A Series on Patient Safety

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Abstract
When the Institute of Medicine (IOM) released its report, To Err Is Human, 1 the speed and intensity with which it captured media, public, political, and professional attention surprised everyone. Neither the shocking statistics nor the central message — that errors are caused by faulty systems — was new, but the report forcefully brought them to public awareness. Within days, Congress scheduled hearings and President Bill Clinton instructed the Quality Interagency Coordination Task Force to analyze the report. Sixty days later, on the recommendation of the task force, the President called on all federal health agencies to implement the IOM recommendations. . . .

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