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Bailey Ratcliffe: Hospital drug mistake led to death | |
(about 9 hours later) | |
A five-year-old boy died after he was given an "inappropriately high dose" of a drug when he was taken to hospital, a coroner has ruled. | A five-year-old boy died after he was given an "inappropriately high dose" of a drug when he was taken to hospital, a coroner has ruled. |
Bailey Ratcliffe died after he was admitted to Dewsbury and District Hospital on 27 May 2009 suffering an epileptic fit, his inquest heard. | Bailey Ratcliffe died after he was admitted to Dewsbury and District Hospital on 27 May 2009 suffering an epileptic fit, his inquest heard. |
Dr Helen Moore apologised in court for mistakes made when Bailey was given the drug phenytoin on her orders. | Dr Helen Moore apologised in court for mistakes made when Bailey was given the drug phenytoin on her orders. |
West Yorkshire Coroner Peter Straker gave a narrative verdict. | West Yorkshire Coroner Peter Straker gave a narrative verdict. |
He said: "Unfortunately, there were a number of individuals who did not recognise this error and, therefore, did not intervene and prevent Bailey from dying." | He said: "Unfortunately, there were a number of individuals who did not recognise this error and, therefore, did not intervene and prevent Bailey from dying." |
'A mistake' | 'A mistake' |
The two-day inquest heard how Bailey had been fitting for three hours when he arrived at the hospital. | The two-day inquest heard how Bailey had been fitting for three hours when he arrived at the hospital. |
He had been given other drugs by his family, paramedics and A&E staff to try and control the fitting but Dr Moore decided it was time to move on to phenytoin. | He had been given other drugs by his family, paramedics and A&E staff to try and control the fitting but Dr Moore decided it was time to move on to phenytoin. |
The doctor admitted she made a mistake in the dosage instructions when she asked a junior doctor to prescribe the drug. | The doctor admitted she made a mistake in the dosage instructions when she asked a junior doctor to prescribe the drug. |
Dr Moore said: "I just made a mistake." | Dr Moore said: "I just made a mistake." |
The court heard how Bailey was transferred to a paediatric ward in the hospital but, later that afternoon, he began to deteriorate and stopped breathing. | The court heard how Bailey was transferred to a paediatric ward in the hospital but, later that afternoon, he began to deteriorate and stopped breathing. |
A full resuscitation team was called in but could not save his life. | A full resuscitation team was called in but could not save his life. |
Analysis of his blood after death showed it contained at least six times the expected level of phenytoin. | Analysis of his blood after death showed it contained at least six times the expected level of phenytoin. |
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