When my father was dying (liver cancer, he was goner, no surprises) a senior doctor in the hospital made one of the intern's life hell about not weighting the excreted urine when changing the bags.
The intern (and me) pointed out that it was pointless - his answer - "He is in our care, and if we do something, we do it right" - that is the attitude that saves lives.
A mistake is a mistake. It may even lose someone 15 minutes - doesn't matter - it was literally everything left that the patient had in the world. We are not talking about shit happens situations - there will always be risks when doing interventions.
Suppose you are in charge of approving grants for a particular program. Presented to you are two applications:
One attacks medical errors. The grant application claims that it will prevent 10,000 deaths caused by medical error and the loss of 100,000 quality adjusted years of life.
The other attacks diabetes treatment non-compliance and the grant claims it will prevent 5,000 deaths caused by diabetes and the loss of 200,000 quality adjusted years of life.
All other things being equal, which one do you fund?
You made it easy by having the larger number of lives saved together with the one where people are dying due to no fault of their own.
(Also, I don't totally fault people for non-compliance - it's really hard to be perfectly compliant in any recommended thing. But I still prioritize it lower.)
The intern (and me) pointed out that it was pointless - his answer - "He is in our care, and if we do something, we do it right" - that is the attitude that saves lives.
A mistake is a mistake. It may even lose someone 15 minutes - doesn't matter - it was literally everything left that the patient had in the world. We are not talking about shit happens situations - there will always be risks when doing interventions.