I skipped breakfast and arrived a good half-hour earlier than the scheduled start time, not wanting to risk being late for my first WHO Expert Consultation.  When I had received the invitation to participate in developing a framework for Patient and Family engagement several weeks ago, I remember feeling honored.  I was excited by the prospect of making a contribution at a global level and developing new relationships that could help our hospital continue along our journey of improving safety and transparency  (see my earlier blog posts on the start of our safety journey and on disclosing our cesarean section rate).