Newspapers and news magazines are filled with stories of medical errors

Newspapers and news magazines are filled with stories of medical errors. Some of the stories that stand out to me over the years include a cancer patient being administered a fatal dose of a chemotherapeutic agent, a patient having the wrong leg amputated, or most recently a surgeon removing a healthy kidney that he thought was a tumor while performing a completely unrelated surgery. Medical errors range from shocking to comical, and while the examples I provide are tragic not all medical errors are so drastic. Sometimes the solutions to these medical errors are quite simple. I've had several orthopedic surgeries and the most recent ones I'm always asked what joint is being operated on and that joint is marked with a Sharpie pen prior to the surgery.
For this discussion, do a web search and identify a medical error news story that stands out to you. Tell us why you picked the error and propose a simple information-based intervention to address the error it could be digital or not (like a Sharpie pen mark). Feel free to use a non-English news story, but kindly provide an English translation along with the hyperlink in your discussion post.