Interventions leader-based

What this introductory history implies is that there ranains a chasm between the findings from the science and its burgeoning evidence base about the true nature of the myriad problems and effective interventions and what the public and through them, their political leaders are prepared to accept. Such a conclusion is hardly surprising, given what we have seen in previous chapters of the role of the car in modem Western society and of the level of public ignorance about the size of the problem of road trauma. 

The phase I gap analysis at Exemplar HealthNet revealed that physician engagement in patient safety was at best passive and reactive. Since successful comprehensive culture change in healthcare requires physician leadership and participation, physician engagement became a formal part of the intervention plan. Physicians— whether they know it or not, and regardless of whether they want the role—are organizational leaders and culture shapers in the healthcare delivery industry. The culture of healthcare is largely authority-based, and physicians remain the leading authorities. 

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