What is the eighth leading cause of death in the United States? (Please don't guess, you'll find it at the end of this article!) First, some terrible points: 44,000 Americans die every year due to medical errors, more people die from this reason than from car accidents, breast cancer or AIDS. The total national costs calculated as: loss of income, loss of production, health care costs are estimated at 17-29 billion dollars and this is a modest estimate that does not include adverse drug-preventable events and repeated diagnostic tests. But not all costs can be measured directly: loss of trust in the medical system, decreased satisfaction of both patients and healthcare providers, shortage of high-quality care providers due to declining university enrollment, and lower level of population with a good state of health. Yet there is silence around this issue, nothing is exposed to the public eye, anecdotal cases do not convey the pain of a family or a child. In this report: "To err is human", safety is defined as freedom from accidental injury and the first time define the goal of safety from the patient's perspective. Failure is defined as failure to complete a planned action as intended or use the wrong plan to achieve a goal; errors can occur at all stages of care, from diagnosis to treatment and preventative care. Since this is a planned intervention in the medical system, the focus must shift from blaming individuals for past errors and focus on preventing future errors by implementing security into the system. The IOM Committee on Health Care Quality in America, in 1998, established a report that addresses patient concerns related to health care and overall quality, the primary force of this change is intrinsic, coming from health care providers with… half of the document… I must negotiate six major challenges Redesigning the care process in order to serve more effectively, using tools and providing care that lags far behind biomedical knowledge. Use information technologies that are ready and friendly to the patient and care team. Manage knowledge growth. Coordination of care across patient conditions and services. Improve teamwork. The final challenge is everyday life: incorporating the care process and outcome measures into their daily work. Systems transitioning to the 21st century must be ready and prepare the workforce, at least three approaches can be taken to support the transition:1. Redesign how healthcare is taught, including evidence-based learning/practice, using a multidisciplinary approach.2, Change the ways in which healthcare professions are regulated3. Examine how the accountability system can narrowly support changes in care delivery.