A woman was knocked to the ground by a violent hospital patient who then died from her serious injuries, according to the coroner's report.
At Ipswich Hospital, Caryl Mclaren, 89, passed away in January 2022.
The other patient, who had end-stage dementia that was advanced, should have been under more supervision, an inquest heard.
A "wide range" of organizational changes, the hospital claimed, had been made.
In an interview with the BBC, her daughter Loraine Moss said, "It's too little too late; the steps should have been put in place while she was in there.".
She should still be here, so it's really difficult. ".
Mrs. Mclaren, an Essex resident from Holland-on-Sea, was admitted on New Year's Eve with breathing problems.
She was described as "very independent" and continued to walk to the nearby shops despite having a number of health issues.
On the day of her discharge, Mrs. Mclaren was in a restroom cubicle when a man pried open the door, sending her to the ground.
Six days later, on January 11, the grandmother passed away from injuries to her wrist, rib, and hip.
Although Mr. X had been a patient for nearly three months, the inquest was informed that he lacked capacity and that no official Mental Health Act assessment had been performed for him.
An adult safeguarding report concluded that "the incident could have been prevented" if there had been "increased" staff and supervision.
The staff recalled that security was called because of his behavior on five prior occasions.
He was deemed fit for discharge on November 29, 2021, but staff members were unable to quickly locate him a care facility that would accept him.
Following the inquest, Mrs. Mclaren's grandson Jay Moss said he wanted to advocate for new legislation to stop elderly patients from being housed in unsuitable mixed wards.
"There have been a number of hospital mistakes that could have stopped this from happening," he declared. "I will go to any lengths necessary to ensure that this doesn't happen again.". ".
The family has no animosity toward Mr. X, according to the couple's son-in-law Mick Moss, but someone of his behavior "should have been monitored more.". ".
She died from polytrauma from multiple fractures as a direct result of the assault, according to assistant Suffolk coroner Dr. Dan Sharpstone.
Following the assault, Mrs. Mclaren was allegedly given up to five times the recommended dose of oxycodone, according to the inquest testimony. He also requested that the hospital look into painkiller training.
We extend our sincere sympathies and condolences to Mrs. Mclaren's family at this extremely trying time, said Giles Thorpe, chief nurse at the East Suffolk and North Essex NHS Foundation Trust, which operates the hospital. "A wide range of changes have been made throughout the trust as a result of our own thorough investigation to ensure that we learn from what transpired.
. "
