Sent_en: 2zh There had been significant errors in the hospital's "systems and procedures", as the patient had not been properly supervised, training of staff was inadequate, information had not been passed on correctly, and warnings had not been heeded.
Sent_yy: 医院的“体制和程序”存在重大错误，因为病人没有得到正确的监护，员工培训不充分，信息传递不准确，警报也未能得到重视。