Hospital staff missed and made incomplete medical checks on a four-year-old boy in the days before he died from sepsis, an inquest heard.
Daniel Klosi died at the Royal Free Hospital on April 2 last year having been taken to the hospital four times in a week, including twice in one day, by his parents.
In a statement read out in Poplar Coroner’s Court yesterday (August 13), his father Kastriot Klosi said he and mum Lindita Alushi, noticed Daniel was “wheezing and had a barking cough” on March 26.
They decided to take him to the Royal Free emergency department, where he was diagnosed with crepitation of the lungs.
They returned on March 30, when a doctor and nurse insisted Daniel had picked up a virus, the statement said.
The parents called 111 and were booked in for triage at the hospital on April 1 after Daniel “suddenly stopped eating and drinking”.
Mr Klosi said: “I was really concerned, and I felt as if the doctor was fixated on telling me Daniel had a virus rather than finding out what the real problem was.”
After Daniel was again discharged, the family, who lived in Kentish Town, went back later that day.
He then started “deteriorating” in front of them, with his nose, hands and feet “turning purple” and his lips becoming cracked and blue. Daniel ultimately died in the early hours of April 2.
Dr Shrabhi Agarwal, who first saw Daniel at around 3.30am on March 31 told the inquest Daniel looked “a bit unhappy” but not clinically unwell.
The doctor took a viral swab and said his temperature was “normal again” around an hour later.
Lucy Parker, who was Daniel’s triage nurse at the Royal Free on the morning of April 1, told the inquest she could not perform a full set of observations of Daniel “due to his distress”.
This meant readings of Daniel’s heart rate and blood pressure were not taken or logged.
Dr Kavita Sumaria, a paediatric consultant, met Daniel and his father as she was finishing her morning shift on April 1.
She said: “To my assessment I thought he [Daniel] had been a child who had been worse the previous night and was starting to improve.”
She told the court she did not realise at the time that it was Daniel’s third visit to the hospital, and that she did not read the triage medical notes logged for him.
Asked by Coroner Mary Hassell if she thought administering antibiotics to Daniel at 3.30pm that day would have saved him, Dr Sumaria replied: “I cannot quantify it.”
The witness told the court she felt there was an “agreement” between her and Daniel’s father when she diagnosed and discharged the boy, but she “may have misinterpreted that”.
The inquest will continue today.
Reporting by PA.
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