Question: Part 1 : Answer discussion question 6 in Case 2 4 . What mechanisms can be put in place to prevent this form occurring in

Part 1: Answer discussion question 6 in Case 24.
What mechanisms can be put in place to prevent this form occurring in the future?
Part 2: Evaluate this case in accordance with Joint Commissions guidance for Sentinel Events for hospitals.
How does this case meet/or not meet the criteria? Explain your answer.

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