In 1999, the Institute of Medicine report, To Err is Human, generated a brief flurry of concerns about avoidable hospital deaths. While progress has been made in addressing system errors and deficiencies, it remains inconsistent across the nation’s hospitals. Fourteen years after this report, is it time for the professions, payers and the public to demand corrections of system problems in an accountable, transparent and publicly disclosed manner? What form can or should these demands take? Discuss briefly. provide references