To the Editor: The article by Drs Leape and
Berwick1 discussed what has happened in the
5 years since publication of the IOM report and why improvements have not
been as great as hoped. Their discussion of the “culture of medicine”
as a “daunting barrier to creating the habits and beliefs . . . that
a safe culture requires” is sobering. We were therefore disappointed
that there was no consideration of medical schools and their influence on
the culture of medicine in the article. While the authors call for the Agency
for Healthcare Research and Quality (AHRQ) to bring together the lead organizations
to agree on a set of explicit and ambitious goals for patient safety to be
reached by 2010, neither the Association of American Medical Colleges (AAMC)
nor the Liaison Committee on Medical Education is mentioned.
Halbach JL, Sullivan L. To Err Is Human. JAMA. 2005;294(14):1758–1759. doi:10.1001/jama.294.14.1758-b
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