Recommendations recap - issue 5 [pdf, 1 MB]
...concentrations of the eye drops do not seem to correlate as strongly to the onset of infection. Hospitals in New Zealand commonly dilute their eye drops, but lower concentrations could be made commercially available to eliminate the possibility of human error. After this incident, the Neonatal Intensive Care Unit carried out an audit to identify if infants with necrotising enterocolitis had had an eye test in the preceding 48 hours. COMMENTS AND RECOMMENDATIONS The coroner recommend...