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She added a title of system COO to her duties, for Care New England in July 2012 and served for 5 years.
An advocate for patient safety, Sandy has been acknowledged for the settlement of a major public lawsuit through her acknowledgement and apology for the errors that occurred in the care of the patient, Michael J. Woods. The Michael J. Woods Institute at Kent Hospital was established in his honor to redesign healthcare from a human factor perspective, with the full support and participation of the victim’s brother, James Woods and his attorney. Her experiences were published in the second edition of Using Human Factor Engineering to Improve Patient Safety, by John W. Gosbee and others and In the Frontiers of Health Service Management.
Frequently asked to explain the decision making that led to the apology, she simply replies, "I just did what my mother taught me to do.”