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| Version 1 | Version 2 |
|---|---|
| Worcester Royal hospital investigates 'wrong gas' death | Worcester Royal hospital investigates 'wrong gas' death |
| (about 5 hours later) | |
| A patient has died after being given what was thought to be the wrong gas while being treated at the Worcestershire Royal Hospital. | |
| The hospital trust said it had started an investigation and it was not yet known if the alleged error had resulted directly in the patient's death. | The hospital trust said it had started an investigation and it was not yet known if the alleged error had resulted directly in the patient's death. |
| It said it could not release detailed information about the incident while the investigation was ongoing. | It said it could not release detailed information about the incident while the investigation was ongoing. |
| Details of the death have been passed to the Worcestershire coroner, it said. | Details of the death have been passed to the Worcestershire coroner, it said. |
| Chief medical officer Mark Wake said the trust was "reflecting on all the circumstances and evidence available". | Chief medical officer Mark Wake said the trust was "reflecting on all the circumstances and evidence available". |
| He said results of any investigation into the so-called never event would be given to the family and published externally at a later date. | He said results of any investigation into the so-called never event would be given to the family and published externally at a later date. |
| He said: "In the rare and regrettable instances where they [never events] do occur, an investigation is immediately undertaken to find the root causes, develop solutions for and then implement them where the incident occurred and more widely if required. | He said: "In the rare and regrettable instances where they [never events] do occur, an investigation is immediately undertaken to find the root causes, develop solutions for and then implement them where the incident occurred and more widely if required. |
| "This helps to reduce the likelihood of a similar incident re-occurring." | "This helps to reduce the likelihood of a similar incident re-occurring." |
| Incidents that are categorised as never events by the Department of Health are those which are so serious they should never happen. | Incidents that are categorised as never events by the Department of Health are those which are so serious they should never happen. |