Hi Ada, I think it is important once requirements intended to make patients safer are implemented that studies are done to see if they actually have their intended outcome. In addition, we need to see if the requirements actually make medical practice more unsafe. If doctors are signing the forms without reading them, did the requirement just make everyone feel better without actually addressing the problem? Are doctors required to take the time to fill out the forms and also see the same number of patients making them overwhelmed with responsibilities ultimately leading to more errors? A recent study by Chris Landrigan in the NEJM showed that there were no measurable improvements in patient safety since the 1999 IOM report documenting the problem, even in hospitals that were making concerted efforts to improve patient safety. We obviously aren't addressing the core pathology of the patient safety problem adequately, just managing the symptoms. Thanks for your comment, Dr. Koransky.