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Hospital committed 'gross error' | Hospital committed 'gross error' |
(about 2 hours later) | |
The treatment of a 63-year-old County Fermanagh woman who died in Belfast City Hospital has been criticised by the Northern Ireland Ombudsman. | The treatment of a 63-year-old County Fermanagh woman who died in Belfast City Hospital has been criticised by the Northern Ireland Ombudsman. |
Sheila Maguire was extremely ill when transferred from the Erne in December 2001, but was allowed to discharge herself two days later. | |
Ombudsman Tom Frawley said this was a "gross error of judgement". | |
The Belfast Health and Social Care Trust said it fully accepted the ombudsman's findings. | |
Mrs Maguire's son, John, said the family had trusted the health care system. | |
"We, the family, always knew that our mum's case was handled very poorly, unprofessionally and totally unacceptable," he said. | |
After her discharge he had taken her back to Accident and Emergency five days later because she was in severe pain and her left leg was extremely swollen. | |
She was not admitted despite being exceptionally weak and not fit to travel home, said the ombudsman. | She was not admitted despite being exceptionally weak and not fit to travel home, said the ombudsman. |
The following day she was taken back to the hospital, seen by the same doctor and admitted. | The following day she was taken back to the hospital, seen by the same doctor and admitted. |
Her condition was monitored for several days by medical staff concerned about deep vein thrombosis in the woman's left leg - before a procedure was carried out after five days. | Her condition was monitored for several days by medical staff concerned about deep vein thrombosis in the woman's left leg - before a procedure was carried out after five days. |
Mrs Maguire died 48 hours later from suspected pulmonary embolism. | |
Mr Frawley said the decision not to admit Mrs M to BCH on 15 December 2001 "was a gross error of judgement which I regarded as serious maladministration". | Mr Frawley said the decision not to admit Mrs M to BCH on 15 December 2001 "was a gross error of judgement which I regarded as serious maladministration". |
"The failure of the attending doctor to make proper records compounded the level of maladministration," he added. | "The failure of the attending doctor to make proper records compounded the level of maladministration," he added. |
The fact that she was then admitted the following day confirmed his view the earlier decision was manifestly wrong and "suggestive of professional incompetence." | The fact that she was then admitted the following day confirmed his view the earlier decision was manifestly wrong and "suggestive of professional incompetence." |
The ombudsman recommended the chief executive of the hospital trust issue a detailed letter of apology and produce an evaluation report on the concerns and criticisms identified. | The ombudsman recommended the chief executive of the hospital trust issue a detailed letter of apology and produce an evaluation report on the concerns and criticisms identified. |