Our family has been the victim of an avoidable medical error that came close to costing the lives of our newborn twins.  The cause was a chain of HUMAN ERRORS linked from the drug manufacturer, to the hospital pharmacy, to the pediatric ward, and finally to the administering nurse who twice massively overdosed our twelve day old infants over an eight hour period with the anticoagulant drug, Heparin.We were lucky.  Although a similar incident killed three infants in an Indianapolis hospital a year earlier, our twins survived.  Since this horrific time, we have heard from so many friends and strangers alike who have been, or know someone, who has been the victim of a tragic medical mistake.  It is our hope that your family will not be one of the next victims.  It has galvanized our family to try to do something about this pervasive, yet solvable problem.  Please join us in helping to minimize the impact of HUMAN ERROR in patient medical care.