I have a few comments: My main experience as a patient tells me that one major area of improvement comes from the utter lack of coordination there in on the pa

I have a few comments: My main experience as a patient tells me that one major area of improvement comes from the utter lack of coordination there in on the part of hospitals, insurance companies, and pharmacies to get me the meds I've been prescribed. How many hours do I need to be on the phone? This is "just" at home, though. In the hospital, I often have just as hard a time to get all my meds because some of my meds are so specialized that the in hospital pharmacy doesn't have them, and I have to bring them from home. If I come in due to an emergency, I am likely to forget them. Thus, additional problems can come about from not having these meds. Those aren't what most would consider mistakes on the parts on doctors or health care professionals, though, that's institutional blockers to my health care. Do they get counted in this? As for mistakes on the part of human workers, I wonder just how much is from workers not washing their hands. Anecdotally, a lot of people I know complain that doctors are loathe to do that and other cross-infection control procedures that are simple, but repetitive. Another barrier I see (although not exactly a "mistake" from one person) to good care is how much effort this can all take, and that it often necessarily means taking time off work. Taking too much time off means you may get fired, etc. Is this taken into account? I suppose many of my concerns are not direct causes--not getting your meds or getting to the doctor to figure out a problem early on means you miss the opportunity to prevent or fix an easier problem. Then have to deal with it as a full-blown disaster, which means more complicated care, and more opportunities for mistakes in the OR.