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| Woman's death was 'gross failure' | Woman's death was 'gross failure' |
| (11 minutes later) | |
| Gross failures and neglect contributed to the death of a grandmother-of-five after a routine procedure went wrong at a Birmingham hospital, a coroner ruled. | |
| Rosemary McFarlane, 64, died after being given a chemical that was 10 times the recommended concentration, which burned her lungs and killed her. | Rosemary McFarlane, 64, died after being given a chemical that was 10 times the recommended concentration, which burned her lungs and killed her. |
| She was the only patient to be given a phosphate buffered saline solution at Heartlands Hospital last year. | She was the only patient to be given a phosphate buffered saline solution at Heartlands Hospital last year. |
| The coroner recorded a narrative verdict at Birmingham Coroner's Court. | The coroner recorded a narrative verdict at Birmingham Coroner's Court. |
| Mrs McFarlane had a lung condition that affected her breathing and needed a routine test called a bronchoscopy to check her lungs, the inquest heard. | |
| 'Terrible mistake' | |
| To perform the test she was given a phosphate solution, but due to the high concentration it was highly acidic and burnt her lungs. | |
| Pathologist Adrian Moorfield said this was the "pivotal moment" which led to her suffering from blood clots and pneumonia leading to her death on 23 August 2008, 10 days after she was given the chemical. | |
| Her daughter Ann Marie Trante told the inquest how Dr Adel Mansur told her there had been a terrible mistake. | |
| She said he went down on his knees held her hand and said he was very sorry for what he had happened. | |
| The coroner at the inquest said: "We trust you to inject things into us. | |
| "The thought that some people in the NHS do not check what you give us is appalling." | |
| The family solicitor Guy Forster said a civil action on behalf of the family was likely to follow. | |
| The chief executive of the hospital has issued an apology to Mrs MacFarlane's family. |