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In this week’s Mistake of the Week, Mark Graban tells the story of a Maine hospital system that accidentally mailed condolence letters to 531 very-much-alive patients. The cause? A computer glitch — and a few missing fail-safes. Mark explores what this bizarre mix-up reveals about system design, automation, and trust in healthcare. Beyond the absurd headline lies a familiar pattern: when we blame people instead of learning from process failures, we guarantee more mistakes. So what does “fully resolved” really mean? And what can leaders learn from a mistake that’s literally to die for?
By Mark Graban4.9
3939 ratings
In this week’s Mistake of the Week, Mark Graban tells the story of a Maine hospital system that accidentally mailed condolence letters to 531 very-much-alive patients. The cause? A computer glitch — and a few missing fail-safes. Mark explores what this bizarre mix-up reveals about system design, automation, and trust in healthcare. Beyond the absurd headline lies a familiar pattern: when we blame people instead of learning from process failures, we guarantee more mistakes. So what does “fully resolved” really mean? And what can leaders learn from a mistake that’s literally to die for?

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