Failure to monitor fluid balance

NHS Tayside has agreed to apologise to the family of a 79-year-old man who died in Ninewells Hospital after knee-replacement surgery.

Scottish Public Services Ombudsman Professor Alice Brown said the man — referred to as Mr A — was admitted to Ninewells on April 20, 2006, and had his operation the following day. He later suffered episodes of diarrhoea and vomiting and then a cardiac arrest and subsequently died on April 26.

The man’s sister — Ms C — complained first to NHS Tayside and then took her case to the Ombudsman, who found there had been a failure to properly monitor Mr A’s fluid levels on April 25 and to accurately control the flow of intravenous fluid as detailed on the prescription chart for April 26.

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