Parkland Memorial Hospital has just passed the halfway mark in its 18-month, do-or-die probation. And signs of the continuing patient safety crisis abound. Patient demand is rising at a particularly difficult time, officials say. Nearly 1 in 6 jobs is vacant at the Dallas County public hospital. Many remaining employees are demoralized. Many are also temporary hires—an impediment to essential permanent change, according to the latest report from federal safety monitors. Fatigue, the monitors say, is "setting in among all key stakeholders."