A father who caught a stomach bug on a family holiday died after he was handled with simply half the beneficial drug dose, an inquest heard.
Colin Greenway, 63, was on a visit to Peyia, Cyprus, along with his spouse Sue, 62, their youngsters, Ellen, 33, and Matthew, 26 and Sue’s mum, Ann, 83, when he turned unwell after drinking bottled water.
Colin, a soccer referee, got here residence to Swaffham, Norfolk, with Ellen and Matthew whereas Sue and Ann stayed out longer.
He type remedy after nonetheless feeling unwell and was admitted to Queen Elizabeth Hospital, King’s Lynn, the place it was found he had an an infection illness known as campylobacter.
The bug is related to consuming undercooked meat and seafood or drinking untreated water.
A junior physician prescribed half the same old dosage of medicine used to cut back the chance of creating blood clots.
Colin was despatched residence when his blood outcomes improved however died of pulmonary embolism 4 days later on October 29 2022 – when he was discovered by his daughter.
Over the course of his hospital keep, his prescription was not checked by a senior clinician, marketing consultant or pharmacist.
It was solely when Sue, a retired medical practitioner, questioned whether or not he had been appropriately dosed that the error was found.
Sue stated: “It was an absolute shambles however my largest concern round it’s that had I not been a medical skilled none of this could have come to mild.
“My youngsters rang me and stated ‘I’ve received horrible information – I discovered dad useless in mattress’.
“I completely screamed. I went into full shock.
“My complete world ended when he died.”
Sue had been ailing herself with the bug and had simply misplaced her dad, Gordon, 88, to pure causes in April 2022.
Colin had flown again to the UK and stayed along with his daughter Ellen after his hospital keep after assuring Sue she didn’t want to return again herself to look after him.
She is devastated she didn’t get to say goodbye to her husband of 38 years.
Sue stated: “I by no means received to say goodbye. It’s coronary heart breaking.
“He was so fast witted. He was very straightforward going. He lived for soccer.”
Sue determined to go the coroner after alarm bells rang after receiving the pathologist report.
Following an inquest into Colin’s demise, a coroner warned additional folks may die if the hospital didn’t enhance its approaches.
In a report to stop future deaths, space coroner Yvonne Blake wrote: “It’s the marketing consultant physician’s accountability to test what their junior, unsupervised medical doctors do on the weekend when a affected person is admitted.
“This marketing consultant didn’t ever communicate to this junior physician concerning the misprescribing or know what motion – if any – had been taken about it.
“I used to be knowledgeable by a senior nurse that different such drug errors have occurred since Mr Greenway died.”
Yvonne stated she was involved that Colin obtained “no continuity of care” after being seen by three separate consultants over three days.
She added: “Whereas the consultants, three noticed Mr Greenway, proceed to refuse to simply accept accountability for medical doctors prescribing, this case continues.”
She concluded the junior physician had made an incorrect prescription, regardless of having clear tips.
She was involved the consultants had thought of it the job of pharmacists to test for errors whereas solely offering service three days every week and weren’t “accepting accountability” to observe junior medical doctors’ prescriptions.
Govindan Raghuraman, performing medical director on the QEH, stated: “On behalf of the Belief, I reiterate our honest condolences to Mr Greenway’s family.
“We now have reviewed Mr Greenway’s care in nice element and have carried out an inner investigation.
“The belief is creating an individualised motion plan because of Mr Greenway’s inquest.
“Particular actions are being developed to handle the coroner’s considerations.
“We’ll formally replace the coroner on the progress as quickly as actions are finalised, who will, in flip, replace Mr Greenway’s family.”
Sue has now moved in her mum Ann to reside together with her and stated they’re “widows collectively”.