Citation: International Journal of Health Policy & Management. 7(7):671-673, 2018 03 07..Journal: International journal of health policy and management.Published: 2018ISSN: 2322-5939.Full author list: Smith KM; Valenta AL.UI/PMID: 29996589.Subject(s): IN PROCESS -- NOT YET INDEXED | Decision Making | Humans | *Patient Safety | Research | *ThinkingInstitution(s): MedStar Health Research InstituteActivity type: Journal Article.Medline article type(s): Journal Article | CommentOnline resources: Click here to access onlineDigital Object Identifier: https://dx.doi.org/10.15171/ijhpm.2018.24 (Click here)Abbreviated citation: Int. j. health policy manag.. 7(7):671-673, 2018 03 07.Abstract: In their editorial, Mannion and Braithwaite contend that the approach to solving the problem of unsafe care, Safety I, is flawed and requires a shift in thinking to what they are calling Safety II. We have reservations as to whether by itself the shift from Safety I to Safety II is sufficient. Perhaps our failure to improve outcomes in the field of patient safety and quality lies less in our approach - Safety I vs. Safety II - and more in the lack of an agreed upon, commonly understood set of core competencies (knowledge, skills, and attitudes) needed in its workforce. The authors explore in this commentary the need to establish core competencies as part of the pathway to professionalism for the discipline of patient safety and quality.Abstract: Copyright (c) 2018 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.