Death by Hierarchy

In the New York Times Science  Section, March 9th, Dr. Peter Pronovsot is interviewed.  I have never seen the term death by hierarchy used before today. 

http://patientsafetyct.org/wp-login.php

Q. WASH YOUR HANDS? DON’T DOCTORS AUTOMATICALLY DO THAT?
A. National estimates are that we wash our hands 30 to 40 percent of the time. Hospitals working on improving their safety records are up to 70 percent. Still, that means that 30 percent of the time, people are not doing it.