A fatal accident inquiry revealed that systematic failures and inadequate midwife guidance resulted in the deaths of three newborn babies in Lanarkshire hospitals between 2019 and 2021. The report indicated that all three deaths could have been avoided with appropriate precautions and recommendations were proposed to address these failures, including enhancing electronic patient information systems and improving communication protocols. The bereaved families voiced their grief over the preventable tragedies and expressed hope for the implementations of the inquiry's recommendations to avert future incidents.
"The family could simply never have imagined the scale of both the individual and systems failures that came to light during the inquiry..."
"What seemed to be flaws with the electronic system of record keeping actually turned out to be a catalogue of errors..."
"The inquiry ruled 'defects' within the system contributed to each death, including that there was a 'lack of an effective means' to highlight risks..."
"Sheriff Principal Aisha Anwar KC made 11 recommendations for the future, including creating a 'trigger list' to identify and assess early labour symptoms..."
#maternity-care #health-system-failures #newborn-deaths #fatal-accident-inquiry #midwifery-practices
Collection
[
|
...
]