Patient should have undergone further tests before being discharged from hospital.
A Health Trust’s failure to carry out tests on a man with an undiagnosed heart condition left his family with unanswered questions following his death.
Available formats
Report recommendations
We recommended that the Trust carry out a Serious Adverse Incident Report into the death of the patient to help it identify learning.
We also asked it to discuss the findings of our report with all clinicians involved in the patient’s care and to provide training to relevant staff about the importance of reaching a diagnosis prior to discharging high risk patients.
| Category | Health & Social Care
|
|---|---|
| Organisation | Western Health and Social Care Trust
|
| Decision | Upheld
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| Case Reference |
202003373
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| Issue Date | |
| Format |
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