by A woman died after “neglect” by an NHS trust that did not identify her fatal cancer earlier, a forensic doctor decided.
Anne Lorraine Dyson, 68, died on February 24th in the St. Benedict hospice in Sunderland after he was diagnosed about four months earlier with terminal metastatic lung cancer.
She has been examined since September 2021 by South Tyneside and Sunderland NHS Foundation Trust, while Scans showed that it had increased growth from the organ from October 2023.
A CT scan was incorrectly interpreted on March 25 of last year, which meant that the diagnosis of malignancy in her lung was delayed by many months. At this point he could no longer be treated successfully.
An investigation came to the conclusion that Ms. Dyson died of “natural causes through neglect”.
“No consistent approach”
David Place, the senior medical forensic doctor of the city of Sunderland, said that the evidence negotiated on the investigation showed that radiologists who interpret medical scans on the trust gave “no consistent approach” that unintentionally leaded to “confirmation decrees”.
“The evidence showed that radiologists have neither provided a list nor a summary of the symptoms or the health complaints of a patient who led to the scan commissioned, nor details of new or changed symptoms that occurred during the examination period,” said the forensic doctor.
“I am concerned that this has the potential to restrict the interpreter’s focus, which leads to limited aspects of the scan, not to the entire scan, which means that the possible diagnosis and treatment can then be delayed considerably if something is overlooked.”
Copies of the Coron Prevention of Future Deaths Reports were sent to the Trust, Ms. Dyson’s family and the Care Quality Commission.
Mr. Place added: “I will be glad that I will be told about any learning that arises from this death and periods and the results of your evaluation.”
“We missed an important warning sign”
Ben Hall, the clinical director of diagnostic imaging at South Tyneside and Sunderland NHS Foundation Trust, said: “We offer Anne’s family after their loss of our warm condolences. We understand that this was a very difficult time for their loved ones.
“We know from the evaluation that we have carried out that we missed an important warning sign that she had developed. This should not have happened and we apologize for it.
“We thoroughly examined this and shared the knowledge with our wider radiology team, with the aim of this that this will not happen again.”
