**7. Conclusion**

As our Editorial Team's journey through the four volumes of **The Vignettes in Patient Safety** comes to an end, we hope that our primary goals of increasing awareness and providing clinically applicable solutions toward enhancing PS have been accomplished satisfactorily. In addition, what both the editors and authors have recognized is how many more opportunities there are to better understand the challenges of creating and preserving an institutional culture that is truly focused on patient safety. Without a doubt, and unfortunately, there could be many more volumes on this topic to help illustrate how complex the current PS environment has become—and how many opportunities for improvement still exist. It is easy to become discouraged when one reads and analyzes PS vignettes throughout the four volumes, realizing that it is sometimes only by accident and luck that satisfactory clinical results are achieved. At the same time, one must appreciate and be amazed at - especially given the complexity of modern health-care environment - how much more frequently things go right and patients get better.
