Investigation into the safety, quality and standards of services provided by the Health Service Executive to patients, including pregnant women, at risk of clinical deterioration, including those provided in University Hospital Galway, and as reflected in the care and treatment provided to Savita Halappanavar

Hdl Handle:
http://hdl.handle.net/10147/303157
Title:
Investigation into the safety, quality and standards of services provided by the Health Service Executive to patients, including pregnant women, at risk of clinical deterioration, including those provided in University Hospital Galway, and as reflected in the care and treatment provided to Savita Halappanavar
Authors:
Health Information and Quality Authority (HIQA); Social Services Inspectorate (SSI)
Publisher:
Health Information and Quality Authority (HIQA), Social Services Inspectorate (SSI)
Issue Date:
7-Oct-2013
URI:
http://hdl.handle.net/10147/303157
Item Type:
Report
Language:
en
Description:
This Report presents the findings from the Health Information and Quality Authority’s (the Authority or HIQA) investigation into the safety, quality and standards of services provided by the Health Service Executive (HSE)* to patients, including pregnant women, at risk of clinical deterioration, including those provided in University Hospital Galway (UHG), and as reflected in the care and treatment provided to Savita Halappanavar. At the outset of this investigation the Authority and Investigation Team wish to convey their sympathies to the husband and wider family of Savita Halappanavar for their loss. Savita Halappanavar died on Sunday 28 October 2012 at 01:09hrs, seven days after her admission to University Hospital Galway (UHG), where she was treated on St Monica’s Ward, a gynaecology ward within the Women’s and Children’s Directorate of the Hospital. She was a 31-year-old woman who was 17 weeks pregnant and in her first pregnancy. On 14 November 2012, the Health Information and Quality Authority sought assurances from University Hospital Galway that the care that was provided to Savita Halappanavar was in line with the National Standards for Safer Better Healthcare. In addition, UHG was asked to provide assurances that there were effective controls in place to manage and mitigate similar risks to other patients. In response, UHG communicated to the Authority that the care provided to Savita Halappanavar was in line with the National Standards for Safer Better Healthcare and that there were appropriate controls in place to manage and mitigate similar risks to other patients. The Authority also asked the HSE corporately whether it had controls in place to manage and mitigate risks to patients in receipt of obstetrics and gynaecology services provided on behalf of the HSE and details of how the HSE – as a service provider – was assured that those controls were effective. In response, the HSE outlined the quality processes and initiatives that were in place to support the ongoing provision of high quality and safe obstetrics and gynaecology care in Ireland and sources of assurance of the quality of that care being delivered
Keywords:
PATIENT SAFETY; MATERNITY CARE

Full metadata record

DC FieldValue Language
dc.contributor.authorHealth Information and Quality Authority (HIQA)en_GB
dc.contributor.authorSocial Services Inspectorate (SSI)en_GB
dc.date.accessioned2013-10-10T13:29:46Z-
dc.date.available2013-10-10T13:29:46Z-
dc.date.issued2013-10-07-
dc.identifier.urihttp://hdl.handle.net/10147/303157-
dc.descriptionThis Report presents the findings from the Health Information and Quality Authority’s (the Authority or HIQA) investigation into the safety, quality and standards of services provided by the Health Service Executive (HSE)* to patients, including pregnant women, at risk of clinical deterioration, including those provided in University Hospital Galway (UHG), and as reflected in the care and treatment provided to Savita Halappanavar. At the outset of this investigation the Authority and Investigation Team wish to convey their sympathies to the husband and wider family of Savita Halappanavar for their loss. Savita Halappanavar died on Sunday 28 October 2012 at 01:09hrs, seven days after her admission to University Hospital Galway (UHG), where she was treated on St Monica’s Ward, a gynaecology ward within the Women’s and Children’s Directorate of the Hospital. She was a 31-year-old woman who was 17 weeks pregnant and in her first pregnancy. On 14 November 2012, the Health Information and Quality Authority sought assurances from University Hospital Galway that the care that was provided to Savita Halappanavar was in line with the National Standards for Safer Better Healthcare. In addition, UHG was asked to provide assurances that there were effective controls in place to manage and mitigate similar risks to other patients. In response, UHG communicated to the Authority that the care provided to Savita Halappanavar was in line with the National Standards for Safer Better Healthcare and that there were appropriate controls in place to manage and mitigate similar risks to other patients. The Authority also asked the HSE corporately whether it had controls in place to manage and mitigate risks to patients in receipt of obstetrics and gynaecology services provided on behalf of the HSE and details of how the HSE – as a service provider – was assured that those controls were effective. In response, the HSE outlined the quality processes and initiatives that were in place to support the ongoing provision of high quality and safe obstetrics and gynaecology care in Ireland and sources of assurance of the quality of that care being delivereden_GB
dc.language.isoenen
dc.publisherHealth Information and Quality Authority (HIQA), Social Services Inspectorate (SSI)en_GB
dc.subjectPATIENT SAFETYen_GB
dc.subjectMATERNITY CAREen_GB
dc.titleInvestigation into the safety, quality and standards of services provided by the Health Service Executive to patients, including pregnant women, at risk of clinical deterioration, including those provided in University Hospital Galway, and as reflected in the care and treatment provided to Savita Halappanavaren_GB
dc.typeReporten
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