Advocates for patient safety have had to confront the reality that steps taken to improve the quality of health care can also present opportunities for corruption and conflict of interest. Pascal Fossier/Ikon Images/Corbis hide caption

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For someone with a serious injury, it's not just a matter of getting in the door at the closest hospital, but getting in the door at the right hospital, says Dr. Arthur Kellermann, an emergency medicine specialist. micheal kennedy/iStockphoto hide caption

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