Patient engagement is increasingly recognized as a crucial component of healthcare, enhancing informed decision-making and aligning resources with patient priorities for sustainable health systems. Patients seek more open and transparent healthcare systems, expecting practitioners to involve them in decision-making. Health practitioners often juggle competing priorities, but patients prioritize their safety and well-being. Engaging patients in primary care is vital, as it is often their first contact with the healthcare system. This engagement can lead to better health outcomes, improved learning, and reduced adverse events. Factors affecting patient engagement include patient demographics and health literacy, among others. Solutions involve educating patients and healthcare providers, obtaining feedback, and engaging in system improvements. Practical next steps include educating healthcare providers, supporting patients to become actively involved, and recognizing the importance of communities. Building a positive safety culture, measuring and monitoring safety, and strengthening electronic tools are essential, as is involving patients and family members in healthcare decisions. Workforce capacity and capability should be enhanced, and special attention given to groups at higher risk of safety incidents. Finally, celebrating successes and sharing learning can help advance patient safety in primary care.