Home » Tag Archives: Justice Frank Clarke

Tag Archives: Justice Frank Clarke

Death of Aoife Johnston Was “Almost Certainly Avoidable ” Report Concludes

The death of a Shannon teenager in the overcrowded Emergency Department at University Hospital Limerick (UHL) was “almost certainly avoidable”, a new report has revealed. Aoife Johnston, Cronan Lawn, Shannon, died of meningitis in December 2022 after a thirteen and a half hour gap between presentation at the Emergency Department having been seen by a GP who queried the possibility of sepsis and where the risk of sepsis was also identified by Nurse A who dealt with her, according to a new report. The Frank Clarke report was commissioned by HSE CEO Bernard Gloster after he received the report of a Systems Analysis Review (a SAR report), prepared under the HSE’s National Incident Management System (NIMS). Mr Gloster commissioned the Clarke report having considered the conclusions of the SAR and having determined that further investigation was necessary. At the start of his 247-page report, Justice Frank Clarke recognised this Investigation arose out of the tragic death of a sixteen year- …

Read More »