The required artifacts and work significantly impacted the revised definition of quality and safety.  Understanding nursing specific indicators can have a positive impact on nursing care as there will be a greater emphasis on prevention of falls, pressure ulcers and utilization of restraints. A scenario is discussed in the SAT 1 and the patient develops a pressure ulcer because of excessive utilization of restraints. The task allows for identification of risk factors and leads to potential change in practice because of the importance of prevention of hospital acquired pressure ulcers.  The second paper outlines a root cause analysis and identifies system level gap. Policy and protocols should be revised and re-evaluated. The identification the failure mode and effect analysis was also important for the development of the definition because changes may need to be made because of events that may occur. The task also required the creation of a root cause analysis. The abiltiy to understand the complex nature of the United States healthcare system also enabled a more detailed definition due to the increased costs and need for changes to improve quality and reduce mortality