It's another stunning quality headline from the Institute of Medicine (IOM):  about 10% of patient deaths are related to diagnostic error.  This quality issue is discussed by the IOM as complex and multifactorial.  Their report, Improving Diagnosis In Healthcare, reveals this issue will be a challenge for all of us in healthcare to tackle.  Recommendations range from changing medical education to reforming the medical liability system (did they call for tort law reform...oh my!) Such recommendations reveal, colleagues, that this one is no easy fix.