With the release of the Institute of Medicine’s report on patient safety, a national agenda was set to rebuild the public’s trust and create cultures of safety within all healthcare organizations. This vision of improvement is driving changes in healthcare organizations, educational institutions, and regulatory agencies to remove the blame and improve their systems. Understanding historical events, strategies for organization change, and current patient safety initiatives will assist nursing leaders to become active participants at the local, state, and national level as cultures are changed and solutions are developed to prevent patient injuries.
Author affiliation: United States Army Nurse Corps, Nursing Research Service, Madigan Army Medical Center, Tacoma, Wash.
Disclaimer: The opinions or assertions contained herein are the private views of the author and do not necessarily reflect the views of the Department of Defense, the Department of the Army, or the Army Medical Department.
Corresponding Author: Eileen Hemman, EdD, RN, Nursing Research Service, Madigan Army Community Hospital, P.O. Box 88307, Steilacoom, WA 98388 (Eileen.Hemman@nw.amedd.army.mil).