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Insight 26: Nurse Voices Are Closing the Gap Between Work Imagined and Work Done

7 minMarch, 19 2026

Building a Culture of Safety: Strategies to Achieve Zero Preventable Harm

What if the biggest risk to patient safety in your organization is a broken communication loop? When one of the nation's largest health systems conducted its first National Action Plan assessment, leaders expected to find gaps in the process. What they didn't expect was to find gaps in communication and assumptions held at the top that didn't match the reality on the ground.

In this Insight from Episode 127: Safer Together | From Plan to Practice, Kelly Randall, Vice President for Patient Safety and Compliance at Ascension, walks us through the honest, sometimes uncomfortable conversations that revealed hard truths, and the intentional communication strategy that brought healthcare teams back into alignment around one shared goal: zero preventable harm.

To listen to this Insight clip's full episode, visit the SEE YOU NOW Podcast Episode 127: Safer Together | From Plan to Practice on APPLE, SPOTIFY, YOUTUBE, or your favorite streaming platform.

About See You Now Podcast

SEE YOU NOW is a podcast that shines a light on the real people changing the status quo in health: from nurses working in labor and delivery, with infectious diseases, and in hospice; to nurse allies in politics, business and tech. Created in collaboration with Johnson & Johnson and the American Nurses Association.

For more nursing innovation resources from ANA, visit https://www.nursingworld.org/practice-policy/innovation/resources.

Have questions or feedback for the SEE YOU NOW team? Future episode ideas? Contact us at hello@seeyounowpodcast.com.

Resources

  • Institute for Healthcare Improvement. Safer Together: A National Action Plan to Advance Patient Safety —ihi.org 
  • IHI National Action Plan Self-Assessment Tool (Updated 2024) —ihi.org 
  • IHI National Action Plan Implementation Resource Guide —ihi.org 
  • IHI Declaration to Advance Patient Safety (2022) —ihi.org 
  • IHI Safer Together Recognition Program —ihi.org 
  • Centers for Medicare & Medicaid Services. Patient Safety Structural Measure (PSSM) — IQR Program —qualitynet.cms.gov 
  • CMS FY 2025 IPPS Final Rule: Patient Safety Structural Measure —cms.gov 
  • CDC / NHSN. Patient Safety Structural Measure Overview —cdc.gov 
  • Agency for Healthcare Research and Quality. Surveys on Patient Safety Culture (SOPS) — Hospital Survey 2.0 —ahrq.gov 
  • AHRQ SOPS Program Overview —ahrq.gov 
  • Patient-Centered Outcomes Research Institute (PCORI) —pcori.org 
  • PCORI: About Patient-Centered Research —pcori.org 
  • IHI Patient Safety Improvement Area —ihi.org 
  • IHI Patient Safety Congress 2025 —ihi.org 
  • Institute of Medicine. To Err Is Human: Building a Safer Health System (1999) —ncbi.nlm.nih.gov 

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