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Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety.

Yates GR; Hochman RF; Sayles SM; Stockmeier CA.

This hospital received national recognition for their incentive programs and leadership engagement, and for successfully balancing a culture that supports a "just" approach to error without avoiding accountability. The application of Red Rules, a stop-the-line philosophy, and simplification of administrative barriers helped them achieve an environment that supports safety and learning.