Speak up! Addressing the paradox plaguing patient-centered care.

Mazor KM, Smith KM, Fisher KA, Gallagher TH. Ann Intern Med. 2016 Feb 9; [Epub ahead of print].

Although patients have been increasingly encouraged to speak up about concerns as a way to improve safety, health care institutions often have no system in place to ensure such concerns are promptly addressed. This commentary explores the disconnect between intention and action and suggests steps to be taken so that health systems can achieve benefits of patient engagement initiatives.