From safety contract to safety agreement

1. Confusion and controversy continue to surround the definition and use of safety contracts. 2. A safety agreement based on Orlando's Nursing Theory may be a more practical, concise, and nurse-patient friendly means to promote patient safety. 3. The key ingredients in a safety agreement are identifying patients' immediate safety needs and decreasing patients' immediate distress related to safety through the nurse-patient relationship. 4. The value of a safety agreement lies not in the tool itself but in its promotion of a nurse-patient relationship that involves communication and collaboration.