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staff had moved mrs cavanagh's body before a doctor had pronounced her dead and before informing the coroner's office. .
"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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"as soon as she saw him," said tamara nunley, r.n., "you could see her perk up." .
the state launched a review into the newspaper�s findings in late april.