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recurance

John Follon

14 Oct 2024 · Coroner Gaynor Kynaston · South Wales Central.

The coroner's concerns

  1. 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.”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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