Journal Article
Commentary

Patient safety at the crossroads.

Gandhi TK, Berwick DM, Shojania KG. JAMA. 2016;315:1829-30.

This commentary discusses findings from the National Patient Safety Foundation report investigating the state of patient safety in the 15 years after To Err Is Human. Focusing on the recommendation that leadership establish and sustain a culture of safety, the authors describe how leaders can engage board members and organizational leadership in this work and highlight the need to provide leaders with education and practical tools.