Date of Award

Spring 4-7-2021

Document Type

Scholarly Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Jennifer Mensik Kennedy, PhD, RN, NEA-BC, FAAN

Second Advisor

Deborah Saber, PhD, RN, CCRN-K


Practice Problem: The lack of a non-punitive safety culture with a healthcare organization is associated with decreased safety event reporting, reimbursement rates, and staff satisfaction.

PICOT: The PICOT question that guided this project was: In emergency department frontline staff, does hospital management involvement in a safety event program, contrasted with no safety event program, improve frontline staff’s reporting of safety events and perceptions of hospital management’s response to safety events management involvement over four weeks?

Evidence: Three overlapping themes that guided this project included: improving organizational culture, open communication, and leadership support in promoting patient safety.

Intervention: A safety event program, Safety STOP, was utilized as an evidence-based intervention to improve employee reporting of safety events and perceptions.

Outcome: The intervention did not significantly impact frontline staff perceptions of hospital management’s response to safety events; however, the proportion of safety events reported during the implementation phase was significantly higher than the proportion of safety events reported before the intervention.

Conclusion: Safety STOP had a significant impact on the organization. After initial implementation, Safety STOP was implemented hospital-wide, reduced the total number of sentinel events required to be reported to the state, and reduced the total time from safety event to root cause analysis.


Scholarly project submitted to the University of St. Augustine for Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice.

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Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.