Overview
The complainant (Mrs C) raised a number of concerns about the way her late mother, Mrs A, had been assessed and treated on three occasions at the Accident and Emergency Department (the Department) at Ninewells Hospital in March and April 2004.
Specific complaint and conclusion
The complaint which has been investigated is that Mrs A was inadequately assessed and had been inappropriately discharged from the Department on three occasions (upheld).
Redress and recommendations
The Ombudsman recommends that, as a matter of urgency, the Board undertake an audit of all of the Departmental nursing documentation including observation charts in use in the Department and conduct a review of the chest pain protocol and advise her of the outcome.
The Board have accepted the recommendations and will act on them accordingly.