Nurses are encouraged to report any deviations in healthcare services, whether harm was caused or not, using common reporting formats. Reports are confidential and non-punitive unless negligence or misbehavior is found. Common formats should not be copied or shared outside the facility and only include necessary data for quality improvement. Sentinel events require immediate notification, root cause analysis within 7 days, and an action plan within 45 days. A proactive approach using failure mode event analysis will be used for high risk processes.