Relevant changes to the organization that may have prevented the incident.

Propose relevant changes to the organization that may have prevented the incident. How would these changes have helped to prevent the occurrence?
Propose reasonable ethical guidelines that could have helped prevent the incident and that might help the organization prevent future incidents.
Propose changes to the standards external to the organization that might have helped prevent the incident. This can include changes to regulations and regulatory and ethical standards that might exist today but did not exist or were not properly delivered at the time of the incident.