“Make no mistake: This could happen at your hospital,” warned Mike Cohen, RPh, MS, the president emeritus of the Institute for Safe Medication Practices (ISMP), during a joint ISMP/Just Culture Company webinar on lessons learned in the aftermath of the fatal medication error that led to the felony conviction of RaDonda Vaught, the nurse who made the error.
On Dec. 26, 2017, Charlene Murphey, 75, was being transferred from Vanderbilt University Medical Center’s