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An Investigation into the Death of Baby J at University Hospitals Bristol and Weston NHS Foundation Trust.

Manchester, UK: Parliamentary and Health Service Ombudsman; October 2021.

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November 3, 2021

Manchester, UK: Parliamentary and Health Service Ombudsman; October 2021.

This report examines a premature infant death associated with failings of antibiotic administration, deterioration recognition and action on family concerns both during treatment and post-incident. The report issues a series of recommendations building on standard remediation guidance in the United Kingdom.