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Figures it would be you.  Heh.
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Among the things that could be driving the "increased accuracy" of the prospect lists...
Pitchers' health better nurtured and cared for (as you mention)
Better understanding, by ML orgs, as to which "natural" skill sets to develop and push forward
Older pitchers on the lists
More use of sabermetric concerns in developing the lists (K:BB rates etc)
Pitchers' skill sets better developed and targeted to ML effectiveness (e.g. not as much emphasis on the 3rd pitch)
Better understanding of mechanics, which pitchers have red flags (steer clear of high elbows, etc)
FAR more people weighing in on the prospects, in a "think tank" effect (compare the internet's effect on ABC/NBC/CBS)
Pitchers skipping AAA, throwing fewer innings before coming under ML supervision (as Moe mentions)
1,000 other things
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The state-of-the-art is advancing, no doubts there -- a glamor prospect has a safer road to Rome than he's ever had.  Exactly WHY this is true, that's a whole other discussion.
:: daps :: CPB