"There is little apparent understanding of the risks and inefficiencies caused to patient care by a crowded environment by the hospital system in terms of the impact on the emergency medicine doctors assessing and managing patients and the nursing staff's ability to provide safe care."
HSE chief Bernard Gloster said: "The scope of the independent investigation is to provide an evidence-based report on the circumstances surrounding the death of Aoife and the clinical and corporate governance of University Hospital Limerick which led to the conclusions set out in the previous systems analysis report."
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