Sir, – As senior doctors in training and working in emergency departments, we welcome the most recent Health Information and Quality Authority (Hiqa) report that identifies unsafe and overcrowded conditions in a major regional emergency department ("Limerick hospital overcrowding 'putting patients at risk'", Home News, June 6th).
The conditions described in this report do not come as a surprise to us and are also not unique to the emergency department at University Hospital Limerick.
We had hoped that the 2012 Hiqa report into conditions in Tallaght Hospital would represent a watershed moment nationally in the unsafe and undignified conditions that our most vulnerable and critically ill patients have to endure. This has not been the case.
Solutions to overcrowding and unsafe conditions do exist, and other institutions and jurisdictions have successfully tackled this issue. Innovative and incentivised solutions are needed, along with serious regulatory consequences when action is not taken.
Until Hiqa possesses the power of closure (even temporary) against unsafe units, or meaningful ethical or professional sanctions exist against hospital management, we fear that this report will merely accompany the myriad other reports into this issue – gathering dust on a shelf.
We might also take this opportunity to signal a further threat to patient safety that has regrettably emerged. In the last few months we now have a situation where major emergency departments are left without in-house emergency medicine registrar cover at night.
We hope that we will not need yet another Hiqa investigation as a result of this significant patient safety issue. – Yours, etc,
Dr AILEEN McCABE,
Dr JAMEEL AHMAD,
Dr MICHAEL BENNETT,
Dr JOHN CRONIN,
Dr SINÉAD FAUGHAN,
Dr EOIN FOGARTY,
Dr AIDAN GRUFFERTY,
Dr KAREN HARRIS,
Dr TERMIZI HASSAN,
Dr ARTHUR
HENNESSY,
Dr AIDAN HENNIGAN,
Dr EOIN KELLY,
Dr JOSEPHINE
KELLIHER,
Dr DARREN LILLIS,
Dr NICHOLAS LIM,
Dr GERARD MARKEY,
Dr SINÉAD McARDLE,
Dr ROSA McNAMARA,
Dr VICKY MEIGHAN,
Dr LAURA MELODY,
Dr ÁINE MITCHELL,
Dr ADRIAN MURPHY,
Dr FARAH MUSTAFA,
Dr ANDY NEILL,
Dr GALA NFILA,
Dr SINÉAD
NÍ BHRAONÁIN,
Dr GERARD O’CONNOR,
Dr EIMHEAR QUINN,
Dr MICHAEL QUIRKE,
Dr NAVIN RAMPHUL,
Dr MIR WAHEED,
Dr SAM WAK,
Dr ALAN WATTS,
Dr RORY WHELAN,
Dr PJ WHOOLEY,
Dr SARAH-JANE
YEUNG,
Specialist Registrars
in Emergency Medicine,
Royal College of
Surgeons in Ireland,
Dublin 2.