Abstract
Transformational nursing leadership requires innovation and best practice synthesis to engage and advance nursing practice and outcomes. Children's Hospital and Clinics of Minnesota is creating a sustainable culture of patient safety that expects collaborative practice involving families and all clinical disciplines. Leadership and practice structures are essential to ensure high-reliability processes and achieve breakthrough performance. Several infrastructural paths are described to illustrate how Children's Hospitals and Clinics of Minnesota integrates multiple approaches toward a common purpose of clinical excellence.