This book examines organizational change & its impact on patient safety. It reviews the system & leadership issues & reconciles it with best practices from health & industy including engaging non-clinicians, creating safety cultures, patient & community engagement, communi-cating & patient safety lexicon. A must read for healthcare practioners & administrators seeking a deeper understanding of change & its impact on leadership, patient safety & healthcare systems. "Important recommendations for future communications." (L. Dempster, Regional Director - Patient Safety, Vancouver Coastal Health Authority (VCHA)). "Lam informs us of how senior leaders think & prioritize safety. He provides a framework to build & develop safety cultures that balance multiple competing needs & demands with the most important of all outcomes--safe, high quality patient care." (J. Shepherd, MD FRCPC, Vice President (2002-2007), Clinical Quality & Safety, VCHA). "I was impressed with this study's content & methodological rigour. The inclusive population sample gave the data gravity." (T. Williams, Vice President & Chief Learning Officer, Coast Capital Savings).