Suspension of the people involved in error rarely (ever?) makes systems safer. Such action is based on the myth that people can, should and must be perfect. It is perpetuated by societies' general call for punishment when someone does something wrong.
In a tragic event such as
this one in which an infant died, there are causes at the sharp end - where the care is provided, the exact instant when an error occurs. There are also causes and contributing factors that are distant from the event itself - decisions and designs that establish the resilience or fragility of a system to inevitable human failings.
Apparently the term ghastly was used to describe this error. The real ghastly part of this story is what's behind the response of administration and the journalism that paints such a portrayal.
Why in the world is an error such as this one still possible? And, why is it still seen as appropriate to respond this manner to such a tragic error?