The infant received 10 times the correct amount of the painkiller at the end of a night shift in July 2013 and could have died if colleagues at handover had not spotted the error an hour later.
Griffiths said: If that had not been picked up as soon as it was, it might have made the baby demise. De la Poer said: Could have been fatal? Griffiths replied: Yes.
After being informed by Griffiths about the incident, Letby was unhappy and felt that it was escalated more than it needed to be, saying everything is back to how it was.
Letby's colleague was said to be so distraught about the incident that she almost resigned, showing the emotional impact of the error on nursing staff.
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