Marjorie Booth
PFD Report
Historic (No Identified Response)
Ref: 2016-0094
No published response · Over 2 years old
Sent To
Response Status
Responses
0 of 1
56-Day Deadline
29 Apr 2016
Over 2 years old — no identified published response
About PFD responses
Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.
Source: Courts and Tribunals Judiciary
Coroner's Concerns
was told that a CT scan is not routinely asked for in these circumstances, even though it is really the only way to be sure that there is no impacted or un-displaced fracture, because of the risk of exposing the patient to additional levels of radiation: The doctor giving this evidence agreed with me that the minimal risk of the radiation (in a patient over 90 years old) did not compare with the considerable risk of missing such fractures: Can the Trust explain why there is apparently a policy not to perform scans in such circumstances and whether in fact this could be amended: X-ray day - giving policy
AcTiON SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and believe you have the power to take such action:
AcTiON SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and believe you have the power to take such action:
Report Sections
Investigation and Inquest
On 21st October 2015 commenced an investigation into the death of Marjorie Booth dob 27 March 1924_ The investigation concluded on the 2nd March 2016 and the conclusion was one of Accidental Death: The medical cause of death was Ia Respiratory and cardiac Failure 1b Hospital acquired pneumonia 1c Acute stroke 11_ Left hip replacement, atrial fibrillation, moderate to severe mitral regurgitation; hypertension.
Circumstances of the Death
On the 21st September 2015 she fell at her home address: She tripped over the tail of a coat which she was carrying and fell at the bottom of the stairs She was taken to hospital where she was examined and had an taken of her hip but the staff failed to note that she had an impacted fracture of the hip. She returned to the hospital the following when a CT scan was performed; the fracture was identified and was operated upon: She then sadly declined over the next days and died on the 19t October:
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.