An investigation found that the hospital’s lack of attention and knowledge led to the death of a two-year-old girl who had a rare reaction to the flu.
The coroner ruled that if Cristiana Banciu were transferred to the intensive care unit sooner, her chances of survival might be better.
When she died at King’s College Hospital on January 8, 2020, she was about a month away from her third birthday. Danish mountain South of London.
Cristiana has been transferred from Princess Royal University Hospital (PRUH) Orpington January 6 two days ago.
An investigation by the South London Coroner’s Court learned that she has been listed as a patient of concern “on many occasions” at PRUH.
The investigation was informed that an investigation by the NHS Foundation Trust Fund of King’s College Hospital found that Christiana in the ward was not adequately monitored, failed to detect her deteriorating neurological condition, and failed to have a low Glasgow Coma Score (GCS) Take action and upgrade at the same time.
Assistant coroner Jacqueline Devonish said that the failure to record Christiana’s GCS was “really very serious”.
She said: “In my opinion, lack of attention and lack of knowledge directly led to the death of this little girl.”
Ms. Devonish said she believes that health care professionals “have failed to provide basic medical services.”
She said these are “very basic neurological observations that need to be performed” and that these results are properly reviewed by senior clinicians.
“In my opinion, this is a serious failure,” she said.
But she said that the law does not support the determination of negligence because there is no evidence that Christiana would survive if she received treatment earlier.
The tragic loss of this cheerful, tough, beautiful and smart little angel is absolutely devastating for all of us
In the conclusion of her narrative, Ms. Devonish said: “Baby Christiana died of a rare reaction to the flu. At that time, her response ability declined, the Glasgow Coma Score (GCS) was 8, and the student was gradually sluggish and not recognized.
“There was a corresponding delay in the transfer to the pediatric intensive care unit.
“If she transfers earlier, whether she will survive or not, it is impossible to say with a balanced probability.
“But she may have a better chance.”
Ms. Devonish said to her family: “I saw a picture of baby Christiana on your T-shirt. She is absolutely beautiful.
“This is a very sad case. I know that her family realized the seriousness of the matter early on, and unfortunately those who treated her did not realize this.
She said there were “a series of mistakes” and added: “The tragic loss of this cheerful, tough, beautiful and smart little angel is absolutely devastating for all of us.
No matter where Cristiana goes, she lights up the room with a smile and makes people happy
After the investigation, Christiana’s parents Alexandru and Georgina said: “The loss of our daughter in such a terrible way makes us feel that we have no reason to wake up in the morning.
“She is the jewel in our palm, and her avoidable death is beyond our tolerance.
“Wherever Christiana goes, she will illuminate the room with a smile and make people happy.
“We never thought that if we took her to the hospital where she was born, she would never go home with us again.
“The doctors and nurses who let her down need to face some kind of justice, because without their mistakes, our daughter would probably still be here today.
“We need to know that this situation will never happen again, because no family should experience the nightmare we have experienced.”
Jodi Newton, a professional medical negligence lawyer at Osbornes Law who represents the family, said: “Since losing Cristiana, my client’s world has fallen apart and they are trying to understand how she could fundamentally fail.”
She said Christiana’s parents were “unusually determined to get answers.”
The investigation heard that the parents took their daughter to the King’s College Hospital in an ambulance. Mr. Bancho said this was the first time he was told of the “true situation” of her situation.
Ms. Banciu said that after arriving at King’s College Hospital, the staff “do their best”, but they were told that their daughter’s survival rate was less than 0.1%.
