Ysbyty Gwynedd apology after death of Mary Roberts
A hospital has made a public apology to the family of a woman who died after a "catalogue of errors" in her medical care, an inquest has heard.
Mary Roberts, 70, from Gaerwen, near Llangefni, Anglesey, died at Ysbyty Gwynedd, Bangor, in April last year.
Recording a narrative verdict, deputy coroner Nicola Jones said "deficiencies" in her medical care may well have hastened her death.
The hospital apologised for its shortcomings, and the nursing standard.
Mrs Roberts died from colitis, a condition affecting the colon, the inquest was told.
Coroner Ms Jones said Mrs Roberts's care seemed to be "a full circle of disaster following disaster".
She was satisfied that "deficiencies in her nursing and medical care" may well have hastened Mr Roberts's death.
She said: "There had been a catalogue of errors and omissions of a medical and nursing nature.
"They are basic and elementary in nature and it's frankly quite shocking the number of chances there were to turn the care of this patient around."
Shan Kennedy, of Ysbyty Gwynedd's clinical governance department, told Mrs Roberts's son, Emrys, that the hospital wished to apologise publicly "for the shortcomings in Mrs Roberts's care and the nursing standard".
The coroner said it was "appalling" that a night nurse went to a neighbouring ward twice to seek help from an unidentified female senior house officer, and the doctor did not see Mrs Roberts, even though she had prescribed medication.
The inquest also heard that Mrs Roberts was seen by a doctor when admitted to the hospital's A and E department, but was not seen by another doctor until she had a cardiac arrest the next day, dying a few hours later.
There had been no care plan, an acute care team had not been involved, and should have been, and some medical records were missing, the inquest was told.
After the inquest Emrys Roberts said: "We are happy with what the coroner has said."