University Hospital Limerick at risk of another tragedy after 'avoidable' death of Aoife Johnston, report warns

The report warns that "unless and until" that problem of lack of beds is addressed, a risk of reoccurrence will inevitably be present.

In circumstances where the relevant protocol suggests that a patient should be treated within an hour of being triaged as being at risk of sepsis, it clearly makes no sense if it took more than an hour for the drugs to be administered.

Aoife was not brought to the Resus area after triage because it was already grossly overcrowded, which contributed to a lack of awareness of her sepsis risk.

The report found that nurses and doctors were not aware of her sepsis risk due to inadequate protocols in the emergency department.

Read at Irish Independent