The rate of injury and death inadvertently caused by medical treatment is too high and exacts enormous human and financial costs. Each year in Britain and the United States alone, hundreds of thousands of patients are injured, ten of thousands are killed and billions of dollars are spent on additional health care due to treatment-related harm. This book documents one of the first successful attempts to redesign error-prone medical systems, specifically drug administration in anaesthesia, according to the modern safety principles advocated by the Institute of Medicine and others in the human...