A ccountability is not always about the person.
B lame hides the truth about error.
C ultures must change.
D ocument facts.
E rror is our chance to see weakness in our systems and people.
F ocus on prevention.
G ather evidence to support facts.
H ear when you listen.
I nvestigate cause.
J ustice should include compassion, disclosure and compensation.
K nowledge must be shared.
L earning from others' mistakes benefits all.
M ake the effort to look beyond the obvious.
N othing will change until you change it.
O pportunities for solutions are lost by blame.
P artner with patients and practitioners.
Q uestion until you can no longer ask "why?"
R eporting error is suppressed by blame.
S ystems are where practitioners practice.
T hink about the blunt and sharp end.
U nderstand the role of accountability.
V alue the patients' perspective.
W hy, why, why, why, why = root cause.
X -ray vision says the deeper story.
Y ou can make a difference.
Z eroing in on cause bring us one , error closer to zero error.



Remove all jewelries.
Moisten hands with soap and running water
Wash all areas of hands and fingers for 10-15sec.
Rub hands palm to palm 
Rub right palm over back of left hand with interlaced fingers.
Rub left palm over back of right hand with interlaced fingers.
Rub palm to palm with fingers interlaced.
Rub back of fingers of right hand over palm of left hand with fingers interlocked.
Rub back of fingers of left hand over palm of right hand with fingers interlocked.
Rotationally rub right thumb while clasped in left palm
Rotationally rub left thumb while clasped in right palm



What to do during an earthquake: 
Familiarize yourself with your workplace and know the nearest Emergency Exit. 
Introduce the DUCK, COVER and HOLD position.
Take cover under a sturdy table or strongly supported doorway. 
Watch out for falling objects. 
Keep calm and don't panic. 

What to do as soon as the earthquake stops:
Be alert 
Listen to the earthquake marshal's instructions.
Walk out of the building in an orderly manner 
Be watchful for falling debris while walking in corridors.
Don't run, don't push, don't talk, don't return and don't bring your things. 
Quietly but quickly proceed to the designated evacuation area and wait for further 
Instructions from marshals.
Never go back to the building once outside.



Call the information desk ( Local 0 ) for assistance.
Guide ambulatory patients, small children and elderly to get out to designated, evacuation area (Flag pole area
and Parking area in front of Trauma Center).
Sound the fire alarm.
Avoid "PANIC".
Use the stairways or fire exit. Not the elevator
Put out the fire with a fire extinguisher.
Do not turn back to get inside the building if the fire is at its height.
Provide adequate lighting.
Bed in lowest position with wheels locked
Provide physically safe environment.
Engage patient and family in all aspects of fall prevention program.
Place high risk patient for fall near the nurse station.