A retrospective review of incidents involving lasers across a large academic health system

A supportive safety climate where staff feel comfortable reporting incidents, including near-miss, enables safety and risk mitigation teams to investigate, identify root cause and ensure procedures are in place to help prevent the same from happening moving forward. At UCSF, the STOP for Safety framework has been developed to emphasize how individual actions and behaviors can play a role in preventing harm and promoting safety. A retrospective review of incidents involving lasers will be presented along with steps taken to promote a safe Environment of Care.