee Album1
A coroner has hit out at the "serious failings" of a hospital trust following the death of a patient who died after drinking Flash floor cleaner put in a water jug on her bedside table.Joan Blaber died six days after drinking the fluid at the Royal Sussex County Hospital in Brighton last year.The 85 year old, Michael Kors Mercer Gallery from Lewes, East Sussex, was admitted with a minor stroke on August 22 but her condition worsened after the incident on September 17 and she died on September 23.At Brighton and Hove Coroner's Court on Wednesday, a jury returned a narrative conclusion stating: "Evidence leads us to believe there was widespread confusion surrounding the water jug system that was in place and that jugs were being misused."Understanding and implementation of cleaning procedures were inconsistent and inadequate amongst agency and Trust cleaning staff.Croydon cat killer victims' owners outraged after Met Police declares serial killer doesn't exist."Furthermore we find that management failed to direct and monitor staff, adhere to and enforce the Control of Substances Hazardous To Health Regulations (COSHH) leading to ongoing breaches of regulation."They continued: "Management missed an opportunity to learn and disseminate lessons from a 2016 incident on the same floor of the hospital involving the drinking of cleaning fluid."
Senior coroner Veronica Hamilton Deeley said she would be writing to the Brighton and Sussex University Hospitals NHS Trust in the form of a Regulation 28 report to prevent further deaths.She said: "The jury have recorded serious failings, they have identified and explored them and found them directly related to Joan's death and in the light of this I shall be making a Regulation 28 report."This is a report requiring action to prevent other further possible deaths."In my opinion, Coroner slams 'serious failings' at hospital where woman Michael Kors this inquest has shown that action should be taken to prevent the occurrence or continuation of the failings the jury has identified and thus eliminate or reduce the risk of deaths created by these failings."She said the report would require a response within 56 days and would be sent to the hospital trust, department heads, the Care Quality Commission (CQC) and other appropriate parties.Tenerife tourist describes frantic scenes as boy, four, drowns in pool packed with families.The coroner added that the public should "receive some reassurance" from the jury's "vigorous" examination of the circumstances of Mrs Blaber's death.The eight day inquest heard Mrs Blaber was a "chatty, lovely lady" who could have lived for another "couple of years".
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