TY - JOUR T1 - Tip of the iceberg? The four-hour standard JF - Emergency Medicine Journal JO - Emerg Med J SP - 335 LP - 335 DO - 10.1136/emj.2009.081471 VL - 27 IS - 4 AU - J Bethel Y1 - 2010/04/01 UR - http://emj.bmj.com/content/27/4/335.2.abstract N2 - I read with great interest your work summarising the reports concerning the calamitous events at Mid Staffordshire hospital recently. In your concluding piece, you state that current health ministers and the government at large may be concerned that the events at Mid Staffordshire represent the tip of an iceberg rather than a freakish idiosyncrasy. In spring of 2008, the Royal … ER -