This study found differing perceptions of safety culture between clinical (medical and nursing) leadership and organizational (board and administrative) leadership at two Canadian health care organizations. Clinical leadership consistently perceived a weaker safety culture compared to organizational leadership, indicating that organizational leadership may not be aware of frontline workers' concerns. The authors note that this disconnect inhibits development of a high reliability organization.

… Health Professional Education in Patient Safety Survey (H-PEPSS) tool, this study surveyed graduating medical …