 So my name is Bernadette Hendricks. I have been a nurse since 1984. I have been a CRNA since 1994. I am the director of the nursing anesthesia program at Goldfarb School of Nursing at Barnes-Jewish College. I serve in that role, but I also serve a second role. I'm the director of CRNA education and research for Washington University Department of Anesthesiology in St. Louis, Missouri. And I do practice one day a week, still in the operating room, providing anesthesia. So how do I choose which organization to make a donation to, a monetary donation? It's something that I'm very passionate about. And the patient safety movement is something that I'm very passionate about. I want to say that we never, as healthcare workers, we never cause any harm to our patients. Unfortunately, we're not there yet. I think awareness is the key, but we want to keep continuing that goal of saying no errors will occur while somebody is in the hospital. So the Institute of Medicine put out their report a long time ago about how important it was to be aware that medication errors are occurring in the OR and medical errors and that we need to strive to decrease those medication errors. I think now it's even more important to take that message from the patient safety movement and say, let's have a goal of zero medication errors. We don't want anybody to be harmed when they come to the hospital for surgery or for addressing any illness they have. We really need to say, this should be a safe place. They should get the care they need and return home. When I became the program director of the nursing anesthesia program, I've had students in the past make medication errors. And so I decided that each year I would give a presentation to them on medication errors before they started in the operating room. And the interesting thing is they're all ICU nurses before they start our program. So they're familiar with medications, giving them they're familiar with, that make sure you check patient medication amount, time, route before you give any kind of medication. But it just seemed like each year I have at least one person who makes a serious medication error. So I put together a presentation on reducing medication errors. And I talk about how we all always give IV medications in the operating room in our role as a nurse anesthetist. And we've got to be careful because we have a bigger impact. And I talk about statistics and about one in 130 anesthetics that we give, we tend to make a medication error. So I really, really stress the importance of checking and double checking and triple checking before medication errors are, I mean, before medications are given. And so, unfortunately, we still have students that make medication errors. And so I saw an email from the ANA that asked about CRNA that might be interested in participating in a patient safety movement on medication errors. So that's when I signed up to be on a committee on addressing this. Our goal as nursing is to take care of these six sick people when they come to the hospital, they're vulnerable, they're ill, they're, or maybe they're not ill, they're just nervous about having surgery. I was a patient one time and had surgery, I had a scope on my hip when I injured my hip. It's very frightening to come into the hospital and to have this done. You don't know people, yet you're putting your trust in them that they're going to look over you and take care of you. And especially when you're put to sleep for surgery. And I think we have to just make sure that we can say, we are going to take the best care of you while you're under anesthesia or while you're in the hospital. And we will look over you. And I always say, give anesthesia to a patient as if it were my daughter or my son or my mother or my father. And do the best you can while they're in your care. And that's important for people to trust you while they're in the hospital. And we should be doing that with every single patient. I am just shocked that there's still so many medication errors occurring. And even, I give this hour long presentation to the students, I give examples. So I touch their heart. I go over the statistics. So they know the statistics. I tell them, triple check, you're giving IV medication in fact, you can't take back once you put in the IV. Yet still, I think there was one class and since 2004 that did not, none of the students made a medication error. The rest of them, there were at least one if not two or three in each class. And I just, it just breaks my heart. It's like, why does this still occur? But a lot of people have no idea of the harm that is occurring in the hospital. So I think awareness is important. And then also just making providers be more cautious. I think it's important to donate to this movement, patient safety movement, just so that we have money to send the message out there. Anything you do costs money. And so we need to really strive to say no medication errors. And we need to have everybody involved with that, whether you're an anesthesia provider or a nurse or a physician, any kind of worker in the hospital needs to be aware of this, just to try to say, okay, let's not, let's be aware of this and be very cautious and try to decrease that amount and have a goal of zero medication errors.