A hospital trust "missed opportunities" to spot sepsis in a boy released from pain killers and who died later.
Lance Garcia, 11, of Slough, went to the Wexham Park Hospital twice in two days in July 2016, but the doctors sent him home, thinking that "no one was there. he was suffering from a soft tissue injury.
But Lance's condition deteriorated and he was diagnosed with life-threatening sepsis, which killed him.
The Frimley Health NHS Foundation Trust has stated that it has made "significant progress" in the treatment of sepsis since 2016.
Sepsis occurs when the immune system overreacts to an infection and begins to damage the body.
A serious incident report from the trust revealed that the "root cause" of Lance's death was "his inability" to ensure that he was examined by an experienced physician during his second visit to the hospital. # 39; s hospital.
He added that this could have led to screening for sepsis.
The schoolboy was injured at the right ankle while dancing at home on July 27, 2016 before being taken to the Wexham Park Hospital the next morning when the pain occurred. was aggravated.
He was diagnosed with soft tissue injury and given ibuprofen.
At a second visit on July 29, Lance's condition was aggravated, causing severe pain in his right leg. Despite the concerns of his parents – who are nurses – he received paracetamol and was released on July 30th.
Lance has deteriorated and was admitted to the hospital on July 31. He died a day later.
Lance's father, Malou Dechavez, said, "It's unacceptable to let so many missed opportunities help Lance.
"We think that if any of these opportunities were exploited, our son would always be with us."
Frimley Health said: "After the tragic death of Lance, we conducted a thorough investigation to ensure that all the lessons learned from this case were communicated quickly.
"We use the national early warning score recommended by the NHS England to screen patients with sepsis and offer a wide range of education and training programs for staff."