Pressure Builds for Reform
Horrific medical accidents widely circulated in the media: Betsy Lehman, Boston Globe health reporter died from a chemotherapy overdose; in Florida, Willie King had the wrong leg amputated. These scandalous stories killed organized medicine’s efforts at tort reform because no one could reasonably support it after such injuries. In the aftermath, the first Annenberg Conference on error in medicine was proposed to help medicine “get on the right side of the issue.” Lucian Leape and James Reason provided keynote addresses, symbolizing a partnership between medicine and cognitive psychology. The Ben Kolb case presented at Annenberg spurred organized medicine to begin serious safety efforts, and the National Patient Safety Foundation was started by the American Medical Association. A second, even larger Annenberg Conference was held with substantial input from nonclinical safety scientists.