The Institute for Safe Medication Practices (ISMP) has received a grant from The Commonwealth Fund to resurvey U.S. hospitals regarding their medication safety practices. ISMP will again partner with the Health Research and Educational Trust and the American Hospital Association on the self assessment survey, as it did in 2000 and 2004. The 2010 ISMP Medication Safety Self-Assessment will document the progress of U.S. hospitals during the last five years of intense national attention to medication safety and identify the impact of new and emerging challenges, such as staffing shortages, shrinking reimbursement systems, and the application of new technology.