In the winter of 2006, a tragic mistake at a Los Angeles hospital sent shockwaves across the medical community. A newborn baby, just hours old, was given a dosage of blood thinner meant for a full-grown adult. The hospital staff, fatigued from back-to-back shifts and facing a system overloaded with patients, had overlooked a labeling error. What began as a routine postnatal checkup spiraled into a life-or-death emergency. The infant survived—barely—but the case made national headlines and forced healthcare providers to face a disturbing truth: human error wasn’t just inevitable, it was systemically enabled.