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  1. Sculli, Gary L. MSN, RN, ATP
  2. Fore, Amanda M. MS, RN
  3. West, Pricilla MPH
  4. Neily, Julia MS, MPH, RN
  5. Mills, Peter D. PhD, MS
  6. Paull, Douglas E. MD


In response to low scores on a patient safety culture survey, the Veterans Health Administration National Center for Patient Safety implemented a comprehensive nursing-focused crew resource management program for frontline nursing staff. This article highlights significant cultural and clinical outcomes from the program.