TY - JOUR T1 - Transforming concepts in patient safety: a progress report JF - BMJ Quality & Safety JO - BMJ Qual Saf SP - 1019 LP - 1026 DO - 10.1136/bmjqs-2017-007756 VL - 27 IS - 12 AU - Tejal K Gandhi AU - Gary S Kaplan AU - Lucian Leape AU - Donald M Berwick AU - Susan Edgman-Levitan AU - Amy Edmondson AU - Gregg S Meyer AU - David Michaels AU - Julianne M Morath AU - Charles Vincent AU - Robert Wachter Y1 - 2018/12/01 UR - http://qualitysafety.bmj.com/content/27/12/1019.abstract N2 - In 2009, the National Patient Safety Foundation’s Lucian Leape Institute (LLI) published a paper identifying five areas of healthcare that require system-level attention and action to advance patient safety.The authors argued that to truly transform the safety of healthcare, there was a need to address medical education reform; care integration; restoring joy and meaning in work and ensuring the safety of the healthcare workforce; consumer engagement in healthcare and transparency across the continuum of care. In the ensuing years, the LLI convened a series of expert roundtables to address each concept, look at obstacles to implementation, assess potential for improvement, identify potential implementation partners and issue recommendations for action. Reports of these activities were published between 2010 and 2015. While all five areas have seen encouraging developments, multiple challenges remain. In this paper, the current members of the LLI (now based at the Institute for Healthcare Improvement) assess progress made in the USA since 2009 and identify ongoing challenges. ER -