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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.
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![](/s.abcnews.com/images/health/170118_wls_artificial_heart_16x9_240.jpg)
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"the drug must be administered at the right time point during development," he said.
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.the staff's "dearth of knowledge" about the correct procedure to follow when someone dies unexpectedly was also highlighted.
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