"Assistant coroner Ian Potter highlighted that Mr. Eastman suffered an irreversible brain bleed due to inadequate observation and communication failures in his care."
"The coroner noted systematic deficiencies in record-keeping and communication, leading to a significant risk of future incidents unless addressed comprehensively."
"Despite measures being implemented by the trust to rectify post-fall procedures, concerns remain that the deficiencies may indicate broader issues with staff skills and knowledge."
"A member of staff's failure to report Mr. Eastman's previous falls contributed to the lack of necessary medical review, highlighting flaws in hospital communication protocols."
A coroner criticized a north London NHS trust for significant communication failures that contributed to the death of Carl Eastman, a 96-year-old patient, from an unwitnessed fall. Eastman, who was under care in the Royal Free Hospital, had multiple prior falls before he sustained a fatal injury due to inadequate supervision. The coroner found numerous deficiencies in record-keeping and staff communication, warning that without significant changes, the risk of similar incidents could persist. Although the trust implemented measures to address post-fall procedures, broader skills deficits were suggested as a concern.
Read at www.bbc.com
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