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In 2018, the IHI convened the first National Steering Committee (NSC) representing 27 professional organizations committed to improving patient safety and quality, who “refuse to accept preventable harm” (NSC, 2020a), a commitment built over the past 20 years. The result is the report Safer Together: A National Action Plan to Advance Patient Safety (http://www.ihi.org/SafetyActionPlan). The groundbreaking report is accompanied by a Self‐Assessment Tool (NSC, 2020b) to get started and an Implementation Resource Guide (NSC, 2020c). The report includes measurement guidance on evaluating structures and processes specific to the recommendations.

The report recognizes progress and innovations in patient safety, yet preventable harm remains pervasive. It also recognizes the progress in working together interprofessionally, noting that the steering committee represents all health professions, with even more diversity represented among the four subcommittees; nurses were represented in all aspects, which also represents the commitment to the need to ensure safety for all health care workers. Interdependently working together will be the key to successful implementation.

The work was guided by the common vision that “working together to insure health is safe, reliable and free from harm.” Seven core principles formed the basis of the report (Textbox 1.5).

Like the 2021 WHO global report, Safer Together calls for a shift from safety as a reactive, piecemeal set of activities to a proactive, system‐wide safety plan to provide care that is safe, reliable, and free from harm. Total system safety is interdependent, collaborative, and coordinated, recognizing that the numbers of harm events are startling, but that each represents someone’s family member. The committee used a broader definition of preventable harm, including physical, psychological, emotional, moral, economic, and societal harm to patients and the workforce (Ottosen et al., 2018). Patient harm and workforce harm were treated independently; each has causes and effect, but both impact quality and safety.