Following a medication error that led to the death of a patient, the nurse who administered the medication was sacked. Following an investigation by the Department of Health, no action was taken against the nurse or the hospital. However, following an anonymous complaint, another investigation found deficiencies in hospital systems and also led to the nurse being charged with criminal homicide. No disciplinary action was taken against the hospital, but the nurse was found guilty of criminally negligent homicide. This article examines the series of events and comments on the impact of this case on the health profession and patient safety.
Around the world, children die from hyperthermia every year after parents unintentionally left them in a hot vehicle, often for a full day. This article examines these tragedies from a human factors perspective, and provides some tips to prevent it happening to your family. It also asks whether we can learn from these events to improve human performance in the workplace.