one paper..

Creating  work environments for a health organization that are committed to  patient safety will require fundamental changes in how the culture of  the organization understands and acts on the science of safety. These  changes require leadership skills of transforming not just a physical  environment, but also the beliefs and practices of health care workers  providing care in that environment and those individuals who establish  the policies and practices that shape the environment.

Q. What in your view are the most important points to set a change in an/your organization? 

and do response to two look to files