A 96-year-old woman has been found to have died from being given high blood pressure medication by mistake at a rest home.
Deputy Health and Disability Commissioner Rose Wall says in a decision made public today that the woman's medical history included high blood pressure, but in early 2013, when she was given the medication in error, she did not have the condition.
A caregiver, Ms C, was distracted by another resident when conducting the morning medication round at the unnamed rest home.
The caregiver had organised medication to give to the 96-year-old Mrs A and some blood-pressure-lowering drugs for another resident. By mistake, she gave the blood-pressure-lowering drugs to Mrs A.
The caregiver quickly realised her error, but it was around an hour before she phoned at 9.12am to report the mistake to the on-call registered nurse, having completed the medication round first.