TY - JOUR T1 - Patient safety: time for a radical re-think JF - Future Healthcare Journal JO - Future Healthc J SP - e561 LP - e561 DO - 10.7861/fhj.ed.8.3.2 VL - 8 IS - 3 A2 - Spain, Sarah Y1 - 2021/11/01 UR - http://www.rcpjournals.org/content/8/3/e561.abstract N2 - The theme of patient safety is particularly topical, given the current climate in which, one might argue, the patient voice (and those of patient advocates) have effectively become disembodied; pathways of care have radically changed and the scope for re-calibration seems ripe. The discussion of how a paradigm shift might be effected is, therefore, opportune.This issue of the Future Healthcare Journal offers a multinational perspective and describes a wide variety of exemplary and inspiring initiatives. These initiatives recognise the need to alter complex systems and cultures that pose multiple challenges to achieving effective patient-powered safety, as well as recognising the considerable opportunities, on both sides.One clear emerging theme (relevant to all, despite differing healthcare systems) is the lament that effective (national and comprehensive) strategies remain elusive. The approach is fragmented overall, and there is a clear and worrying undertone in the contributions that tokenism may, after all, win out.This is a pressing and problematic conundrum. What will it take to change … ER -