Since the report’s initial claim that as many as 98,000 people die annually from medical errors, there have been major strides in changing healthcare organization’s systemic problem, workplace cultures, and improvement processes.

The transaction, which is expected to close on January 2, will see ISMP become a subsidiary of ECRI Institute. Both are nonprofit organizations that promote patient safety by highlighting adverse effects, near misses, and unsafe conditions in various healthcare settings.

The new survey report, which is based on data collected from 2,000 patients and 750 physicians, says the AAMC’s physician shortage estimate could be overstated. In particular, the survey report found that only 19% of patients struggled to have a new visit with a generalist and only 15% struggled to set a new visit with a specialist.

The safety ratings’ release coincides with the 20th anniversary of the Institute of Medicine’s shocking report, To Err Is Human, which showed that nearly 100,000 people die every year due to preventable medical errors. Other research has shown that number could be twice as high.

In 2013, fraud and abuse by clinicians contributed to 6,700 premature deaths, and study lead author Lauren Nicholas says that number is a low-ball estimate because it does not factor in other government-sponsored health insurance, commercial health insurance or the uninsured.

The recent research features data collected from more than 13,000 patients—2,287 patients who underwent metabolic surgery and 11,435 patients in a control group that did not have surgery.