This section of the website gives access to various categories of publications.

Copies of some of our publications are available as PDF (Portable Document Format) files from this site. You must have the Adobe Acrobat Reader on your computer to view these files. You can download this reader free of charge from Adobe Acrobat Reader.

Building a Culture of Patient Safety:  Report of the Commission on Patient Safety and Quality Assurance. Department of Health & Children, 2008

Download PDF File below of: 

  Executive Summary and Recommendations

Download the complete report from DOHC Website:

Report of the Commission on Patient Safety and Quality Assurance