Failure of care and system breakdown led to death of patient wrongly given insulin injection (opens original article in a new tab)

An inquest concluded that multiple system failures and care errors led to the death of a patient who was incorrectly injected with insulin during surgery, resulting in severe hypoglycemia and brain impairment.

• Coroner found multiple system failures and care failures led to patient's death after incorrect insulin injection.
• Doctors failed to recognize low blood sugar symptoms, delaying treatment.
• No evidence of malice or criminal intent in the insulin administration error.