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Published 11:59 6 Sept 2021 BST
Updated 13:28 6 Sept 2021 BST
Dr Reynolds said that the case led them to develop a new protocol that would prevent mistakes like this from happening again.
She said: "The outcome of that thorough review has led to a new protocol being developed to decrease the likelihood of such an incident happening again."
According to The Sunday Express, this case was one of 700 incidents where mistakes made at NHS hospitals led to fatal consequences.
Other cases involved patients being discharged too early or not receiving the correct medications or test results.
In one instance, at the West Suffolk NHS Trust, one patient died from sepsis after being sent home from the A&E. They had been told they were suffering from the flu.10 effortless tips to level up your protein intake
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