Abstract
As Schiff and Shojania observed, the patient safety movement has achieved undeniable cultural gains, yet demonstrating measurable reductions in harm remains elusive.4 Although dentistry shares medicine’s ethical imperative to ‘first, do no harm’, the profession was largely absent from early patient safety discussions following the To Err Is Human report. Yet in the early 2000s, the seeds of a dental safety movement were quietly taking root, nourished in large part by Dr Leape’s mentorship, insight and belief that every field must confront its own systemic vulnerabilities. This viewpoint traces how Dr Leape catalysed that movement, examines what the evidence now shows and outlines what remains to be done.

This publication has 17 references indexed in Scilit: