I think this whole situation is a combination of many factors. I think the hospital workers get verbally abused quite often, especially in an inner city hospital. It think they have to have defenses for their own mental health and I think they are probably under appreciated. I think they may be over worked and I think they simply made a huge error. I think this is how real life is and nothing is perfect. I think this is just a sad sad situation. again, this is nothing but conjecture. mistakes were made. a woman died. there's always an urge to find blame, but maybe the blame doesn't need to be placed.