Conway J. Could it happen here? Learning from other organizations' safety efforts. Healthcare Executive. 2008 Nov/Dec;23(6):64-67.
Another article in a series on IHI's 5 Million Lives Campaign intervention on governance leadership, the author presents a "checklist" for ongoing learning from tragic medical events. Executive leaders and boards of trustees should set a clear expectation that the lessons learned from major safety failures are translated into recommendations for changes in practice.