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Comment on "Disclosure of Hospital Adverse Events and Its Association With Patients' Ratings of the Quality of Care"

Robert M. Wachter, MD

Arch Intern Med. 2009;169(20):1894-1896.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

December 1, 2009, marks the 10-year anniversary of the Institute of Medicine report on medical mistakes, To Err is Human, the blockbuster that launched the modern patient safety movement.^1-2 The occasion of this anniversary gives us an opportunity to reflect on the progress we have made in patient safety and on areas that have not received the attention they deserve.

The Institute of Medicine report that popularized the statistic that 44 000 to 98 000 Americans die each year as a result of medical errors ("a jumbo jet a day") unleashed a variety of pressures to improve patient safety. Perhaps most importantly (particularly in the early years), accreditation and regulation became far more aggressive.³ For example, the Joint Commission (previously the Joint Commission on Accreditation of Healthcare Organizations), launched a program of unannounced hospital surveys and began promoting and enforcing a variety of "National Patient Safety Goals."⁴ . . . [Full Text of this Article]

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