Ann Hendrich, MSN, RN, FAAN, Marilyn P. Chow, DNSc, RN, FAAN, and Wendy S. Goshert, BSc, authors of the article, A Proclamation for Change: Transforming the Hospital Patient Care Environment, in the June 2009 issue of JONA (Vol. 39:6), included a discussion of the development of KP MedRite. The authors and Kaiser Permanente would like to recognize and acknowledge that the development of KP MedRite is supported by additional and independent pre-existing research by Dr Tera Pape on the innovative use of a visible symbol to reduce interruptions and distractions.

Dr Pape's research needs to be acknowledged. The references are: Pape TM. First do not distract. In: The Nurses Role in Medication Safety. Oakbrook Terrace, IL: The Joint Commission; 2007; Pape TM, Guerra DM, Muzquiz M, et al. Innovative approaches to reducing nurses' distractions during medication administration. J Contin Educ Nurs. 2005;36(3):108-116; Pape TM. Applying airline safety practices to medication administration. MEDSURG Nurs J Adult Health. 2003;12(2):77-94; and Pape, T. The effect of nurses' use of a focused protocol to decrease distractions during medication administration [dissertation]. Texas Woman's University. Denton, TX; 2002.

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