
Doni Haas
Director of Risk Management, Martin Memorial Health Systems
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"When
we decided to come forward, we came forward... out of a belief that
we had a responsibility... to the family to try to prevent the death
of another child."
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"If
any of you have happen to you what happened to me, that phone call
[to a doctor] would be really, really easy. I don't care whose toes
I step on when I make a phone call now to get something clarified,
because it's not worth a life."
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Dennis Dunn
Hospital Pharmacist
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Sylvia Bartel
Director of Pharmacy,
Dana Farber Cancer Institute
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"It's
very important to keep management involved. It has to come from
the top. We would not have been successful if we didn't have the
support both from the executive level and from the board."
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"I
think you need to bring it out of the closet. I think that people
need to look at the errors as they come up and analyze them more
systematically than they have before without pointing the finger
at anyone, so that you can work on the system's improvement."
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Zane Robinson-Wolf
Dean of Nursing,
La Salle University School of Nursing
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Dr. C. Everett Koop
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Dr. Koop said he believes government has an obligation to point
out that medication errors and adverse drug events are systems problems
and occur despite the very best efforts of many people. Based on
his experience, most families of patients victimized by a medication
error that consider litigation do so not out of an interest in money,
but because they do not want the same error to be made again. However,
they often do not pursue litigation once they realize that blaming
and punishing someone does not change the system.
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"I
think the single most important thing that can be done is to have
practitioners review the labelling, the packaging, and the drug
names before the companies are allowed to launch their new product."
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Michael Cohen
President,
Institute for Safe Medication Practices
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Warren Olney
KCRW, Los Angeles
Moderator
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"Clearly
from what we've seen and heard, it is very very clear that if you're
a health care provider, your worst nightmare can come true, probably
will come true. If not to you, to somebody in your institution or
somebody you know."
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