However, as we move forward with 1000 Lives Plus, we know that harm and
error continue to be a fact of life and that this applies to health systems across
the world. We know that much of this harm is avoidable and that we can make
changes that reduce the risk of harm occurring. Safety problems can’t be solved
by using the same kind of thinking that created them in the first place.
To make the changes we need, we must build on our learning and make the
following commitments: