Health bosses have apologised after an elderly woman suffering from severe back pain was not given enough paracetamol at a city hospital.
The woman, who has not been named, was vomiting and constipated and had an infection so went to Aberdeen Royal Infirmary for treatment.
However she was not given enough painkillers – and an ombudsman said it could have “increased her pain”.
The Scottish Public Services Ombudsman has published a report after the woman’s daughter formally complained.
The woman has since died but there is no suggestion her death was due to the treatment at ARI.
The report said the woman “did not receive reasonable care and treatment”.
Staff did act reasonably in treating the cause of the woman’s dehydration and did prescribe pain relief appropriately, the report said.
But, it added, that “on one occasion, the woman did not receive a dose of paracetamol when she should have and it was possible she may have suffered an increase in her pain as a result”.
An independent expert was drafted in to look at the case and advised the SPSO: “The woman’s pain-relief medication was an important part of her treatment.”
The report added: “This incident was referred to by NHS Grampian as an adverse event and was recorded on their system for tracking and reporting incidents.”
When the woman’s daughter complained to NHS Grampian about her mother’s treatment, there were factual errors in the health board’s complaint correspondence, said the SPSO.
The board later apologised to her.
The SPSO asked NHS Grampian to apologise for “failing to provide the woman with reasonable care” and identify any staff-training needs.
An NHS Grampian spokeswoman said: “We have accepted the SPSO’s recommendations in this case.
“Our handling of the woman’s treatment and the complaint made by her daughter was not at the standard we would wish.”