Conclusion for the Vanderbilt medication error- what improvement can be implemented to prevent future fatal incident

Need conclusion section for the written paper by answering following questions. Please read the paper written and use resources to answer. Questions: 1. How was the patient and family involved in the Vanderbilt case, before, during and after the event? (2-3 sentences) 2. What recommendations would you make to improve the system at Vanderbilt-consider some of those foundational principles (high reliability, Safety II, governance, culture of safety fair and just culture, error reporting root cause analysis, workforce issues, staffing, burnout, workplace safety, resilience, teamwork and communication, patient-centered care) related to patient safety and quality of care. MOST IMPORTANT TO COVER 3. Do you think that it could have prevented subsequent regulatory and legal issues? 4. how would you measure improvement based on the improvements that you describe? MOST IMPROTANT TO COVER

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