• Quality and Safety in Health Care
• shame
• Quality and Safety in Health Care
• quality improvement

This issue of QHC marks its 10th anniversary—and the start of significant changes to the journal. QHC has become QSHC—Quality and Safety in Health Care. Safety is not a new topic for this journal. In the past we have included many papers relevant to risk management and the safety of health care. By adding “safety” to the title we acknowledge the growing realisation that healthcare systems too often harm the people who depend on them.

Finding ways to limit and stop the unnecessary and preventable discomfort, disability, and death directly attributable to the system of health care is a matter of urgent concern. Regular examples of such harm appear frequently in the world's newspapers.^1,2 In this issue Millenson³ charts the news media's influence on exposing the extent of the damage caused by health care and the importance of telling the truth to the public. Past tragedies cannot be reversed. We owe it to those who have been harmed and to future patients to work …