pg. 19, 2014). The first rule of nursing is do no harm, but because we are human, mistakes will happen. Inaccuracies in treatment delivery are due to mistaken identity, falls, burns, hospital-acquired infections, suicide, death or injury from restraints, incorrect surgical site, surgical injuries, transfusion errors, adverse drug events, and pressure sores (Kohn and Donaldson, p. 35). , 2000). Nurses use their autonomy to think about areas where corrections can be made in their daily routine. Knowing where the gaps are in treatment delivery helps correct errors and reduce undesirable patient outcomes. Safety focuses on reducing the risk of harm to staff and patients. The 2016 National Patient Safety Goals for Hospitals include criteria such as using two forms of identification when caring for a patient to ensure the correct patient is being treated, proper hand washing techniques for preventing nosocomial infections and rapid communication of critical information (Joint Commission, 2015). . It is important that nurses follow patient standards and protocols to reduce adverse events.