“…imagine then being charged (with) manslaughter for a drug error…”

This is a 31 minute YouTube video from the Risky Business conference highlighting the story of Julie, a nurse, and what happened after she connected a patient to the wrong drug infusion pump. The patient died and Julie lost her job.

“There will never be a point when you have achieved enough skill, experience, knowledge, vigilance, prudence, awareness, or  carefulness, to be able to fully control whether you commit an error or not, or overcome the human condition.”

Reblogged from “How to treat a man-slaughterer (or someone who made a fatal error)” from the “Mama I killed a man” blog, by Snagain.

See also
Albert Wu (2000) Medical error: the second victim BMJ 2000;320:726

and Alleviating “Second Victim” Syndrome: How We Should Handle Patient Harm: By Carolyn M. Clancy, M.D., Director, Agency for Healthcare Research and Quality. March 2012. Agency for Healthcare Research and Quality, Rockville, MD, on ‘The systemic nature of patient safety events’.

“What is striking about this description is its universality. Health care-associated injuries are events associated with the process or structure of care, rather than with a patient’s underlying or physiological, environmental, or disease-related conditions.”


This entry was posted in campaigns and awareness, case studies, events - conferences, health / medical, Human Factors, non CHI+MED, patient safety and tagged , , , , , , . Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s