Figure 5.1 illustrates the key elements that can help improve safety in this setting in a cost-effective manner. The most important and pressing policy action is implementing an integrated information infrastructure that enables (a) capture of adverse events and harm across settings and over time, (b) information to flow freely between providers and patients across different data platforms, and (c) a multi-modal approach to reporting harm that includes reporting by patients. An integrated electronic health record system that allows interoperability across data platforms and can be accessed by providers and patients across all health settings was seen by survey respondents as the ‘best buy’ intervention.