Here is a story that was sent to me by a blog reader, who needs to remain anonymous. I know the blog reader fairly well and believe what’s written here to be true. The blog reader is a career-long Lean practitioner who has done a lot of work in healthcare. This isn’t a masked story about me and my sister, by the way. I wanted to share a story about a medication error that took … Continue reading What Didn’t Happen After This Preventable (and Potentially-Fatal) Medication Error