Basic failures led to patient's death

摘要

A vulnerable diabetic patient died because a hospital trust failed to implement basic handover procedures and ensure essential record-keeping, a court has heard. Staff at Stafford Hospital did not follow - sometimes even look at - medical notes that clearly stated Gillian Astbury needed insulin, regular blood tests and a special diet. A system for communicating patient needs at staff handovers was 'inconsistent and sometimes non-existent' the trust itself admitted. Record-keeping and monitoring of patient care plans were also far below acceptable standards.