Sent home: Mildred Stokes, 79, broke her shin in
a fall but medics failed to diagnose it because they x-rayed the wrong
one before she died
A pensioners admitted to hospital with a broken leg died after hospital staff X-rayed the wrong limb and sent her home.
Mildred
Stokes, 79, was seen by four different doctors, but all failed to
notice that her healthy left leg had been X-rayed, when in fact she had
broken her right leg in two places.
The dementia sufferer died of a severe infection similar to blood poisoning caused by the break eight days later.
Her
sister, Irene Martin, 75, criticised Wythenshawe Hospital in Manchester
yesterday after a coroner was told it was ‘possible’ that Miss Stokes
would have lived had it not been for a ‘series of mishaps and errors’ in
her care.
‘I’m still very angry,’ said Mrs Martin. ‘It’s not rocket science to X-ray the correct leg.
Her right leg and foot were swollen and inflamed. Yet no one thought to X-ray it for days.
‘If they had treated her properly from the start she would not have died.’
An
inquest was told that Miss Stokes was admitted to hospital on November
30 last year after falling at Allingham Care Home in Timperley,
Cheshire, where she was a resident, and injuring her right leg.
But
there was confusion over the X-ray at Wythenshawe Hospital because a
doctor hit ‘left’ instead of ‘right’ when inputting instructions to the
radiology department on a computer.
Despite
the right leg being red and swollen, radiologists went ahead with
X-raying the incorrect limb. When no break was found, Miss Stokes was
discharged.
However, the pensioner was re-admitted
the next day in severe pain. She was seen by four medics, who each
failed to notice that the X-ray was of the wrong leg.
Even
when they realised the mistake a series of errors and poor
communication between staff meant it was a further four days before Miss
Stokes’ right limb was X-rayed.
It revealed she had fractured her shin and calf bone but by then she was already suffering an infection as a consequence.
Disappointing: Wythenshawe Hospital in
Manchester said their care 'fell below the standards we would expect'
after the inquest into Ms Stokes' death
A
further delay meant she was not put on a drip to treat the problem for
24 hours. Surgeons realised Miss Stokes needed surgery but by then she
was too ill to undergo an operation. She died on December 8.
Dr
John Crampton, a consultant at Wythenshawe Hospital, started an
internal review after being left ‘incredulous’ at some of the errors in
the treatment.
He told the
hearing at Manchester coroners’ court: ‘It was entirely clear that there
had been a series of mishaps and errors in her care.’
He said it was ‘possible’ that Miss Stokes would have lived had the fractures been identified sooner.
Recording
a narrative verdict, coroner Sara Lewis said Miss Stokes died of
sepsis, a severe reaction to infection, brought on by the fractures.
She said it was not possible to say whether Miss Stokes would have lived had the ‘systemic’ errors not been made.
The
Daily Mail reported yesterday that almost 13,000 patients die
needlessly of sepsis each year because of delays in diagnosis or
treatment, according to the Health Service Ombudsmen.
A
spokesman for University Hospital of South Manchester Trust, which runs
Wythenshawe Hospital, said new measures had been introduced regarding
X-rays ‘to reduce the risk of this happening again’.
DAILYMAIL
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