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Key points Psychological safety is essential for learning. Safety requires safe systems, not just individuals working safely. Involving patients in their own safety improves quality of care. John F Kennedy's quote describes our patient safety journey in the National Health…

Key Points The ultimate goal for any clinician and healthcare system is to deliver quality care. High quality care should be: safe, effective, timely and patient-centred. Quality improvement in medicine has proven to be challenging, complex and at times difficult…