The Waitemata District Health Board failed to adequately monitor a toddler's infusion of anti-epileptic medication, leaving her with a blister on her hand that later required a skin graft.
The girl's mother took her to the emergency department after she suffered four epileptic seizures and it was recommended she be given medication known to pose risks of severe injury when given intravenously.
Health and Disability Commissioner Anthony Hill found the board failed to provide the two-and-a-half-year-old girl with reasonable care and skill by not adequately monitoring her during the infusion and therefore breached her rights.
He said there was also evidence the girl's care suffered due a staff shortage.
