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Investigation Report 200603606

  • Report no:
    200603606
  • Date:
    January 2008
  • Body:
    A Medical Practice, Grampian NHS Board
  • Sector:
    Health

Overview

The complainant (Ms C) raised concerns that a GP Practice (the Practice) had failed to diagnose her brother (Mr A) with deep vein thrombosis (DVT) or subsequent pulmonary embolism.

Specific complaint and conclusion

The complaint which has been investigated is that the Practice failed to diagnose Mr A with DVT or subsequent pulmonary embolism (upheld).

Redress and recommendations

The Ombudsman recommends that the Practice:

  • (i) review the circumstances of this case and consider whether any lessons can be learned for the future management of young adults with chest symptoms;
  • (ii) apologise to Mr A's family for the poor management of Mr A's pulmonary embolism; and
  • (iii) review their clinical record-keeping practice.

The Practice has accepted the recommendations and will act on them accordingly.

Updated: December 11, 2018