As I reflect on a wonderful first day, the notion of power keeps coming up as I ponder how to bring about this much needed patient safety revolution. The power structure needs to be shaken up a bit, falling heavily into the hands of the patient and family. NO longer should patients be at the mercy of a fragmented and hierarchical system.

How can we redistribute the power? Educate the young, regulate the old, and gain genuine buy in and support from organizational leadership. Who has the power to regulate the old and influence leadership to embrace a culture of patient safety. How do we convince those in power, to give it up, for the sake of patient safety?