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MemberSeptember 19, 2021 at 8:20 am
An eight-year-old boy was “completely failed” by the systems in place at a hospital he went to hours before he died, a coroner has said.
But Gwent coroner Caroline Saunders was uncertain the failures contributed to the death of Logan Jones from Magor.
He had a complex medical history and first went to the Royal Gwent Hospital’s emergency unit on 15 November, with a headache and sickness.
He died from pneumococcal meningitis four days later.
The inquest into the little boy’s death had previously heard from Dr Alejandro Levin, the junior registrar who saw Logan at the emergency unit.
Boy’s meningitis not diagnosed before his death
Recording a verdict of death by natural causes, Ms Saunders said Dr Levin failed to carry out tests to assess neck stiffness and sensitivity to light, something she described as “an omission in care”.
She added that Dr Levin, who had four months of specialist paediatric experience, should have discussed Logan’s case with a more senior colleague, although she concluded “I believe he would still have been discharged”.
Ms Saunders said when Logan went to hospital two days later after being referred by his GP, “he was not triaged, he was not assessed”.
“Staff could not cope” and the “environment was not safe”, she said.