Case Study: How Kristin Died

Write a one page discussion and respond to the following questions (refer to attachment for more information) or the following link https://content.grantham.edu/at/PA301/9780618993017 pg 64 to 75 BA301.pdf :

Was this the best way to go to protect Kristin. Do you suggest any other ways to go about it? What are your suggestions and why?
Explain and discuss if the system failed to protect Kristin and if so why?
There were many elements of bureaucracy that were present, which one was the biggest issue and why was it?