Lina Najib Kawar1, Dale M Pugh, Elizabeth Ann Scruth. 1. Author Affiliations: Nurse Scientist, Southern California Patient Care Services, Kaiser Permanente, Oakland, California (Dr Kawar); Director, Department of Public Health, Perth, Western Australia (Dr Pugh); and Critical Care Clinical Nurse Specialist (Dr Scruth), Quality and Regulatory, Kaiser Permanente, Oakland, California.