Table 2:

Roles of Personnel in the Existing Reporting System and the SAFE Loop Intervention

	Position	Roles in Existing Reporting System	ADDITIONAL Roles in SAFE Loop Intervention
	Nurses on Study Nursing Units	Spontaneously submit incident reports.	Provide input on the Target Events, undergo training in reporting, submit reports, receive feedback, and implement mitigation strategies.
	Nursing Unit Leaders	Administratively responsible for overseeing efforts to improve the safety of care on each nursing unit. Participate in analyzing reports, conduct any investigations, design and implement any solutions.	Select the Target Events and work with the SAFE Loop Team throughout implementation.
SAFE Loop Team	Incident Report Clinical Reviewer	Classifies events, assigns harm severity, identifies source nursing unit, and triages high-risk events to relevant departmental and unit leaders.
	Patient Safety Leaders (Hospital, Pharmacy, Nursing)	Assist nursing units with investigations, obtain resources, engage leaders of relevant departments, and overcome barriers. Oversee root-cause analyses of harmful events.	Part of the SAFE Loop team. Facilitate investigation of Target Events.
	Target Event Champion	Not applicable.	Obtains input from and trains nurses, identifies and extracts information from reports on Target Events, assists with investigations, integrates information from reports and other sources, drafts feedback to nurses.
	AHRQ Patient Safety Organization	Not applicable.	Serves as a resource to the SAFE Loop Team, providing information on events at other hospitals.