Of course, but those kind of reports do not make the difference between at least theoretically preventable events and those are related either to basic physiolo

Of course, but those kind of reports do not make the difference between at least theoretically preventable events and those are related either to basic physiology or to dying people for whom the choice is between dying a little bit faster due to their disease, or lingering as long as they can, and dying due to a "medical error" all while taking 50 different medications concurrently. I am especially irked by the constant airplane analogies. Healthcare is not comparable to an assembly line nor modern aviation. The checklists/verifications/pathways only work when you take pretty healthy people and you submit them to a standardized, elective, safe procedure. In those cases, errors are obvious, and the efficacy of any quality improvement method is easy to assess. Unfortunately, in most cases, healthcare works like a completely chaotic, black box kind of system, in which the output can hardly be predicted with any kind of certainty. It is easy to get excited by "quality initiatives" which may improve the one tiny and unimportant outcome that we measure, all while not realizing the severe side effects it causes on other outcomes.