When a patient in injured or killed by a sentinel events, the doctor may also suffer. To download a copy of an interesting article, see:

http://www.bmj.com/cgi/reprint/320/7237/726

When I saw this article I thought it was new. Then I looked at the date at the bottom of the page. The article was from 2000! That made me think …

What has actually changed in the past 7 years in the efforts to achieve greater patient safety and quality of care? Have most of our solutions just been “band-aids”? Have we really made significant change in the reporting, root cause analysis, and correction of the causes of medical errors across the industry?

What do you think? Click on the title word “comment” below to leave your ideas…