Discuss If you were a Registered Nurse in this situation what would you have done differently? Identify the systems and processes that could be put in place to stop this happening again What recommendations for change would you make to improve the care and outcomes?

You are a clinical registered nurse and have been asked to participate in the review of a coronial inquest report which has relevance to your selected speciality area.  Referring to the EQuiP6 Standards examine your selected report and consider the following questions during your review:
Identify the criteria not being met from the EQuiP6 Clinical Standard document you have been provided? Of these identify the top 3 safety and quality indicators or standards impacting patient care (* Note the function category Clinical, Support, Corporate and note the sub-criteria e.g. [Clinical: 1.5.6 The organisation ensures the correct consumer/patient receives the correct procedure on the correct site]
If you were a Registered Nurse in this situation what would you have done differently?
Identify the systems and processes that could be put in place to stop this happening again
What recommendations for change would you make to improve the care and outcomes?