Consider long and hard the case of Radonda Vaught, the nurse who killed a patient at Vanderbilt Hospital in a most dreadful manner. The investigation showed tha

Consider long and hard the case of Radonda Vaught, the nurse who killed a patient at Vanderbilt Hospital in a most dreadful manner. The investigation showed that she was overworked and stupid, and that patient safety at Vanderbilt is so bad that you should go elsewhere if you value your life. There were no consequences for anyone, no changes in protocol or leadership; the institution covered up the nurse's error to such a degree that she still has her license. The nursing board is now looking into the case again, but that's only because of the public outcry. There was a Gofundme campaign spearheaded by a well-known online nursing community that raised > 100 kUSD for the defense; that page mostly said that she is a nice person. (That might be at the recommendation of the defense, but it doesn't matter; there is no situational insight, consequently there won't be any improvement.) Z-Dogg MD came out in her defense as well, citing "just culture". From the outside is looks that since leadership gets off by default, consequently the scapegoat at the bottom that exposed the systemic failings should get of scot-free, too. In the Ueberlingen case, at least someone had justice administered to him.