A report from the U.S. Department of Health and Human Services says 180,000 Medicare patients die each year as the result of medical errors. Statistics show the problem is increasing each year. In Oregon, reporting serious mishaps is still voluntary, 32 deaths were attributed to medical mistakes in 2009. Bethany Higgins with the Oregon Patient Safety Commission says her group is working to eliminate the causes: "The great thing about our reporting program is, it extends far beyond just hospitals, so it's across the continuum. We have nursing homes, ambulatory surgery centers. We're even adding pharmacies and renal dialysis. So we're far more reaching that just looking at hospitals." Higgins says most health providers do report incidents.  56 of the states 58 hospitals, 78 percent of nursing homes and more than half of the ambulatory or outpatient surgery centers are reporting serious adverse events to the Commission.