"their serious adverse incident process has been wholly inadequate and what we have heard this week is a damning indictment of the western trust.
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the report "correctly points out that there really was no playbook for dealing with what was an unprecedented health crisis," san diego mayor kevin faulconer said.
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"we have to thank the coroner and his office for the work they have done. they have clearly listened to all of the evidence and came to the conclusion the family had all along.
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