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Dr. Berwick, president of the Institute for Healthcare Improvement, discusses his lifelong commitment to health care improvement and the 100,000 Lives Campaign.

Dr. Gurwitz discusses his research on preventing adverse drug events in elderly patient populations.

This article discusses the efforts of the Minnesota Alliance for Patient Safety to promote a culture of safety among the state's health care organizations.

This article describes the safety efforts of the Pennsylvania Patient Safety Authority, which includes their incident reporting system (PA-PSRS) and publication of reporting trends in Patient Safety Advisory.

The 2005 Eisenberg award winner discusses her work in patient safety with a focus on persons with disabilities.

The authors describe key initiatives of the Maryland Patient Safety Center, a 2005 Eisenberg award winner, and propose that their approach can be used as a model for patient safety programs in other states.

The authors describe the implementation of interactive protocols as an added enhancement to the computerized physician order entry (CPOE) program at Meridian Health, a 2005 Eisenberg award winner.

The authors describe the systemwide initiative to support a culture of safety at Sentara Healthcare, a 2005 Eisenberg award winner.

This interview with Dr. Leape, a 2004 Eisenberg Award winner, draws on his extensive experience as a leader in patient safety.

This interview with Dr. Peter Pronovost, the 2004 Eisenberg research award winner, discusses his work in intensive care unit safety.

The winner of the 2005 American Hospital Association McKesson Quest for Quality Prize presents how they use a care-based cost management approach to address the six Institute of Medicine (IOM) quality aims and, in turn, improve safety.

This 2005 American Hospital Association McKesson Quest for Quality Prize finalist reports on how using Six Sigma techniques, along with clinical information and business intelligence systems, facilitates strategic quality and safety alignment at their hospital.

Representatives from this 2005 American Hospital Association McKesson Quest for Quality Prize finalist discuss their use of bar coding, computerized provider order entry, and digital medical records to support safe and high quality health care.

Authors from the 2005 American Hospital Association McKesson Quest for Quality Prize citation of merit recipient highlight their use of collaborative rounds, in which family members may participate, along with multimedia tools to enhance the patient's role in safety.

Advocate is a learning organization recognized for its commitment to quality and safety across multiple locations in Illinois. Each affiliate benefits from the others by adopting identified best practices and continually disseminating them to foster ongoing improvement.

The development of an institutional disclosure policy is discussed. The process was first presented to the patient safety community in 1999.

Dr. Bates is recognized leader in advocating for role of information technology in reducing medical errors.

This hospital received national recognition for their incentive programs and leadership engagement, and for successfully balancing a culture that supports a "just" approach to error without avoiding accountability. The application of Red Rules, a stop-the-line philosophy, and simplification of administrative barriers helped them achieve an environment that supports safety and learning.

Johns Hopkins has been recognized for their efforts toward transparency, innovation, and successful engagement of their leadership, and this article provides a thoughtful model for other academic medical centers to mirror the rapid improvements made at Johns Hopkins.

Review of activities installed at the U.S. Veterans Health Administration to support the development of a culture of safety through application of systems safety philosophies.