Safety lessons: shifting paradigms and new directions for patient safety research.

The author reflects on the emergence of a hollowed out state evidencing a shift from government to governance with the openness of governments to devolve and distribute power and subsequent growth of self-governing networks. Topics discussed include how patient safety is seen as a paradigm that unites various communities for a common goal and indications that safety solution cannot be imported from one setting to another without professional and organisational ways of seeing.