Carefully read the Leadership and Never Events case study located on page 235 in Principles of Healthcare Leadership where we learn that according to the Institute of Medicine, it is estimated that from 44,000 to 98,0000 of the 33 million patients hospitalized every year die and many more contract hospital acquired infections! These medical errors are referred to as Never Events. Hospital CEO, John Dawson is faced with a second outbreak of methicillin resistant Staphylococcus aureus (MRSA) in three weeks. What was the underlying cause of this hospitals-acquired outbreak of disease? How could it have been prevented? How can the surveillance system currently in use by this hospital be improved to provide early warnings to the CEO? Once the final report on this hospitals-acquired disease outbreak is completed, who should receive copies of the report? Explain your reasons for sharing this report with these individuals