Bellamere Arwyn Duncan
A two-month-old baby died from an overdose after she recevied phosphdate at a dose 13 times higher than prescribed, a report has revealed.
A review into the death of Bellamere Arwyn Duncan, who died after she was dispensed an adult dosage of medication, has found the systems and processes in place at the time "did not provide the safeguards necessary" to prevent it.
A Health New Zealand review said there were multiple factors at play in her death including discharge planning, communication with the family and community pharmacy process.
"While the prescribed dose, if dispensed correctly, would have been safe, the review has identified that the systems and processes in place at the time did not provide the safeguards necessary to prevent this tragic event."
