*The deaths were reported by consultants to the hospital trust’s committee for serious incidents, responsible for examining matters of patient safety. But the hospital classified them as “medication errors”, rather than a “serious incident involving an unexpected death”.
I'm confused as to what happened once the hospital had classed these three deaths as 'medication errors' – wasn't that extremely serious by itself? Weren't the parents told? While this hasn't really got much to do with the eventual outcome, it seems very strange that the hospital thought medication errors had caused three baby deaths in a fortnight, yet nothing seemed to happened next.*
I think this means that they were incorrectly classified in the reporting log meaning that when any data was accessed these three deaths didn't flag but were recorded in the figures for medication errors (meaning that they weren't raising alarm bells as three deaths in a short space of time).