Fail­ure to insert tube ‘led to hos­pi­tal death’

Macclesfield Express - - FRONT PAGE - STU­ART GREER

HOS­PI­TAL bosses have apol­o­gised af­ter an in­quest found that fail­ures by staff led to the death of a com­mu­nity bus driver.

An­thony John Roberts was ad­mit­ted to Mac­cles­field Hos­pi­tal with an ‘ex­tended ab­domen’ on Fe­bru­ary 14, last year.

But the 63-year-old grand­fa­ther died af­ter med­i­cal staff failed to fol­low a sur­geon’s or­ders to insert of a naso-gas­tric tube, an in­quest heard.

At a hear­ing at Mac­cles­field town hall, Ni­cholas Rhein­berg, Coro­ner for Cheshire, found the fail­ure to insert the tube had led to Mr Roberts’ death.

Af­ter the hear­ing, a hos­pi­tal spokesman said it had ‘strength­ened’ its pro­cesses but that no dis­ci­plinary ac­tion had been taken against in­di­vid­u­als.

Mr Roberts, of Goath­land Way, Mac­cles­field, was di­ag­nosed with an in­car­cer­ated her­nia and was taken to theatre, where he was given anaes­thetic with­out the tube be­ing in­serted, the coro­ner said.

He breathed in his stom­ach con­tents which caused dam­age to his lungs, the in­quest heard.

He was trans­ferred to Wythen­shawe hos­pi­tal, where he died on March 25.

The hear­ing was told that Mr Roberts was ad­mit­ted to Mac­cles­field Hos­pi­tal at around 2.50pm on Fe­bru­ary 14 ‘acutely un­well with an ex­tended ab­domen’.

At around 5.45pm, a sur­geon, re­alised that emer­gency surgery might be re­quired, and or­dered the in­ser­tion of a naso-gas­tric tube.

Mr Rhein­berg, Coro­ner for Cheshire, told the in­quest: “As a re­sult of on­go­ing fail­ures by med­i­cal and nurs­ing staff a naso-gas­tric tube was not in­serted.

“When an in­car­cer­ated her­nia was di­ag­nosed the de­ceased was taken to theatre. Some time af­ter 11.14pm anaes­thetic was in­duced with­out the tube be­ing in­serted and the de­ceased as­pi­rated stom­ach con­tents.

“As a con­se­quence of the as­pi­ra­tion the de­ceased’s lungs were dam­aged, which led to his death on March 25 at Wythen­shawe Hos­pi­tal.”

A spokesman from East Cheshire NHS Trust, which runs the hos­pi­tal, said: “The trust’s se­nior clin­i­cians have apol­o­gised to Mr Roberts’ fam­ily in per­son and ex­pressed their deep­est sym­pa­thies.

“A full and thor­ough in­ves­ti­ga­tion was car­ried out into the in­ci­dent. As a re­sult of this, among other mea­sures we have strength­ened our process gov­ern­ing the in­ser­tion of naso-gas­tric tubes to safe­guard against any po­ten­tial re­cur­rence.

“While no dis­ci­plinary ac­tion has been taken against in­di­vid­u­als, all rel­e­vant staff have been made aware of the in­ci­dent and the learn­ing from it.”

‘A full and thor­ough in­ves­ti­ga­tion was car­ried out’

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