The platform for patient safety and the rationality of promoting a culture of high reliability is predicated on multiple important competencies:

The ability to reinforce the systems and structures to promote safety based on evidence drawn from the science of safety.

The ability to create a culture that develops and supports those who provide care and services to allow for greater capacity for teamwork, risk awareness, risk mitigation, and resiliency.

The ability to focus and align resources to create and promote advancements in safety.

The commitment to assure that evidence$-$based, patient$-$centered and system$-$centered work is done.

All of the above