An investigation into the death of a baby in Cork, who was repeatedly sent home from hospital, has made 17 recommendations about paediatric care at one of Ireland's biggest hospitals.
Three-month-old Adam O'Connor from Mallow died at Cork University Hospital in February last year, two days after he was diagnosed with acute leukaemia.
His parents, Julia and Tom, had brought him to CUH's Accident and Emergency department twice, where they were told baby Adam was suffering from constipation.
His father Tom said the healthcare system failed their son in every possible way.
After they discovered spotting on his legs, "They said they wanted to act fast…I was saying to myself 'act fast?' We were in and out of the place for three hours and they wanted to act fast all of a sudden?
"The consultant was brought in that night and they discovered then that he had leukaemia."
In spite of being seen by various health bodies, the review team found that Adam's overall care was "fragmented between the services" and communications between all the services was "unstructured", according to a report obtained by TV3.