Governance failures and organisational ethics
Perspectives from the Neary and Halappanavar cases
in Ethical and legal debates in Irish healthcare
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This chapter considers two high profile Irish inquiries: the Lourdes Hospital Inquiry on the Neary case and the Health Information and Quality Authority (HIQA) Report on University Hospital Galway and the care of Savita Halappanavar from an organisational ethics perspective. The chapter outlines the significance of systemic factors in both cases and draws on literature from organisational clinical ethics and business ethics to provide a framework for thinking about the wider ethical responsibilities of healthcare organisations. It outlines how organisational structures are directly implicated in the facilitation of ethical actions by members of the organisation.


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