Patient-safety initiatives often struggle because they rely on metrics, audits, and after-the-fact reporting. The Veterans Health Administration took a different approach. In this episode, Dr. M. Ayoub Ashraf discusses how the VA operationalized Zero Harm across the largest integrated health system in the United States — more than 1,200 facilities serving over 9 million veterans.

Rather than treating safety as a scorecard, the VA designed it as a systemwide operating discipline, anchored in focused national priorities, standardized tools and workflows, frontline engagement and psychological safety, and alignment with High Reliability Organization (HRO) principles.

Based on a case study presented at the ACHE Congress and reflecting publicly shared executive insights. I have no financial, professional, or advisory relationship with the  ...