Third baby dies at IN hospital

Nice review of this (admittedly dated) article, but please spare us the editorializing - finger wagging if you will - at the end. Do you really need to tell us its too little too late, and to offer wise words to other hospitals?

This does happen at other hospitals and has happended way before this "occurance"
...just not as widely "comercialized" wwithin the media. I believe that Clarian handled the situation very well....until there are perfect humans that work within the healthcare system....there will always be human error.

I think that it is easy for someone who has never lost a child to say that "until there are perfect humans that work within the healthcare system....there will always be human error." Why don't you try telling that to the families that have lost their babies due to that "human error" you talk about. I think that if people paid more attention to their jobs, then we could greatly reduce that "human error." I don't think that Clarian handled the situation the way they should have and if they would have handled things from the beginning before the "accidental overdose," then these families would not have to be dealing with the loss of their babies. I completely agree that it is too little too late and it is a great shame that in order for the proper measures to be taken to ensure that this will never happen again, that 3 innocent lives had to be lost. That in and of itself is a very high price to pay for your so-called "human error."

As a former critical care R.N. I remember the days when potassium chloride was a stock item on telemetry units before several patient deaths
led to that med being confined only to the ICU/CCU where I worked. I never dreamed that heparin would be in the same categatory because
pharmacy staff and nursing staff won't take the time to check the appropiate dose between heparin for neonates and adults. The old nursing adage of the 5 "Rights" has gone sadly wrong.Right "Dose" in this case.