Is the singlemost important thing we can do to keep our patients safe from healthcare associated infections. [alarm buzzes] every week, the hospital holds emergency resuscitation drills. We want to be sure that we are optimally prepared to do Everything Possible should the necessity for patient resuscitation occur. In other words, when a patients heart stops beating at virginia mason, the response with designated duties has been rehearsed over and over. I think, overall, it was really good, Effective Team communication. We cant good, we cant get exceptional, we cant get extraordinary unless we practice. Team medicine is virginia masons official motto. The hospitals rigorous response to the tragic death of Mary Mcclinton could now be a model for preventing errors. We strive to learn from every opportunity. The power of apology and disclosure and transparency is enormous and needs to become the norm. My mother was a person who. Um. Believed in making the world a better place than when sh