A democracy on life support ...Middle East

In my four-decade career as a practicing physician and hospital leader, I have witnessed a remarkable transformation in American hospitals, an advancement of standards in health care quality and safety that continues unabated. Our use of evidence to make decisions, the way we handle mistakes to promote safety, and our systematic approach to performance improvement all have contributed to this impressive achievement. Although we still have a long way to go, our progress continues on an upward slope.

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