Family not told quickly enough woman could die after operation
The woman's condition deteriorated in New Victoria Hospital following a hip operation.
The family of a woman who died in hospital after a hip operation were not told quickly enough that she could die, an ombudsman has found.
The woman's condition deteriorated while she was in rehabilitation and she died less than a fortnight after being transferred to New Victoria Hospital.
The Scottish Public Services Ombudsman found shortcomings in the care provided, including a failure to discuss the possibility of her death with the family within reasonable time.
In its report, the body upheld a complaint from the woman's daughter against Greater Glasgow and Clyde NHS Board about the care given in October and November 2014.
It stated that although the woman had underlying health conditions, including pneumonia, lung disease and heart disease, there had been failings.
The SPSO report said: "We found that while appropriate investigations were carried out within a reasonable time and treatment decisions were reasonable, there were shortcomings.
"Senior clinician should have been more involved in Mrs A's medical care and medical staff failed to implement the relevant do not attempt cardiopulmonary resuscitation policy."
It also found shortcomings in nursing in relation to infection control and nutrition, which it said the NHS board has now addressed.
In its recommendations, the NHS board were told to consider the issues around end of life care including communication to ensure the failings do not happen again.
The Ombudsman also ruled that the NHS should apologise to the family.
A spokeswoman for Greater Glasgow and Clyde NHS Board said: "We would like to reiterate our condolences to the family for their loss.
"We have received the Ombudsman's recommendations and will be writing to apologise for the failures with the care of this patient.
"We have already put in place an action plan to address some of the issues identified with this patient's care with much of the work focusing on the deteriorating patient work stream and compliance with NEWS (Early Warning System).
"We will also respond to the Ombudsman's recommendations regarding the wider service."