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Previous Volume 348:2570-2572 June 19, 2003 Number 25 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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If the Institute of Medicine is right, then at the very least, 100 patients will die in hospitals in the United States today because of injuries from their care, not from their diseases. How many will die tomorrow?

Tom Nolan, one of the leading quality-improvement scholars of our time, identifies three essential preconditions for improvement: will, ideas, and execution.¹ Improvement requires will, because durable improvement is not an accident; it takes effort. Left alone, systems tend to deteriorate. Roads decay until someone decides to repair them. Patients will suffer injuries from care until someone decides otherwise.

Improvement requires ideas, because . . . [Full Text of this Article]

Source Information

From the Institute for Healthcare Improvement, Boston.

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