In the November 25 issue of the ARCHIVES, Rothschild et al1 provide additional evidence that substantial downstream costs—specifically those of defending and settling malpractice claims—are associated with patient safety violations. While the argument is commendable, and one we have made before,2,3 it may fall on deaf administrative ears within health care settings for 3 reasons.
Weeks WB, Wallace AE. Broadening the Business Case for Patient Safety. Arch Intern Med. 2003;163(9):1112. doi:10.1001/archinte.163.9.1112-a