If you were the office manager of the internist’s office that never received the x-ray report, what would you do to avoid a recurrence of this problem?

Why did the patient come to the hospital? What was done? What x-ray was lost? What happened as a result?
• If you were the administrator of the hospital, what measures should be taken to prevent such an error from taking place again?
• If you were the office manager of the internist’s office that never received the x-ray report, what would you do to avoid a recurrence of this problem?

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