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.

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.
Health & Social Care
Western Health and Social Care Trust
Case Reference
Issue Date
  • ODT
  • PDF

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