One doctor. 25 deaths. How could it have happened?
Systemic failures persistently undermine processes meant to keep patients safe. This news story discusses a case involving unexplained patient deaths under the care of one physician and how protections such as automated medicine cabinet overrides, practice audits and reporting and feedback mechanisms were not adequately used to surface criminal behavior.
Healy J, Farr I, Feiger L, Duffy C. New York Times. October 11, 2019.