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Commitment to resilience is the ability to overcome problems, learn from mistakes, and move forward. It allows nurses and clinicians to recover when a serious safety event occurs. Because we are humans, mistakes will happen. Rather than blaming others, nurses in HROs discuss how the error occurred and what can be done to prevent such an error in the future. Transparency is essential; errors are openly discussed and used to improve health care processes. In HROs, nurses learn to perform quick situational assessments when an error occurs, work as a team to contain or manage the error, and then take steps to reduce the harm.

In HROs, clinicians are offered support when they are involved in a safety event. Nurses and other clinicians feel guilty when they make an error that harms a patient. The term “Second Victim” is used to describe the pain and anguish experienced by the clinician (Wu, 2000). Programs have been developed to assist clinicians to build resilience and recover from these safety events. The forYOU program (Scott, 2015) is an evidence‐based second victim intervention that provides immediate emotional and social support. Members of the forYOU team provide emotional support using three levels: local support from a colleague, support from specially trained peers, and support through a network of chaplains, social workers, and employee assistance programs. Resources that help build resilient nurses are also available through the Academy of Medical‐Surgical Nurses (n.d.) and the American Association of Critical Care Nurses (2014).

Simulation learning is used in HROs to practice responses to errors or safety events. Drills for environmental disasters, active threats, rapid responses, and cardiopulmonary resuscitation allow nurses and other clinicians to practice as an interprofessional team and build resilience for emergency situations (Figure 4.3).

FIGURE 4.3 Simulation exercise.

Source: Used with permission.