Patient safety and quality

Jeffrey Braithwaite, Liam Donaldson

Research output: Chapter in Book/Report/Conference proceedingChapter


Over the last 25 years we have learned how providers can fall short of their goals, and deliver care which is below expectations. In response, nations and the international community including the World Health Organization have developed strategies to tackle harm and improve the quality of care. Key approaches include strengthening management and leadership; designing improvement tools, models and approaches; enhancing teamwork, communication and local cultures; and leveraging opinion leaders and champions. A shift towards a systems perspective, factoring in the challenges of
complexity and network characteristics, is evident. A safety-II approach, building on the naturally-occurring resilience of health systems, show much promise. But progress has been slow. We will need to be better at diffusing what we know works, scaling up localized, demonstrated successes, and supporting clinicians’ everyday capacities to succeed under varied conditions. Progress requires partnerships between politicians, policymakers, managers, clinicians, patients, researchers and other groups.
Original languageEnglish
Title of host publicationThe Oxford handbook of health care management
EditorsEwan Ferlie, Kathleen Montgomery, Ann Reff Pederson
Place of PublicationOxford, UK
PublisherOxford University Press
Number of pages27
ISBN (Print)9780198705109
Publication statusPublished - 2016


  • quality improvement
  • patient safety
  • care
  • safety culture
  • safety-I
  • safety-II
  • leadership
  • management
  • organizational processes
  • improvement
  • implementation science
  • resilience

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  • Cite this

    Braithwaite, J., & Donaldson, L. (2016). Patient safety and quality. In E. Ferlie, K. Montgomery, & A. R. Pederson (Eds.), The Oxford handbook of health care management (pp. 325-351). Oxford, UK: Oxford University Press.