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"their serious adverse incident process has been wholly inadequate and what we have heard this week is a damning indictment of the western trust. http://lm360.us/Dethomasis-grandma-of-Mesina-from-Dsseldorf?Olliffmot=138
mr mcgurgan found that one nurse had added to her original account of what had happened on the ward on the morning of july 16, 2016 to state that "the cot sides were up". .
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written reports, including local media accounts, professional medical papers and internal emails were also examined. .
the presumptive leader is not defined, which leads to uncertainty and delays when leadership and action is needed,'' the report says.
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