Darleen has originated multiple improvement initiatives within her department. One example is the implementation of a crisis checklist using instructions specific to Sibley’s environment and culture modeled after the Stanford Emergency Manual. She led her CUSP team that identified a resource within Johns Hopkins to help with simulation training. This new idea of using a checklist during emergencies will contribute to creating and maintaining a strong patient safety culture at Sibley. Darleen presented a poster presentation and her article “Using Simulation to Implement an OR Cardiac Arrest Crisis Checklist” was published in the AORN Journal for this evidenced-based practice.