Failure to insert tube ‘led to hospital death’
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’