Great Western Hospitals NHS Trust has been fined GBP 75,000 after a patient died having being given the wrong drug.
Mayra Cabrera, 30, died shortly after she gave birth at the Marlborough Road hospital in Swindon on May 11th 2004 having been injected in the arm with an epidural drug instead of a saline solution.
The trust admitted to breaching health and safety laws after it was found the two drugs were stored together, despite having almost identical packaging.
"The organisational failure to assess the risks and provide a safe system for the storage of these products placed any patient in the maternity unit at risk," said Health and Safety Executive inspector Liam Osborne.
Ms Cabrera was a nurse at the hospital in which she died, which Mr Osborne said made the case "all the more tragic".
Earlier this month, the Daily Telegraph reported that Gateshead NHS Foundation Trust paid out injury compensation to the parents of a boy who has cerebral palsy, having been starved of oxygen at birth.
Posted by Wayne Weir