Carole Hemmelgarn

This doesn't solve problems. All this does is it creates silence and barriers. When errors happen so often... The frontline workers, your nurses, allied health physicians were blamed. But what we've come to realize is it's really a systemic problem. They happen to be at the frontline, but it's underlying issues that are at the root of these problems.

This doesn't solve problems. All this does is it creates silence and barriers. When errors happen so often... The frontline workers, your nurses, allied health physicians were blamed. But what we've come to realize is it's really a systemic problem. They happen to be at the frontline, but it's underlying issues that are at the root of these problems.

This doesn't solve problems. All this does is it creates silence and barriers. When errors happen so often... The frontline workers, your nurses, allied health physicians were blamed. But what we've come to realize is it's really a systemic problem. They happen to be at the frontline, but it's underlying issues that are at the root of these problems.

It can be policies that aren't the right policies. It could be shortages of staff. It can be equipment failures that are known at device companies but haven't been shared with those using the devices. It can be medication errors because of labels that look similar or drug names that are similar.

It can be policies that aren't the right policies. It could be shortages of staff. It can be equipment failures that are known at device companies but haven't been shared with those using the devices. It can be medication errors because of labels that look similar or drug names that are similar.

It can be policies that aren't the right policies. It could be shortages of staff. It can be equipment failures that are known at device companies but haven't been shared with those using the devices. It can be medication errors because of labels that look similar or drug names that are similar.

To get at the systemic problem in the Vanderbilt case, Hemmelgarn's advocacy group filed a complaint with the Office of Inspector General in the Department of Health and Human Services.

To get at the systemic problem in the Vanderbilt case, Hemmelgarn's advocacy group filed a complaint with the Office of Inspector General in the Department of Health and Human Services.

To get at the systemic problem in the Vanderbilt case, Hemmelgarn's advocacy group filed a complaint with the Office of Inspector General in the Department of Health and Human Services.

What we found most frustrating was the lack of leadership from Vanderbilt. Leadership never came out and took any responsibility. They never said anything. They never talked to the community. It was essentially silence from leadership. I think one of the other big failures we have in healthcare is fear. Healthcare is rooted in fear because of the fear of litigation.

What we found most frustrating was the lack of leadership from Vanderbilt. Leadership never came out and took any responsibility. They never said anything. They never talked to the community. It was essentially silence from leadership. I think one of the other big failures we have in healthcare is fear. Healthcare is rooted in fear because of the fear of litigation.

What we found most frustrating was the lack of leadership from Vanderbilt. Leadership never came out and took any responsibility. They never said anything. They never talked to the community. It was essentially silence from leadership. I think one of the other big failures we have in healthcare is fear. Healthcare is rooted in fear because of the fear of litigation.

When there's a fear of litigation, silence happens. And until we flip that model, we're going to continue down this road.

When there's a fear of litigation, silence happens. And until we flip that model, we're going to continue down this road.

When there's a fear of litigation, silence happens. And until we flip that model, we're going to continue down this road.

That's Amy Edmondson. We heard from her in our last episode. She is an organizational psychologist at the Harvard Business School. She recently published a book called Right Kind of Wrong, The Science of Failing Well. The Vanderbilt case was not an example of failing well. Redonda Vaught, you will remember, dispensed Vecuronium instead of Versed.

That's Amy Edmondson. We heard from her in our last episode. She is an organizational psychologist at the Harvard Business School. She recently published a book called Right Kind of Wrong, The Science of Failing Well. The Vanderbilt case was not an example of failing well. Redonda Vaught, you will remember, dispensed Vecuronium instead of Versed.

That's Amy Edmondson. We heard from her in our last episode. She is an organizational psychologist at the Harvard Business School. She recently published a book called Right Kind of Wrong, The Science of Failing Well. The Vanderbilt case was not an example of failing well. Redonda Vaught, you will remember, dispensed Vecuronium instead of Versed.

How often do these kinds of deaths happen? Researchers have a hard time answering that question. In 1999, the Institute of Medicine, known today as the National Academy of Medicine, found that medical error causes between 44,000 and 98,000 deaths per year. A 2013 study in the Journal of Patient Safety estimated the number of preventable deaths at U.S. hospitals at 200,000 a year.

How often do these kinds of deaths happen? Researchers have a hard time answering that question. In 1999, the Institute of Medicine, known today as the National Academy of Medicine, found that medical error causes between 44,000 and 98,000 deaths per year. A 2013 study in the Journal of Patient Safety estimated the number of preventable deaths at U.S. hospitals at 200,000 a year.