The HSE has apologised unreservedly after a report into the death of a baby in the Midlands Regional Hospital in Portlaoise found significant failures in care provided to him and his mother.
Baby Joshua Keyes died shortly after he was born at the hospital on October 28th 2009.
His case was one of four deaths at the maternity unit there, highlighted by an RTE programme.
Today's report was published at the request of his parents.
This HSE report into the death of Baby Joshua Keyes at Midlands Regional Hospital in October 2009, makes 23 recommendations.
It found signifiant failures in care – with concerns raised about the interpretation of the foetal heart rate monitor, the CTG, the absence of foetal blood sampling at the hospital, the delay in delivery, and the care and support provided to his parents Shauna Keyes and Joseph Cornally following his death.
The HSE has apologised unreservedly for the failings and the distress caused by the prolonged nature of the process which led to the review.
Baby Joshua's parents requested the publication of the report after it emerged his death was investigated at the time – but they were never informed.
His mum Shauna Keyes says this is what hurt her and the other families involved, the most.
All 23 recommendations have now been implemented at the hospital.
And it goes on to make a number of other recommendations for maternity hospitals nationwide.
Shauna says she hopes they learn from their mistakes.