It is obvious we do not have best practices in place. Actually, there is no such thing as the best practice, only the better practice. Swensen et al. [2] at the Mayo Clinic have some suggestions. They say that developing highly reliable care for patients requires changesin some traditional beliefs of medical practice, an evolutiontoward a “system” of healthcare, the disciplined applicationof scientific principles, modifications in the way all futureproviders are trained, and a fundamental understanding by leadershipthat quality must become a business strategy and core work,not an expense or regulatory requirement. Quality at Mayo isdefined as a composite of outcomes, safety, and service. With continuous innovation, we can reinvent quality to meet and exceed the criteria above.