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A&E failings put lives at risk.

Patients' lives are being put at risk at a short-staffed A&E department where a man died amid a series of failings, coroner has said.

John Shrosbree, 72, died a week after arriving "clearly unwell" at Milton Keynes Hospital. The seriousness of his illness was not recognised and he went into cardiac arrest, suffering brain damage, senior coroner for Milton Keynes, Tom Osborne, said.

Mr Osborne, who oversaw the inquest into Mr Shrosbree's death, said it became clear during evidence that problems in the department were mainly the result of a lack of staff.

He said: "I was told that staff shortages occur on a daily basis. I believe that, as a result, lives of the citizens of Milton Keynes are being put at risk and the problem should be addressed as a matter of urgency."

In Mr Shrosbree's case, he said, observations and tests confirmed the patient was unwell with high potassium levels when he was admitted.

But his observations were not reviewed and his care was not escalated to a higher level, Mr Osborne said.

The coroner concluded that there was a failure to take the necessary steps to treat Mr Shrosbree's illness, including a delay in starting treatment.

As a result he issued the hospital with a Regulation 28 notice, also known as a Prevention of Future Deaths report, after the inquest concluded. It ordered that "action should be taken to prevent future deaths.”

A spokeswoman for Milton Keynes University Hospital NHS Foundation Trust said it accepted the coroner's findings and had increased the levels of nursing leadership in the emergency department.

She added: "We are making a thorough assessment of the coroner's recommendations and will be reporting our actions to him in due course."

 

 

 

 

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