Which domain develops leaders at all levels?

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

Answer: (B)

Leadership engagement means creating opportunities for people at every level to lead, coach others, and influence outcomes, so leadership capacity grows across the organization. By embedding leadership development into daily work, the organization ensures that frontline staff, middle managers, and senior leaders are involved in setting direction, solving problems, and mentoring others. This widespread involvement builds the ability to lead improvements, sustain changes, and model the behaviors needed for a strong safety culture and high-quality care.

While other domains support important aims—Culture of Safety focuses on creating a reporting and learning environment, Continuous Process Improvement emphasizes methods and systematic change, and Patient Centeredness centers on aligning care with patient needs—none of them specifically target developing leadership capacity across all levels in the way Leadership Engagement does.