describes a woman who recieved an overdose living for twenty two days after the overdose knowing she was going to die.
In addition to the human element, regulators reviewing the cases cite the lack of sanity checks embedded into the pump as an issue that needs to be addressed. Yet another example of technology designed without proper validation testing to account for human error.
The nurses involved in most of these cases are not being disciplined. Regulators cite systematic failures that should have been addressed when the procedures and technology were implemented."