Recommends a sweeping redesign of the American health care system. This work provides principles for specific direction for policymakers, health care leaders, clinicians, regulators, and purchasers. It offers a set of performance expectations for the 21st century health care system and 10 rules to guide patient-clinician relationships.

Although the United States capitalizes on its investment in science and technology effectively, there remains room for improvement. This volume identifies the ingredients for success in capitalizing on such investments to produce national benefits, assesses US performance, and identifies future challenges.

Sets forth a national agenda - with state and local implications - for reducing medical errors and improving patient safety through the design of a safer health system. This book reveals the statistics of medical error and the disparity between the incidence of error and public perception of it.