Otto Armin Smiseth is Professor Emeritus at the Medical Faculty, Institute for Surgical Research, Rikshospitalet, Oslo University Hospital, Norway. He is immediate past Director at the Division of Cardiovascular and Pulmonary Diseases, Oslo University Hospital and University of Oslo, Oslo, Norway. His management had focus on patient safety, quality and cost-effective use of resources. His expertise includes experience from hospital cultures in Europe, the Americas and Asia.