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Updated: Dec 28, 2025

Perspectives on Neuroscience
Published on: July 31, 2007
Commentary: We Must Look at Multiple Perspectives
1The first CEO of the newly created Saskatchewan Health Authority (SHA). The SHA is the single biggest public sector employer in Saskatchewan history and one of the largest healthcare organizations in Canada. A pharmacist by training, Livingstone has dedicated his career to providing executive leadership that builds strong organizational culture focused on patients and families and continuous quality improvement.
Abstract:
Healthcare is a complex and often high-risk environment. All health systems strive to improve safety and quality but often experience less than favourable results when it comes to reducing harm. Over the past few decades, many strategies have emerged to make care safer: checklists, bundles, root cause analysis and process improvements, to name a few. Although these may have some impact, harm continues to occur. Significant planning and deployment of safety strategies are not achieving the desired or sustained results (IHPME 2015). What is missing?
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