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In this Jan. 15, 2019 file photo, the main entrance to Mount Carmel West Hospital is shown in Columbus, Ohio. The Mount Carmel Health System announced Thursday, July 11, 2019 that it s firing 23 more employees and changing leadership after investigating excessive painkiller doses given to dozens of patients who died. (Andrew Welsh Huggins/AP, file)

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The Ohio hospital system where excessive painkiller doses were given to dozens of patients who died fired 23 nurses, pharmacists and managers Thursday and said it is changing leadership, a sign that professional fallout from the scandal has expanded far beyond the intensive care doctor accused of ordering the drugs.

By KANTELE FRANKO, Associated Press July 11, 2019