Episode #207 is part two of my conversation with Chris Jerry, founder of The Emily Jerry Foundation.  The foundation was created in the aftermath of the tragic death of his daughter, Emily – a preventable medical error caused by a number of factors and bad systems. You can read Emily's story here. In the first part (Episode #203), Chris told the story of what happened. In part two, we talk about topics including: A systems view vs. blaming an individual Chris skipping over the “anger” phase of grief Why his barber required more certification than a pharmacy tech compounding medications? “Emily's Law” was passed in 2009 in Ohio and he's working on this nationally How he learned his ex-wife pursued the criminal charges against Cropp Publicly forgiving Cropp and meeting him face to face for the first time How we're all fallible and capable of making a mistake All of the elements of the system have to fit together and work together Differences between advances in automotive safety over time and healthcare safety Warning people without demonizing the individuals The importance of patient and family involvement How to reduce hospital acquired infections – hand washing! How much progress is being made in the patient safety battle? For a link to this episode, refer people to  www.leanblog.org/207. For earlier episodes of my podcast, visit the main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts.  You can also listen via Stitcher.