“Everyone sat up and said: ‘Wow, we’re not very good. Not only are we very expensive, we kill a lot of people,’ ” recalled Dr. Robert Wachter, chair of the department of medicine at University of California at San Francisco, who who has written about patient safety issues for years. Many of the report’s ambitious goals, such as creating a reliable system of measuring errors, have yet to be realized. In other news on hospitals: debilitating lawsuits, financial struggles at rural facilities, infant deaths from contaminated equipment, and more.