The American College of Healthcare Executives and the Institute for Healthcare Improvement/National Patient Safety Foundation's Lucian Leape Institute (IHI/NPSF LLI) have partnered to collaborate with some of the most progressive healthcare organizations and globally renowned experts in leadership, safety, and culture to develop This document is an evidence-based, practical resource with tools and proven strategies to help senior leaders in healthcare create a culture of safety—an essential foundation for achieving zero harm. The guide, from the IHI/NPSF website, is an excellent complement to With both high-level strategies and practical tactics, the guide can be used to help determine the current state of an organization’s journey, inform dialogue with its board and leadership team, and help its leaders set priorities. Whether an organization is just beginning the journey to a culture of safety or is working to sustain its safety culture, can serve as a useful guide for directing efforts and evaluating an organizati