Gandhi TK, Kaplan GS, Leape L, et al. Transforming concepts in patient safety: A progress report. BMJ Quality and Safety. Published Online First: July 17, 2018.
In 2009, the IHI/NPSF Lucian Leape Institute (LLI) published a paper identifying five areas of health care that require system-level attention and action to advance patient safety. While all five areas have seen encouraging developments, multiple challenges remain. This article assesses progress made in the US since 2009 and discusses ongoing challenges.