Victorian London - Health and Hygiene - conditions in hospitals

It may seem a strange principle to enunciate as the very first requirement in a hospital that it should do the sick no harm. It is quite necessary nevertheless to lay down such a principle, because the actual mortality in hospitals, especially those the crowded cities, is very much higher than any calculation founded on the mortality of the same class of patient treated out of hospital would lead us to expect.'

Florence Nightingale Notes on Hospitals 1859