Surgeons neglected to remove the device after the woman's C-section delivery at an Auckland hospital.
The hospital should have had effective protocols in place, Ms McDowell said.
Ms McDowell said she was "disappointed", given that the same hospital system had already breached patient rights in 2018, after itFollowing that incident, the board said it would mandate that all surgical staff adhere to its "count policy", which is supposed to ensure that staff involved in surgeries account for all items used during each procedure.
Those present at the woman's operation included a surgeon, a senior registrar, four nurses, two anaesthetists, two anaesthetic technicians, and a theatre midwife.
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