AACN sub-competency5.2dP3 · HandsSafety gate

Assume accountability for reporting unsafe conditions, near misses, and errors to reduce harm.

AACN domain
5.Quality and Safety

Safety actions = Hands. Quality outcomes = Impact. Workplace safety culture = Integration.

Competency
5.2Contribute to a culture of patient safety.
Five Practices mapping
P3 · HandsTools & Techniques

"What can you do?"

Progression Indicators

The three-bucket rubric for this sub-competency. Behavioral anchors are shown when available.

Not Demonstrated

No evidence yet. Either the behavior has not been performed in a captured context, or the captured evidence does not yet meet the rubric.

Novice anchor: Recognizes major errors but unsure how/when to report near-misses; reluctant to report for fear of consequences. ⬛ SAFETY GATE
Developing

Matches the AACN Developing descriptor for this sub-competency. Caps at Developing in solo activation mode for P3 (Hands) sub-comps without preceptor observation.

Advanced beginner anchor: Reports unsafe conditions, near misses, and errors using established reporting system without prompting; understands just culture; uses SBAR to communicate concerns.
Developed

Matches the AACN Developed descriptor. For P3 sub-comps this requires a preceptor or peer observation to triangulate the self-report.

Competent anchor: Models reporting culture for peers; supports colleagues in reporting; participates in root cause analysis.

Deeper analysis coming. All 434 sub-competency pages are scaffolded against the AACN definition, the Five Practices mapping, and the Progression Indicator rubric. 5 carry the full narrative this version (listed on the framework index). The remaining long-form copy is being authored alongside the behavioral anchors and will land in the next framework version.

Currently writing the long-form for: 2.8c, 2.8d, 2.8b, 3.1c, 10.2a.

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