An inquiry found that the deaths were not due to errors of judgement, but that the surgeon had not been given appropriate supervision.
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Imagine if that something was a relatively minor infraction due to a error in judgement.
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Coroner Rob Turnbull said the crash was due to an "error of judgement" and recorded a verdict of accidental death.
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Ryan was subsequently suspended by McLaren due to a "serious error of judgement".
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He added that the scheme was due to end in April 2011, and that there would therefore be a hiatus when the EU judgement causes it to end in December 2010.
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