Survey on quality of training in pulmonary physiology during fellowship.

spect.8 At our own institution, the breakthrough that allowed us to move toward a culture of safety was sharing with practitioners the pain of a mother whose toddler had died from medical errors. This gave our staff an emotional commitment to improving safety. Care should be both effective and safe. Treating patients with the same respect and regard that we have for family members can motivate greater awareness of the potential risks of treatment and greater personal responsibility for improving safety.