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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". .: bwire: the major problem at knh is structural and system failures .
it also recommends building more secure restrooms and hand-washing stations in areas where homeless people congregate. . .
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.he described the failure to send the patient for a ct scan on her hip as another "missed opportunity". .