title: Moving toward zero: the leader's mandate.
abstract: Converting to a culture that strives for perfection and accepts no less than zero defects is the work of leadership in health care today. Some cultures are made up of people who believe that average is good enough. The challenge of the leader is to break up those beliefs and embed new models of "Yes We Can." The leader must communicate four very effective messages that must go along with the passion for the work: (a) evidence and "best practice" data trump local, opinion-based beliefs; (b) morphing from an internal view of best practice to a national/international view of practices within and outside health care; (c) transparency; and (d) KISS: "Keep It Simple, Stupid.''
authors.affiliation: Aurora Health System, Milwaukee, WI, USA. karlene.kerfoot@aurora.org
authors.forename: Karlene M
authors.initials: KM
authors.lastname: Kerfoot
mesh_terms: D006801:Humans; D007857:Leadership; D015279:Organizational Culture; D012308:Risk Management / Q000458:organization & administration*; D014481:United States