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To the Editor: The Editorial by Dr Leape and colleagues¹ was timely and appropriate. It is unfortunate, however, that there was no mention of the Anesthesia Patient Safety Foundation. The fact that a coordinated effort to improve patient safety can be successful has been clearly demonstrated by the Anesthesia Patient Safety Foundation, which was founded in 1985. Indeed, the National Patient Safety Foundation was directly modeled after the Anesthesia Patient Safety Foundation (Martin Hatlie, Esq, oral communication, November 1998).

It is important to recognize that anesthesia patient safety efforts were the first of such endeavors; in fact we believe that we coined the phrase patient safety.² We think that the undertakings have resulted in a substantial decrease in anesthesia-related mortality in the last 15 years, from an estimated 1 per 10,000 anesthetic to an estimated 1 per 200,000 for low-risk patients.³

We congratulate those who are taking patient safety . . . [Full Text of this Article]

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