In 2001, 18-month old Josie King, suffered second-degree burns over 60 percent of her body and was admitted to the burn center at Johns Hopkins Hospital. Josie had been recovering well after two weeks in the hospital and was soon to be discharged. But when Josie’s mother voiced her concerns about Josie’s insatiable thirst, vacant eyes and rapid weight loss, she was ignored and Josie died from dehydration and a wrong administration of narcotics. The death of Josie king was the result of multiply mistake made by the lack of communication between staff members and a failure to acknowledge Josie’s mother concern. Altmitly leading to poor patient safety and result in the death of a child. Josie’s parent created patient advocacy and safety programs