30. Smart Risks in High-Stakes Health Systems from the Netherlands

Healthcare faces urgent challenges. Rising complexity, widening inequities, burned-out clinical teams, and health systems stretched to their limits. But what if the biggest risk is playing it safe? Behind every breakthrough in healthcare, there is a moment when someone chose to take a thoughtful, informed risk. Ellen Joan van Vliet tells us how to question the status quo, experiment responsibly, and push forward when it matters most. Hear what it really takes to make smart bets that improve patient care, strengthen communities, and accelerate meaningful change – one intelligent risk at a time.References:Edmondson AC. Learning from failure in health care: frequent opportunities, pervasive barriers. BMJ Qual Saf. 2004;13(Suppl 2):ii3‑ii9. doi:10.1136/qshc.2003.009597Macrae C, Vincent C. Learning from failure: the need for independent safety investigation in healthcare. J R Soc Med. 2014;107(11):439‑443. doi:10.1177/0141076814555939Hibbert PD, Stewart S, Wiles LK, et al. Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts. Int J Qual Health Care. 2023;35(4):mzad088. doi:10.1093/intqhc/mzad088Bates DW, Singh H. Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. Health Aff (Millwood). 2018;37(11):1736‑1743. doi:10.1377/hlthaff.2018.0738Ramar K, Oxentenko AS, Dowdy SC. Transforming health care through quality and safety. Mayo Clin Proc. 2025;100(8):1385‑1401. doi:10.1016/j.mayocp.2025.03.021