CLINTON TO ORDER STEPS TO REDUCE MEDICAL MISTAKES
Pres Clinton will order all hospitals in US to take steps to reduce medical errors that kill tens of thousands of people each year; will urge states to require reporting of such errors; will call for nationwide system of reporting medical errors, somewhat like system used by airlines to report aviation safety hazards; will pressure states to adopt requirements within three years; will reportedly endorse all recommendations by National Academy of Sciences in recent report on medical errors which set goal of reducing mistakes by 50 percent over five years; will also ask Congress for $20 million to create Center for Quality Improvement in Patient Safety, as part of federal Agency for Health Care Research and Quality in Department of Health and Human Services; vehement opposition to mandatory reporting of errors by American Medical Assn and American Hospital Assn, and recommendations by Clinton's advisers that administration move cautiously on issue, discussed (M)