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An Insulin Error Killed a Hospital Patient. How Does Every Other Hospital Learn From It?
A man named Donald Gough died in a Cardiff hospital in November 2022, four weeks after an insulin error during surgery. He was 77, a retired NHS radiographer who had spent more than 50 years working in the same health system that was now caring for him. He had bowel cancer that had spread to his liver, and he agreed to surgery to remove the secondary tumors. He was told the operation carried a risk […] The post An Insulin Error Killed a Hospital Patient. How Does Every Other Hospital Learn From It? by Mark Graban appeared first at Lean Blog by Mark Graban.
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