Care and treatment failures contributed to death of patient
A man was admitted to Altnagelvin Hospital with severe abdominal pain.
Our investigation found that a series of delays in his care and treatment, and a failure to manage his sepsis, contributed to his death.
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Report recommendations
We asked the Trust to apologise to the patient's family for the failings we identified.
We also asked it to:
- Remind staff about the importance of catheterising acutely unwell patients
- Revise its critical care guidance to make processes clearer and more efficient
- Introduce a new referral template for all parties outside of the surgical unit.
| Category | Health & Social Care
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|---|---|
| Organisation | Western Health and Social Care Trust
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| Decision | Upheld
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| Case Reference |
202001646
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| Issue Date | |
| Format |
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