A four day old baby died after doctors at a hospital placed a catheter in her body part in the wrong areas.
Abigail Goodall, who was born with congenital heart disease died at a Bristol hospital, just four days after she was born. It was found out that the caused of her death was due to the catheters that were inserted in the wrong places.
Avon Coroner's Court heard that shortly after the she was born, doctors inserted two catheter lines onto her. One was inserted to Abigail's vein while the other one to an artery. The lines were later repositioned but it was adjusted incorrectly.
The inquest heard that the errors were not seen because neonatal specialists at the St Michael's Hospital relied too much on a medical equipment called echocardiograms. They have been using the machine to see if the catheters has been placed correctly.
Assistant Avon Coroner Robert Sowersby said that the doctors involved were "over reliant" on the medical machine that's why they failed to see the errors that occurred in Abigail's care.
Further adding, "I accept that clinical errors were made in terms of the line placement, but having reviewed the records and spoken to the doctors it seems to me that in general terms her standard of care was good."
Abigail's mom Sarah Goodall, from Trowbridge in Wiltshire talked to BBC News and told them that the whole family were greatly saddened about Abigail's death. She however is hopeful that hearing her case can improve hospitals care and no other family has to experience a gruesome incident.
"We hope this will be some comfort to Abigail's family and would like to again apologise unreservedly to them," Dr Bryony Strachan, from University Hospitals Bristol NHS Foundation Trust said.
The incident occurred in October 2014. The coroner said he would write a report about it and will highlight that echocardiograms should be used in limit to avoid the same error.
