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I received two letters, including this one, suggesting that because I expressed reservations about receiving ED care for fear of being the victim of an error, my editorial somehow accused nurses of killing patients. It did not. My point was that too many hospitals have not created cultures of safety or systems of care that would prevent errors, as other industries have done, and that nurses should lead the way in forcing institutions to put patient safety first. Nurses and physicians in EDs are human-they make mistakes if institutions don't implement strategies that have been proved to prevent them.