The patient safety movement: how are we doing?

According to the authors of a recent viewpoint article in JAMA, although the decade following the Institute of Medicine Report was widely regarded as a failure, progress may have been made from 2000 to 2014. The data are a little soft, though and it is difficult to tell whether the purported improvement is due to systems improvements, secular trends or pervasive chart doctoring which is believed to have increased over the past few years with the recent external pressures.