Original ArticlesChanging the Perceptions of a Culture of Safety for the Patient and the Caregiver Integrating Improvement Initiatives to Create Sustainable ChangeBlack, Joyce M. PhD, RN, CWCN, FAAN; Salsbury, Susan BS, OTR/L, CDMS, CSPHP; Vollman, Kathleen M. MSN, RN, CCNS, FCCM, FAANAuthor Information University of Nebraska, Lincoln (Dr Black); Safe Patient Handling and Mobility, OhioHealth, Columbus (Ms Salsbury); and Advancing Nursing LLC, Northville, Michigan (Ms Vollman). Correspondence: Kathleen M. Vollman, MSN, RN, CCNS, FCCM, FAAN, Advancing Nursing LLC, 21092 Boulder Circle, Northville MI 48167 (firstname.lastname@example.org). The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Critical Care Nursing Quarterly: July/September 2018 - Volume 41 - Issue 3 - p 226-239 doi: 10.1097/CNQ.0000000000000203 Buy Metrics Abstract Evidence indicates that chances for a successful patient mobility program, prevention of pressure injury and falls, and safe patient handling are enhanced when an organization possesses an appropriate culture for safety. Frequently, these improvement initiatives are managed within silos often creating a solution for one and a problem for the others. A model of prevention integrating early patient mobility, preventing pressure injuries and falls while ensuring caregiver safety, is introduced. The journey begins by understanding why early mobility and safe patient handling are critical to improving overall patient outcomes. Measuring current culture and understanding the gaps in practice as well as strategies for overcoming some of the major challenges for success in each of these areas will result in sustainable change. © 2018 Wolters Kluwer Health, Inc. All rights reserved.