Purpose:To describe and discuss the status of patient safety in U.S. hospitals.
Methods:Personal interview. This report is part of a series of discussions with a leading expert on patient safety.
Findings and Conclusions:Some improvements have been made in the past 10 years. But changes have not been adequate. Continuing barriers include the punitive environment in hospitals, physicians' denial of the scope of the problem, lack of national leadership, and lack of systems thinking.