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Berwick and Cassel (2020) describe the growth of quality in health care over the past 50 years and the work that remains to be done. Striking a balance between accountability and a culture of growth and learning fosters improvement. Quality and safety involve more than individual accountability; workers must cope with poorly designed protocols and systems. Reducing health care harm is best achieved by preventing errors before they happen. Organizational safety culture builds an environment that helps eliminate discrepancies in care that result from provider actions in delivering care, such as daily safety huddles or briefings to identify and manage high‐risk situations (Meyer, Hill, and Baker, 2020). The compelling case for quality applies safety science built on a systems approach that leads to a culture of safety incorporating just culture, high reliability, and improvement science.