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Jenny (Speaker 1)
That nursery was built for a regular well-baby nursery. It never changed. It was an incubator of contagion before you even get to the pseudomonas.
Jenny (Speaker 1)
We had three sets of triplets and two sets of twins at the same time. Not one of those babies had a crash, not one had a bad event. Every single one went home. You don't see that with the Countess of Chester.
Jenny (Speaker 1)
They were giving penicillin and gentamicin. Those cover group B strep and E. coli — the mother's normal flora. They cover nothing the baby was actually picking up from that environment. That is the antibiotic failure right there.
Jenny (Speaker 1)
What I learned as an auditor is that it is not always what you see in the documentation — it is what you do not see. And what I am not seeing in these records is what concerns me.