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A common perception in the healthcare industry is that the underlying cultural environment limits technological advances in safety and efficiency. Following this logic, no significant advances can be made until major cultural changes occur. However, what if technology was not necessarily limited by culture, but, if applied correctly, could actually be used to drive a desired cultural change? In 2005, VitalSmarts and the American Association of Critical-Care Nurses (AACN) published a groundbreaking report called Silence Kills. They found that “among 1,700 nurses, physicians, clinical-care staff, and administrators, more than half witnessed their coworkers break rules, make mistakes, fail to support others,…

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