Inadequate assessment and monitoring, failure to offer all management options and non-adherence to clinical guidelines relating to the prompt and effective management of sepsis on the part of University Hospital Galway (UHG) were today identified as the factors that led to the death of Savita Halappanavar last October.

 These were the main findings of report of the investigation into the death of Ms Halappanavar, which was published by the HSE today (June 13).

 The report stated that Ms Halappanavar’s deteriorating condition was due to infection associated with a failure to devise and follow a plan of care for her that took into account that the "most likely cause of her inevitable miscarriage was infection and that the risk of infection and sepsis increased with time following admission and especially following the spontaneous rupture of her membranes".

 The HSE and University Hospital Galway have apologised unreservedly to Mr Halappanavar for the tragic death of his wife at UHG.

 The investigation team has made a number of recommendations to address the key factors that have been identified as contributing to this incident.

A full report on the HSE findings will follow.