Culture of Safety

Suggestions

Suggestions for Presentation

  1. Become familiar with the organization’s mission statement, values statements, and (audience-specific) departmental goals as they relate to patient safety.
  2. Because they may have different roles in impacting their organization’s culture of safety, presentation of this module to administrators may need to be handled quite differently than presentation to clinicians. (See Facilitation Tip 1)
  3. Begin the training using a case to establish the audiences’ perception of the safety culture within your organization.
  4. Have the audience identify the components necessary for an improved safety culture, the steps involved in achieving that, and what they can do (individually or as a group) to assist that process. (See Facilitation Tip 6)

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Suggestions for Customization

Additional Learning Points

  1. Culture can’t be changed simply by mandate. Mandates, systems changes, etc. can be forced from the top and, over time, with persistence, can become part of the culture.
  2. One test of whether the culture change has occurred is to ask: when person pursuing patient safety leaves, will changes remain in place?

Additional Presentation Materials

  1. Charting a Path to a Safe Organization: A Five-year Plan [PDF]
  2. Department Level Culture of Safety Survey [PDF]
  3. Making the Business Case for Patient Safety [PDF]
  4. Matrix of Safety [PDF]
  5. Wreathall Culture Survey: Checklist for Assessing Institutional Resilience [PDF]

Additional References

  1. ASRS: Program overview
  2. Complexity Science: Complexity, leadership, and management in healthcare organizations, Paul E. Plsek, Tim Wilsom. BMJ Volume 323, 29 September 2002.: www.bmj.com
  3. Conference Synthesis Research Agenda for Ambulatory Patient Safety
  4. Elements of a Culture of Safety
  5. Growing a safety culture
  6. Hoisting and Rigging Safety Culture
  7. Improving Safety Culture in the Construction Industry: A Workshop for Senior Management in Construction Contracting and Client Companies [PDF]
  8. Key Practical Issues in Strengthening Safety Culture: INSAG-15 A report by the International Nuclear Safety Advisory Group International Atomic Energy Commission [PDF]
  9. Making the business case for patient safety. Joint Commission Journal on Quality and Safety. Weeks WB, Bagian JP. 2003;29:51-54.
  10. National Mine Safety Culture Survey [PDF]
  11. Organisational Safety Culture; Why Bother? Richard Morris [PDF]
  12. Rewards of creating a fleet safety culture [PDF]
  13. Safety Culture
  14. Safety culture in nuclear installations [PDF]
  15. Safety culture in the Swedish air navigation services Proceedings of the Fourth European Conference of the European Academy of Occupational Health Psychology
  16. Safety culture: an NRC perspective. Remarks by Dr. Richard A. Meserve Chairman US Nuclear Regulatory Commission
  17. Safety culture: Yet another buzzword to hide our confusion? [PDF]
  18. Safety Culture in the face of industrial change [PDF]
  19. Self-assessment of safety culture in nuclear installations [PDF]
  20. Shaping a Safety Culture
  21. Strategies for Leadership An Organizational Approach to Patient Safety [PDF]
  22. The Have-to and Pride Curves: Products of Poor Management. by Andrew D. ShamRao, Ph.D.

Additional Subject Matter Experts

  1. none identified

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Suggestions for Measurement of Competency in the Objectives

  1. At periodic check-ins following the module presentation, participants will be able to outline a specific recommendation for advancing the organization toward the optimal safety culture.

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