The term "patient safety" rose to popularity in the late nineties, as the medical community ¿ in particular, physicians working in nonmedical and administrative capacities ¿ sought to raise awareness of the tens of thousands of deaths in the US attributed to medical errors each year. But what was causing these medical errors? And what made these accidents to rise to epidemic levels, seemingly overnight? Still Not Safe is the story of the rise of the patient-safety movement ¿ and how an "epidemic" of medical errors was derived from a reality that didn''t support such a characterization. Physician Robert Wears and organizational theorist Kathleen Sutcliffe trace the origins of patient safety to the emergence of market trends that challenged the place of doctors in the larger medical ecosystem: the rise in medical litigation and physicians'' aversion to risk; institutional changes in theorganization and control of healthcare; and a bureaucratic movement to "rationalize" medical practice ¿
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