Leadership guide to patient safety

This paper presents eight steps that are recommended for leaders to follow to achieve patient safety and high reliability in their organizations. Each step and its component parts are described in detail in the sections that follow, and resources for more information are provided where available.

Step one: address strategic priorities, culture, and infrastructure
Step two: engage key stakeholders
Step three: communicate and build awareness
Step four: establish, oversee, and communicate system-level aims
Step five: track/measure performance over time, strengthen analysis
Step six: support staff and patients/families impacted by medical errors
Step seven: align system-wide activities and incentives
Step eight: redesign systems and improve reliability