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mr mcgurgan said that mrs cavanagh "died alone" after suffering a terminal collapse and fell from her bed while "the cot sides were down"..
the patient was treated at the royal devon & exeter nhs foundation trust..
may 15, 2018.yesterday they welcomed the findings of coroner patrick mcgurgan, who criticised the staff caring for mrs cavanagh over a series of missed opportunities..
"in contrast, a mechanical mod is unregulated and works simply by drawing the power of a battery to an atomizer," he said. .
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august 29, 2017.
.the staff's "dearth of knowledge" about the correct procedure to follow when someone dies unexpectedly was also highlighted..
"their serious adverse incident process has been wholly inadequate and what we have heard this week is a damning indictment of the western trust...