TY - JOUR T1 - Response to ‘Transforming healthcare…’ JF - Quality and Safety in Health Care JO - Qual Saf Health Care SP - 159 LP - 159 DO - 10.1136/qshc.2009.039958 VL - 19 IS - 2 AU - Cathal Doyle AU - Julie Reed AU - Derek Bell Y1 - 2010/04/01 UR - http://qualitysafety.bmj.com/content/19/2/159.abstract N2 - We read with interest the article by Leape et al in your December issue, ‘Transforming healthcare: a safety imperative’ emphasising the importance of communication, teamwork, respect, trust and transparency in ensuring a culture of patient safety and avoiding the ‘sick system syndrome.’1 This is very timely, given the recent Dr Foster Hospital Guide 2009 which shows that while there have been encouraging improvements in patient safety in the NHS in the UK in recent years, worrying variations still exist.2To explore what role work culture in the NHS might play in this variation, the National Institute for Health Research Collaboration for Leadership in … ER -