A tragic incident unfolds as a woman passes away due to overlooked gallstones. An investigation into the matter, which occurred under the care of Betsi Cadwaladr University Health Board, suggests that the woman’s death could have been prevented with timely intervention. The report by the Public Service Ombudsman for Wales highlights a lapse in recognising the woman’s gallstones in January 2021, ultimately leading to her demise on January 31, 2022, from billiary sepsis.
According to the report, the ombudsman stated, “The Ombudsman concluded that if Mrs K had been treated appropriately at the outset, her pancreatitis would have been treated successfully and her deterioration and death may have been prevented.” Additionally, there was a lack of effective communication regarding the seriousness of Mrs K’s condition with her and her family. The Health Board has been directed to compensate the woman’s daughter with £4,000 and issue a formal apology from the chief executive.
Commenting on the findings, Public Services Ombudsman for Wales, Michelle Morris, expressed grave concern over the lack of transparency in the Health Board’s response and the failure to acknowledge shortcomings in Mrs K’s care. Despite the challenges imposed by the COVID-19 pandemic, investigations indicate that appropriate treatment could have been administered within a reasonable timeframe. The investigation underscores the need for accountability and improved communication in healthcare practices.
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