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Transform started at Stanford Health Care with project funding provided by the Gordon and Betty Moore Foundation. Transform is an study on in-situ simulation-driven, patient safety program aimed at improving the early detection and treatment of hospital-acquired complications. The bundled intervention consists of teamwork training, rapid response team/Code Blue debriefings, monthly unit patient safety team meetings, quarterly patient safety conferences and a staff recognition program. The project results indicate significant decreases in the incidence of targeted complications.