Systemic failures allowed Woodstock nurse Elizabeth Wettlaufer to carry out her crimes without raising suspicion.
That’s according to a commission examining what it calls Canada’s “first known health-care serial killer.”
Wettlaufer, a former nurse, is serving a life sentence after pleading guilty in 2017 to killing eight patients with insulin overdoses and attempting to kill four others.
The incidents happened over a nearly 10-year period while she worked at several long-term care facilities and private homes in locations including Woodstock and Ingersoll.
Ninety-one recommendations are included in the commission’s report that are aimed at preventing such crimes, including measures to make it harder for staff members to divert medication.