The association between health care staff engagement and patient safety outcomes: a systematic review and meta-analysis. Janes G, Mills T, Budworth L, et al. J Patient Saf. 2021;Epub Jan 12. The delivery of safe, reliable, quality healthcare requires a culture of safety. This systematic review of 14 studies identified a significant relationship between healthcare staff engagement and safety culture, errors, and adverse events. The authors suggest that increasing staff engagement could be an effective way to enhance patient safety.