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Hospital
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Pediatrician
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General
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Comments
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1. Problem
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Comments
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Action Taken
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Comments
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2. Problem
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Comments
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Action Taken
• • •
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Comments
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3. Problem
• • •
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Comments
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Action Taken
• • •
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Comments
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4. Problem
• • •
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Comments
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Action Taken
• • •
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Comments
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5. Problem
• • •
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Comments
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Action Taken
• • •
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Comments
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