Inova Falls Church, Virginia (Drs Friesen and Speroni and Ms Herbst); Georgetown University, Washington, District of Columbia (Dr Turner); and University of Dayton, Dayton, Ohio (Dr Robinson).
Correspondence: Mary Ann Friesen, PhD, RN, CPHQ, Inova, System Office, 8110 Gatehouse Rd, Falls Church, VA 22042 (maryann.friesen@inova.org).
This study is funded in part by the Picker Institute Always Events® Challenge Program.
The authors thank Maureen Swick, Senior Vice President/Chief Nurse Executive, Inova, and Angela Servidio, Barbara Slivers, Sigrid Butler, Karen Hicks, Cynthia Earley, Jackie Wavelet, Colleen Brooks, Elizabeth Samuel, and Asher Beckwitt.
The authors declare no conflict of interest.
Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jncqjournal.com).
Accepted for publication: February 1, 2013
Published online before print: March 22, 2013
