People in healthcare know that miscommunications are a major cause of errors and patient harm. There was a strange footnote to game 5 of the World Series, where the Texas Rangers beat the St. Louis Cardinals 4-2. A miscommunication led to the Cardinals and their manager, Tony LaRussa, not having the right pitcher available for a relief appearance in the 8th inning. What happened? From a news report: St. Louis Cardinals Manager Tony La Russa … Continue reading World Series Defect: Wrong Pitcher