I’m really looking forward to heading to California next month, feeling extremely blessed & privileged to have been asked to give a keynote at the upcoming inaugural Pacific Coast Patient Safety Conference! To learn more about this wonderful… Read More
The Emily Jerry Legacy: Hope in Action – FreeCE
In May of 2011, five years after my daughter Emily’s tragic death, and shortly after his release from jail, I was blessed with the opportunity to publicly forgive Eric Cropp. I have always felt that, if we were going to prevent what happened to my daughter, from happening to others, then the focus needed to be put back on fixing the broken systems, processes, and protocols, that enable these types of tragedies to occur in hospitals in the first place. To that point, when the focus is put on implementing punitive measures, vilifying those involved, and even criminalizing the medical error, then many of the key contributing factors often get overlooked and do not get addressed at all, such as those that set Eric and the pharmacy technician up for failure that horrible day. With these thoughts in mind, I believe that if we are truly going to save lives from preventable medication errors, we must accept the fact that ALL humans are fallible and capable of making a very “human error,” and design systems around that fact.