Recipient

St Marien Hospital Trust

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First report 18 Jul 2016•Latest report 18 Jul 2016

Recipient record

Reports, concerns and published responses

This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports
1

Naming this recipient

Published responses
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

Described in responses

Reports over time

Reports over time

Reports naming this recipient by issue year.

Evidence profile

Report topics

Share of this recipient’s reports compared with all other recipients.

0%published responses found
0stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from St Marien Hospital Trust linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. West Yorkshire (Western)

    AI-generated summary

    Khazna Jane Sara Khalaf · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Khazna Jane Sara Khalaf became unwell after ingesting ecstasy at a nightclub in Cologne, was taken to hospital, later collapsed, and died on 20 November 2014 after developing cerebral oedema and hypoxic-ischaemic encephalopathy associated with ecstasy toxicity. The report identified concerns about hospital monitoring and treatment of low sodium levels, and about whether local protocols and guidelines adequately alerted clinicians to the risks and warning signs of ecstasy toxicity.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to St Marien Hospital Trust; that does not assign responsibility.

    PFD Monitor interpretation

    Insufficient protocols and guidelines alerting clinicians to the risks, symptoms and signs of ecstasy toxicity

    Wider context from the report

    “The effectiveness of local protocols and the sufficiency of existing hospital guidelines alerting clinicians to the risks of ecstasy toxicity, the symptoms and signs it might present. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to St Marien Hospital Trust; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of adequate clinical protocol for initial intervention or monitoring decisions and subsequent reassessment

    Wider context from the report

    “To consider the appropriateness of a clinical protocol which provides structure to the initial decision to intervene or simply monitor, and guidance on what that monitoring should consist of (and when to be concerned and reassess the initial decision). ”
    Open source report
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Published response patterns

Compared with other recipients in reports included in PFD Monitor

Describes published response evidence, not performance.

Published responses found

0%
0%All other recipients 58%
0%100%

How actions were described at the time

This respondent
All other recipients
47%25%27%<1%<1%
  • Completed
  • In progress
  • Planned
  • Unclear
  • Partially completed

Statuses reflect what recipients said at the time. PFD Monitor does not verify whether actions happened.

Types of action described in responses

Percentages use all actions described by each group. An action may have more than one type, so percentages do not total 100%.

Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026