ARTICLESInfluencing Leadership Perceptions of Patient Safety Through Just Culture TrainingVogelsmeier, Amy PhD, RN, BC-GCNS; Scott-Cawiezell, Jill PhD, RN, FAAN; Miller, Becky MHA, CPHQ, FACHE; Griffith, Scott MSAuthor Information Sinclair School of Nursing, University of Missouri, Columbia (Dr Vogelsmeier); University of Iowa College of Nursing, Iowa City (Dr Scott-Cawiezell); Missouri Center for Patient Safety, Jefferson City (Ms Miller); and Outcome Engineering LLC, Plano, Texas (Mr Griffith). Corresponding Author: Amy Vogelsmeier, PhD, RN, BC-GCNS, S314, Sinclair School of Nursing, University of Missouri, Columbia, MO 65211 ([email protected]). This research was funded by the National Council State Boards of Nursing grant P27001. Accepted for publication: February 9, 2010 Journal of Nursing Care Quality: October/December 2010 - Volume 25 - Issue 4 - p 288-294 doi: 10.1097/NCQ.0b013e3181d8e0f2 Buy Metrics Abstract There are differences in perceptions of safety culture between healthcare leaders and staff. Evidence suggests that an organization's actual safety performance is more closely reflected in staff perceptions suggesting that frontline staff may be more aware than the leadership of actual patient safety challenges within their organization. Closing the perception gap between healthcare leaders and staff is critical to aligning the resources and strategies required to create a true culture of safety. © 2010 Lippincott Williams & Wilkins, Inc.