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You can find the current article at its original source at http://www.guardian.co.uk/world/2013/apr/19/savita-halappanavar-medical-misadventure-inquest
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| Savita Halappanavar died due to medical misadventure, inquest finds | Savita Halappanavar died due to medical misadventure, inquest finds |
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| An Indian dentist who was denied an emergency abortion at an Irish hospital last autumn died due to medical misadventure, her inquest has found. | An Indian dentist who was denied an emergency abortion at an Irish hospital last autumn died due to medical misadventure, her inquest has found. |
| A jury sitting in Galway reached a unanimous verdict in the case of Savita Halappanavar, 31, who died from sepsis after suffering a miscarriage. | A jury sitting in Galway reached a unanimous verdict in the case of Savita Halappanavar, 31, who died from sepsis after suffering a miscarriage. |
| The jury endorsed nine recommendations of the coroner, Dr Ciaran MacLoughlin. Offering his sincere condolences to Halappanavar's widower, Praveen, MacLoughlin said: "You showed tremendous loyalty and love to your wife. All of Ireland followed the case." | The jury endorsed nine recommendations of the coroner, Dr Ciaran MacLoughlin. Offering his sincere condolences to Halappanavar's widower, Praveen, MacLoughlin said: "You showed tremendous loyalty and love to your wife. All of Ireland followed the case." |
| Halappanavar had been 17 weeks pregnant before she died on 28 October at Galway University hospital. Her plight became the focus of an international outcry over Ireland's strict anti-abortion laws, which the current government plans to reform. | Halappanavar had been 17 weeks pregnant before she died on 28 October at Galway University hospital. Her plight became the focus of an international outcry over Ireland's strict anti-abortion laws, which the current government plans to reform. |
| The first of MacLoughlin's recommendations was that the Irish Medical Council should lay out exactly when doctors can intervene to save the life of a mother. The coroner said this would provide clarity for patients and doctors. | The first of MacLoughlin's recommendations was that the Irish Medical Council should lay out exactly when doctors can intervene to save the life of a mother. The coroner said this would provide clarity for patients and doctors. |
| The jury also endorsed recommendations that blood samples should always be followed up to guard against errors; that proper sepsis management training and guidelines should be available for hospital staff; and that there should be effective communication between staff on call and those on duty in hospitals. MacLoughlin recommended that a dedicated time should be set aside at the end of each shift for this to happen. | The jury also endorsed recommendations that blood samples should always be followed up to guard against errors; that proper sepsis management training and guidelines should be available for hospital staff; and that there should be effective communication between staff on call and those on duty in hospitals. MacLoughlin recommended that a dedicated time should be set aside at the end of each shift for this to happen. |
| He said each hospital in the state should have a protocol for sepsis management; modified early-warning score charts should be introduced in all hospitals as soon as possible; and there should be effective communication between patients and relatives to ensure clarity over treatment plans. | He said each hospital in the state should have a protocol for sepsis management; modified early-warning score charts should be introduced in all hospitals as soon as possible; and there should be effective communication between patients and relatives to ensure clarity over treatment plans. |
| The final two recommendations were that medical and nursing notes should be kept separately and that no additions should made to notes where the death of a person will be subject to an inquest. | The final two recommendations were that medical and nursing notes should be kept separately and that no additions should made to notes where the death of a person will be subject to an inquest. |
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