Reporting systems public mandatory

Before ESMS could be applied on a broad scale to explore novel solution-phase species in inorganic and organometallic systems, it was mandatory to prove that the method produces ions in the gas phase that faithfully reflect the species present in the electrosprayed solution. Electrospray mass spectra of tetraalkylam-monium ions, among the simplest of inorganic cations, were already reported by Yamashita and Fenn in their first electrospray publications [ 15,16]. Rafaelli and Bruins confirmed the relative ease of observing tetraalkylammonium cations by ESMS under a variety of conditions and in different solvents [35]. 

In the aftermath of public and political reaction to the Institute of Medicine (lOM) report To Err Is Human (Kohn, Corrigan, and Donaldson, 1999), and despite the initial fixation on mandatory reporting, two of the report s key lessons seemed to have caught hold It s a systems problem and We need to create a culture of safety. Although both phrases were widely mouthed by politicians and health care leaders alike, it was quickly apparent that few who spoke them had much understanding of the profound implications of either mantra. 

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