Patient safety is a critical issue in health care and remains a problem in almost all health care institutions. The challenge is to change the culture so that all providers of care put patient safety as job one. Traditionally physicians have suggested that patient safety is due to individual error. In contrast, patient safety is a system and cultural change. The joint chief of staff at a medium-sized community hospital wants to address patient safety by influencing his fellow physicians to change practices of patient care without appearing paternalistic. The arena of patient care and changing attitudes is a new concept at Grand River Hospital. The case examines the various means that the joint chief of staff can employ to introduce a patient safety culture at the hospital.

Patient safety is a critical issue in health care and remains a problem in almost all health care institutions. The challenge is to change the culture so that all providers of care put patient safety as job one. Traditionally physicians have suggested that patient safety is due to individual error. In contrast, patient safety is a system and cultural change. The joint chief of staff at a medium-sized community hospital wants to address patient safety by influencing his fellow physicians to change practices of patient care without appearing paternalistic. The arena of patient care and changing attitudes is a new concept at Grand River Hospital. The case examines the various means that the joint chief of staff can employ to introduce a patient safety culture at the hospital.