"Undiagnosed ankle fracture"

My spouse was admitted via ambulance following a fall at home. They arrived around midnight and was discharged around early morning. My spouse is a poor historian and generally unwell. These falls have been occurring more frequently. Due to COVID, the ambulance driver said we could not attend the hospital. We have no details on what happened to my spouse other than their poor recollection. Here was what we have come up with.

They had a temperature of 38, tachycardia and hypertension so was giving antis, and had an X-ray of both chest and X-ray. Whilst the immediate care in the emergency department was considered and well executed my spouse was flagged as a falls risk and rightfully so. It was deemed no fracture and they were ready for discharge. I went in to get my spouse's belongings and was told to wait for them in the car which I did. My spouse then walked out unaided (usually has a wheelie frame) across what seemed to be undeveloped ground, unescorted holding a nemesis bag as they were still severely nauseated.

The next day we were phoned by the hospital to re-attend as the ankle actually was fractured. So the duty of care and patient-first of a patient who has already had a fall, documented falls risk, nauseated and walking, without their mobility aides and on a fractured ankle in their nightie across the car park is astonishing. I can provide the date of admission.