Learning from the un-checked checklist

As long as we are on the issue of cognitive errors, it is instructive to review the crash of an MQ-9 Reaper in an unpopulated area in Nevada on Dec. 5, 2012.  The U. S. Air Force Air Combat Command recently published a full report of the incident, noting, "The aircraft, one inert Guided Bomb Unit, a Hellfire training missile, a Mission Kit, and one M299 missile rail were destroyed. The loss is valued at approximately $9.6 million.  There were no injuries or damage to other government or private property."

A summary:

The Accident Investigation Board President therefore found by clear and convincing evidence that the causes of the mishap were:

1) prior to the flight, the throttle-quadrant settings were improperly configured during the reconfiguration of the GCS from MQ-1 to MQ-9 operations

2) this throttle change went unrecognized because the mishap pilot did not personally execute the checklists on his control rack prior to gaining control of the aircraft, and

3) the pilot stalled the aircraft due to an unrecognized, commanded reverse-thrust condition that existed whenever the pilot's throttle was at any position except fully forward.

Additionally, the AAIB found by a preponderance of evidence that the mishap pilot failed to execute his GCS preflight in accordance with technical order procedures, substantially contributing to the mishap.

How many hospitals would publish such a report for the world to see?