The domain that focuses on safety culture and preventing errors is:

• A. Leadership Engagement
• B. Continuous Process Improvement
• C. Culture of Safety
• D. Patient Centeredness

Answer: (C)

Safety culture centers on creating an environment where safety is a shared value, staff feel empowered to report errors or near-misses, and the organization learns from mistakes instead of blaming individuals. This domain emphasizes the attitudes, behaviors, and systems that prevent harm, such as nonpunitive reporting, open communication, and continual learning from incidents. That makes it the best fit for a question about focusing on safety culture and preventing errors.

Leadership can enable safety culture, but it isn’t the domain itself. Continuous process improvement targets refining processes in general, while patient centeredness focuses on involving patients and honoring their preferences. The key idea here is the organizational climate and behaviors that reduce errors and improve safety, which is the essence of a culture of safety.