A registered nurse accidentally administered the wrong medication to a patient who subsequently died. The nurse immediately admitted her mistake. Shockingly, the Nashville, Tennessee District Attorney brought criminal charges against the nurse and she was ultimately convicted of criminally negligent homicide and gross abuse of an impaired adult. Providers and assorted national healthcare groups and organizations strongly criticized the decision to pursue criminal charges and the resulting conviction. Ms. Green will discuss this case, in context, and thoughts concerning whether it will have a chilling effect on health care providers admitting future mistakes. Is the “just culture” so many institutions have sought, and worked so hard, to instill, significantly threatened, especially when medical errors continue to be the third leading cause of death in the United States?