Most of the nurses at my hospital did not turn their patients every two hours, mostly because it is so hard to get staff members to help. Also, many are very well aware of the dangers of back injury.

There's not only a shortage of nurses but also a critical shortage of nursing instructors. That is an ongoing problem.

We found that success involved much more than skilled individual doctors and nurses. What distinguished these hospitals was how well they were organized, how teams functioned together, how the culture rewarded quality improvement and how they dealt with setbacks.

If he thinks there are not two Americas, I call on him to talk with the 170 nurses you've sent to New Orleans and Mississippi and Texas,

[When there are enough nurses on a unit, they can pick up subtle changes in patients before complications develop.] It's hard to measure what doesn't happen, ... Nurses prevent very bad things from happening.

When we empower nurses, they make excellent decisions.