McNabb, Inquest Touching Upon the Death Of [2025] NICoroner 7 (05 November 2025)
Triona Rose McNabb died as a result of complications of NSAID-induced enteropathy leading to small bowel obstruction, with contributing factors including delays in diagnosis, missed opportunities for earlier intervention, inadequate fluid monitoring, and suboptimal handover and staffing at South West Acute Hospital. The failures in care did not amount to gross negligence but represented significant shortcomings in hospital systems and clinical management.
- Citation
- [2025] NICoroner 7
- Parties
- Deceased: Triona Rose McNabb (deceased); Coroner: Coroner Maria Dougan
- Jurisdiction
- Northern Ireland
- Judgment Date
- 05 November 2025
- Procedural Posture
- Inquest / Findings
- Outcome
- Death due to complications of NSAID-induced enteropathy with small bowel obstruction; contributed to by shortcomings in hospital care.
- Legal Topics
- Inquest Procedure, Hospital Care Standards, Medical Misadventure, Cause of Death Determination
Case Brief
Summary, issues, holding and outcome
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Parties
Triona Rose McNabb (deceased)
Deceased
Coroner Maria Dougan
Coroner
Procedural Posture
Inquest / Findings
Legal Issues
- 1 What was the medical cause of death of Triona Rose McNabb?
- 2 Were there missed opportunities or failures in her medical care contributing to her death?
- 3 Was the care provided at South West Acute Hospital appropriate and in accordance with standards?
Ratio Decidendi
Triona Rose McNabb died as a result of complications of NSAID-induced enteropathy leading to small bowel obstruction, with contributing factors including delays in diagnosis, missed opportunities for earlier intervention, inadequate fluid monitoring, and suboptimal handover and staffing at South West Acute Hospital. The failures in care did not amount to gross negligence but represented significant shortcomings in hospital systems and clinical management.
Court Disposition
Death due to complications of NSAID-induced enteropathy with small bowel obstruction; contributed to by shortcomings in hospital care.
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