On the scene at Children's Hospitals and Clinics of Minnesota

Transformational nursing leadership requires innovation and best practice synthesis to engage and advance nursing practice and outcomes. Children's Hospital and Clinics of Minnesota is creating a sustainable culture of patient safety that expects collaborative practice involving families and all clinical disciplines. Leadership and practice structures are essential to ensure high-reliability processes and achieve breakthrough performance. Several infrastructural paths are described to illustrate how Children's Hospitals and Clinics of Minnesota integrates multiple approaches toward a common purpose of clinical excellence.