We have to organize health care organizations and people to get together to learn about safe systems, what they look like. We know how to do it in aviation. We know how to do it in nuclear power. We need to learn that in health care. Another big area is the use of science in health care.
Most patients think that the care they are getting is the scientifically correct care.
Unfortunately, that's often not true. Patients aren't getting treatments that would be effective for them, and they are getting treatments that we know to be ineffective. We need to work hard on linking scientific knowledge to practice. We also have serious problems with patient service. I don't think that we listen carefully enough.