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To ensure recommendations in the HIQA report into the death of Savita Halappanavar are implemented, Dr Muiris Houston proposes a Medical Council-style sanctioning of health service managers who fail to take ownership of their responsibilities. HIQA’s investigation into her death from sepsis when 17 weeks’ pregnant listed 13 “missed opportunities” which, had they been identified and acted upon, might have potentially changed the outcome of her care …

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