PRogressive Health

WHEN APOLOGIZING ISN’T ENOUGH, part 1

February 23, 2008 · 5 Comments

It’s a phrase that many people use to rectify a problem. Most parents train their children to apologize as toddlers, claiming that it teaches them good manners and behavioral skills.

“Go ahead Billy,” a mother would say. “Tell Amy you’re sorry for taking her cookie.”

Billy would then unwillingly mutter, “Sorry for taking your cookie Amy.”

Saying “I’m sorry” has become a standard for fixing a mistake or trying to make a bad situation better. But, there is a big difference between apologizing for a taking a cookie, and taking a life.

Back in September 2006, three premature infants died while in the care of Methodist Hospital’s Neonatal Intensive Care Unit (Indiana). The preemies died after accidentally being given adult dosages of blood thinner medication, which was 1000 times the strength of the infant dose. The adult dosages of heparin was stored in the same cabinet as the infant medications, and the bottles were both tagged with blue labels—making it easy to mistake the adult bottle for the infant bottle, and vice versa.

Almost one year after the infants’ deaths, I was able to listen to a presentation on crisis communication, where two members of Methodist Hospital’s PR team spoke about the traumatic incident and how they handled the situation.

It’s tough when dealing with a problem of such magnitude, but they managed, and worked well under the pressure dealt.

The PR team worked quickly, rounding up the hospital staff, and speaking with the nurses responsible for giving the infants the deadly dosage. They knew what to do in a crisis. Once they gathered and made sense of the facts, they wrote a brief statement. They knew they had to be prepared for the media rush that would be bombarding the hospital once word of the deaths spread.

While working with the media and public, the hospital also had to communicate with the preemies’ parents. The staff had to tell the parents their child died. The staff then had to use something their parents taught them decades ago—the infamous apology.

 Here’s a dramatic reenactment (this reenactment in no way intends to ridicule or disrespect the parties involved, but instead is providing an example strictly for the post):

Hospital staff:   “Mr. and Mrs. Doe, as you know, your daughter was being treated with heparin, a medication commonly given to preemies. Well, last night she was accidentally given an adult dosage of the medication. It was too much for your daughter’s body—she couldn’t handle it.”

Parent:            “What are you saying? Please, don’t tell me something is wrong with my baby!”

Hospital staff:   “She didn’t make it. She died.”

Parent:             (sobbing)

Hospital staff:   “I’m sorry.”

Some people say common phrases like “Thank you” and “I’m sorry” so much that they forget what the phrases mean and why they’re even apologizing or thanking someone. However, after reviewing the case of Methodist Hospital, I can truly say that the staff was sincere when they offered the families their empathy and apology—they even kept in touch with the infants’ families a year after the deaths.

Months later, the hospital was eventually able to regain the public’s trust, which wouldn’t have been possible without the hospital’s PR staff, a good crisis plan, and taking preventive measures to ensure the problem doesn’t happen again.

Come back for next week’s post when I’ll talk about the right way to apologize and mean what you say. I’ll also discuss the effect “apologizing,” sincere or fake, can have on a family and organization. I’ll also touch on how and why Methodist Hospital changed their standard procedures following the infants’ deaths.

Categories: apologizing · crisis communication · death · infants
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5 responses so far ↓

  • Brittany // February 23, 2008 at 6:43 pm | Reply

    Interesting Alexia. I remember when this incident happened. Unfortunately, this is not the first time this mistake with heparin has been made. Our society does use the phrase “I’m sorry” so much that the value of saying it has greatly diminished. However there are times when people do use it appropriately and with great sincerity. I am anxious to read Part II.

  • Norm // February 24, 2008 at 1:32 pm | Reply

    Alexia:

    This is a good start and I look forward to what you write in your follow-up. I have been working in health (primarily public health) crisis communication for nearly 20 years, and have, until recently, found that hospitals fear to apologize largely because they equate an apology with an admission of guilt, and their lawyers don’t like that.

    If you’re interested in more on the apology formula, you might check Peter Sandman’s website, in particular http://www.psandman.com/articles/busters.htm. Peter is considered to be the “father” of risk communication and this article is one of the best I’ve read on the subject.

    Good luck in your studies.

    =Norm

  • Norm // February 24, 2008 at 6:17 pm | Reply

    A more in-depth article on apologizing by Peter is at http://www.psandman.com/col/sorry.htm

    =Norm

  • Alexia Harris // March 5, 2008 at 6:57 pm | Reply

    Thanks for the link Norm. The site has some good information on the art of apologizing and I will be sure to include some of Peter’s tips in this next post.

  • WHEN APOLOGIZING ISN’T ENOUGH, part 3 « PRogressive Health // March 11, 2008 at 1:46 pm | Reply

    [...] the Expert Says Thanks to Norm, who commented on the first part of the series, I found Peter Sandman’s site. Sandman, who by some is [...]

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