The rare death of a patient due to a listeria infection is one of seven deaths at Hawke's Bay Hospital highlighted in a report by the Health Quality and Safety Commission.
Among the deaths detailed in yesterday's findings was a baby who died just three hours after an emergency caesarean section, a suicide, two deaths following falls, a patient who died after developing septicemia and an unexpected death after a patient was admitted with pancreatitis.
In the later case, seven separate issues with the patient's care was identified, including failure to recognise the deterioration, inadequate pain management and no CPR initiated.
After the patient died there was a delay in the completion of their death certificate and mortuary transfer.
The report showed a total of 11 serious and sentinel events for Hawke's Bay's DHB.