Why can't we learn from our mistakes?

CNN, July 9, 2008

As many as 17 newborn babies in the neonatal intensive care unit of a Texas hospital were given overdoses of the blood thinner heparin, prompting an investigation by officials there. Nursing staff at Christus Spohn Hospital South in Corpus Christi discovered the error earlier this week, two days after a concentrated form of the medication is believed to have been administered.


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