Safety is one aspect of quality, where quality includes not only avoiding preventable harm, but also making appropriate care available-providing effective services to those who could benefit from them and not providing ineffective or harmful services. Safety systems in health care organizations seek to prevent harm to patients, their families and friends, health care professionals, contract-service workers, volunteers, and the many other individuals whose activities bring them into a health care setting. the list is potentially long but all of these latent factors are, in theory, detectable and correctable before a mishap occurs. In the case of errors and violations, the "swamps" are equipment designs that promote operator error, bad communications, high workloads, budgetary and commercial pressures, procedures that necessitate their violation in order to get the job done, inadequate organization, missing barriers, and safeguards. The only effective remedy is to drain the swamps in which they breed. You can try to swat them one at a time, but there will always be others to take their place.
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