The November 1999 Institute of Medicine report on medical errors has captured the attention of the public and of lawmakers. That report provided evidence that health care institutions can be pretty hazardous: from 44,000 to 98,000 deaths per year are related to medical errors, compared with about 42,000 deaths per year for automobile accidents, about 5000 deaths per year in the workplace, and even fewer deaths per year for air travel. The USA is not alone in focusing on medical error. In May 2000, Great Britain published An Organization with a Memory, a report from the chief medical officer on learning from adverse events in the National Health Service. In 1995, Australia published The Quality in Australian Health Care Study, pointing to the fact that there are far too many preventable errors that injure patients.