Man died after scan revealed blood clot but results were left untouched for days

dailyrecord.co.uk:

A man tragically died after the results of his CT scan were left untouched on a desk for six days, an inquest heard. Trevor Reynolds, 79, a retired HGV driver, passed away on May 15, 2021, at the hospital.

Mr Reynolds underwent a scan at Ysbyty Glan Clwyd in Wales on May 3, 2021, as he was receiving treatment for cancer of the oesophagus, North Wales Live reports.The scan revealed that he had a blood clot which required urgent care.Three days later, the results were placed on a consultant's desk, though the consultant was out of office until May 12.Mr Reynolds had been experiencing difficulty with his breathing and eating at the time and on May 10, he was visited at his home by a doctor and was taken to hospital immediately.Treatment was then given for the blood clot but sadly Mr Reynolds' condition deteriorated and he died five days later.The consultant oncologist Dr Angel Garcia, on whose desk the results had been left, had worked in Wrexham for a day before the weekend and was on annual leave the following Monday and Tuesday.By the time Dr Garcia returned to work at Glan Clwyd, Mr Reynolds had already been admitted.

In the meantime the results of the CT scan had been sat on his desk.Dr Garcia appeared as a witness at Ruthin County Hall on May 4 and said that the 79-year-old's chances of survival would have been higher had he seen the report sooner.John Gittins, senior coroner for North Wales east and central, issued a prevention of future deaths report after he was left "dumbfounded" that it had taken until December of 2021 for changes to be made in relation to how unexpected findings are seen immediately by clinicians.An audit of the effectiveness of the changes made has yet to be completed, the inquest heard.A post