pag. 19, 2014). The first rule of nursing is do no harm, but because we are human, mistakes happen. Inaccuracies in care delivery are due to mistaken identity, falls, burns, nosocomial infections, suicides, death or injury due to restraints, wrong-site surgery, surgical injuries, transfusion errors, adverse drug events, and pressure ulcers (Kohn and Donaldson, p. 35, 2000). Nurses use autonomy to reflect on where to make corrections through their daily routine. Knowing where the gaps in treatment delivery lie allows you to correct errors and reduce adverse patient outcomes. Safety is focused on reducing the possibility 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 right patient is being treated, proper handwashing techniques to prevent hospital-acquired infections, and timely reporting of critical information (Joint Commission, 2015). . It is important that nurses follow standards and protocols aimed at reducing adverse events in patients