Seminal studies and a Joint Commission Sentinel Event Alert have highlighted the importance of engaged leadership in promoting a culture of safety. This study discusses an innovative approach for immersing both clinical and non-clinical management in patient safety through team-based problem solving exercises, where groups of managers were required to respond to a simulated safety threat in real time. Participants found the simulated scenarios to be very effective at illustrating sharp end safety issues and promoting the importance of multidisciplinary teamwork in improving patient safety. A related study also found that formal teamwork training for hospital managers positively impacted safety leadership behaviors.