Abstract
Health care is again standing at an inflection point. Just as the early quality and safety movement confronted undeniable evidence that variation and lack of system accountability endangered patients so too today’s well-being movement faces a parallel reckoning. Early work drew explicit connections between clinician burnout and patient safety, helping frame burnout as a systems-level threat rather than an individual failing.1 That reckoning, however, is unfolding today under far more strained conditions, including shrinking margins, workforce shortages, growing corporatization and consolidation in the health care system, erosion in clinician autonomy, and operational pressure across nearly every care setting.
