Which domain focuses on patients and families first?

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

Answer: (A)

Patient-centeredness puts patients and families first in health care. It focuses on organizing care around the patient’s needs, preferences, and values, and actively involving them in decisions about their treatment. When care plans reflect what matters most to the patient and family, communication becomes clearer, choices align with the patient’s goals, and the overall experience—and often outcomes—improve.

The other areas support the system in different ways: leadership engagement is about how leaders guide and support teams, culture of safety concentrates on creating an environment where safety is prioritized and issues can be raised without fear, and continuous process improvement targets refining how care is delivered. These are important, but they don’t center the patient and family in every decision the way patient-centeredness does.