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An organization has established a culture of patient safety when

  1. employee education is completed

  2. fear of retaliation is eliminated

  3. patient safety goals are implemented

  4. reports of potential errors have decreased

The correct answer is: employee education is completed

The correct answer is A because establishing a culture of patient safety goes beyond just completing employee education. While education is crucial in creating awareness and providing the necessary knowledge, a true culture of patient safety involves ongoing education, open communication, leadership commitment, and active involvement of all staff members in continuous improvement efforts. It is a process that requires a commitment to learning, collaboration, and a shared responsibility for patient safety outcomes.