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Staff shortage led to death of paediatrician from neglect, says coroner

BMJ 2022; 379 doi: https://doi.org/10.1136/bmj.o2949 (Published 06 December 2022) Cite this as: BMJ 2022;379:o2949
  1. Clare Dyer
  1. The BMJ

A retired consultant paediatrician who worked for 45 years in the NHS died of neglect on a ward at Queen Elizabeth the Queen Mother hospital in Margate, Kent, a coroner has concluded.

David Gordon-Nesbitt, 84, suffocated after a mistake with his nasogastric tube on an understaffed ward on a Saturday night. There were only three nurses on a ward with 32 patients—two agency nurses and a newly qualified nurse who was in charge. One junior doctor was on hand and another doctor was on call outside the hospital.

Gordon-Nesbitt, …

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