Successful Outcomes

Successful Outcomes from Healthcare Leaders Like You

From improved patient outcomes to empowered healthcare teams, see how our collaborative approach is revolutionizing patient safety.

89%

of OFIs were omissions of care (BMJ Open Quality 2025)

~7×

more OFIs than voluntary reporting (BMJ Open Quality 2025)

97%

positive feedback from healthcare teams

66%

of cases reveal improvement opportunities vs. 26% industry standard

Success Through Partnership

Healthcare organizations across the country are achieving breakthrough results by collaborating with us.

UC Health: Culture Transformation

UC Health transformed quality review processes, leading to enhanced team morale and unprecedented improvements in patient safety outcomes.

UMC: Transforming End-of-Life Care

Through systematic process improvements, UMC not only reduced mortality rates by 13.4% in just one year but also enhanced the confidence of their staff.

What Healthcare Leaders Are Saying

We are identifying opportunities that, because there was no negative impact on the patient, may not have ever been recorded or reported.

Tony Calabria, MA, CPHQ, CSSBB

Using SLS has allowed me to leverage the engineering principles that I want to teach in a way that is already packaged for clinicians.

Shira Wolf, BSE

Ready to Create Lasting Change in Your Healthcare Organization?

Join a community of healthcare leaders committed to making healthcare safer for everyone.

The Hidden Truth About Patient Safety

Our loved one lens reveals that 65% of cases have one or more opportunities for improvement—issues that traditional review methods miss. Through our collaborative approach, we’re uncovering and addressing these critical gaps in healthcare delivery.

See What Others Miss

Like an iceberg, most system vulnerabilities lie beneath the surface. Traditional Safety Event Reporting Systems (SERS) capture only the visible problems—typically less than 20% of all safety incidents. Our Safety Learning System^® (SLS) reveals that for every single event reported through traditional systems, we discover multiple additional Opportunities for Improvement (OFIs).

BMJ Open Quality 2025 found 89% of opportunities for improvement were omissions of care rather than commissions (41,439 of 46,444 OFIs across 103 hospitals and 19,181 reviews). Hospitals using this case-review method surfaced about 7× more OFIs than voluntary reporting alone.

The iceberg model demonstrates this clearly:

Each discovered opportunity provides a chance to prevent future harm and enhance care delivery.
Many patients have OFIs that aren’t captured in traditional reporting.
Thousands of improvement opportunities would go unnoticed without systematic review.
SERS and SLS work together to provide a complete picture of patient safety.

Specific details related to patients from the iceberg model are as follows:

Tip of the iceberg – 90 patients had events in SERS, but no OFIs in SLS.
Below the surface – 375 patients had both events in SERS and OFIs in SLS.
Way below the surface – 1,000 patients had OFIs in SLS, but no events in SERS.

Specific details related to events from the iceberg model are as follows:

Tip of the iceberg – 825 events were logged in SERS but not identified as OFIs in SLS.
Below the surface – 114 patients had both events in SERS and OFIs in SLS.
Way below the surface – 6,300 OFIs were identified in SLS but not logged as events in SERS.