ALWAYS Making Patient Safety a Priority

Author(s): Ivis Cassius-Linval, BSN, RN, Catherine Kim, BSN, RN, Jenna Maizes, BSN, RN, Madison Montague, BSN, RN, CCRN-CMC-CSC

CERP B 0.40

Expires Jun 30, 2024

Topics: Patient Safety, Renal

Population: Adult

Role: Staff

This activity will NOT be recognized for ANCC and CA BRN accredited contact hours.

This activity will be recognized for Synergy CERPs hours for the education presented.

See Continuing Education Disclosure Statement for more information.

Added to Collection

Activity Summary

Our CTICU at Lenox Hill Hospital reported six “never events” between January and June 2021: three pressure injuries, two falls and one occurrence of C-Diff. To address this problem, the nurses of our CSI team focused on implementing systematic nurse-led rounds to reduce patient harm using the acronym ALWAYS (Airway, Lines, Walking, Alarms, whY the lines & Skin). Our CSI team introduced the new approach to rounding during daily huddles. By incorporating an adaptable model of nurse-led rounds, we were able to standardize a safe environment in patient rooms, give impactful voices to nurses about patient safety and ultimately decrease never events 50% by the end of our project.


  • Discuss key concepts of a direct care nurse unit change project
  • Apply tools and methods shared in their own unit

Continuing Education Recognition Points Disclosure

Providing access to an educational activity does not imply endorsement by AACN of the content or any products mentioned.

Continuing Education Recognition Points (CERPs) are recognized by the AACN Certification Corporation to fulfill educational requirements for certification. Some state boards of nursing and other certification organizations may recognize CERPs as meeting CE Contact Hour requirements. Nurses should consult with their state board or credentialing organization before submitting CERPs to fulfill CE Contact Hour requirements.