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PSNet: Patient Safety Network
Newspaper/Magazine Article

Before mea culpa, Children’s was confident its air systems weren’t source of infection

Gilbert D, Gutman D. Before mea culpa, Children’s was confident its air systems weren’t source of infection. Seattle Times. Nov. 26, 2019.

Problems in the physical environment can contribute to patient harm. This news story discusses systemic failures associated with patient deaths acerbated by a common mold in a hospital heating and cooling system. The actions the organization took to manage the situation are shared; however, the mold wasn't eradicated.