**10. Conclusion**

Patient safety is a complex topic that has to overcome significant resistance to change. Over twenty years since the publication of "To Err is Human," medical adverse events still represent a significant burden to our healthcare system [47]. As discussed above, there are many intricate parts of the system to consider. In some areas, progress has been made, such as engineering safe ambulances and storage compartments. In other areas, such as handoffs, much work is still to be done. In some areas, such as L&S use, there are national partnerships that are seeking to improve systems across the country [48]. The journey to a safer system for our patients will take time, which is why the EMS Agenda 2050 lays out a foundation for improvements to be made over the next 30 years. Partnerships with public safety, public health, healthcare systems, insurers, and the government are necessary to continue growing EMS to fill the need that exists and allow it to develop with these safety mechanisms engrained in the culture. Continued work is needed, but the foundation is strong to create a safer system for patients.
