Abstract

Patient safety has been a priority at least since the U.S. Institute of Medicine 's landmark report To Err is Human: Building a Safer Health System, which defined medical error as "[f]ailure of a planned action to be completed as intended or use of a wrong plan to achieve an aim". The report inspired checklists and other protocols to reduce medical error that have since become standard. Nevertheless, the incidence of medical error is still high for a number of reasons, including the systemic nature of medical error, the complexity of healthcare systems, persistent communication problems, weak regulations, and other factors. Medical error, in fact, is the third leading...