Hospital Culture of Patient Safety

Communication

  • assertion/speak-up
  • bottom-up approach
  • clarity
  • hand-offs
  • linkages between executives and front line/resolution/feedback
  • safety briefings/debriefings
  • structured techniques: SBAR, time-out, read-back
  • transparency

Teamwork

  • alignment
  • deference to expertise wherever found
  • flattened hierarchy
  • multidisciplinary/multigenerational
  • mutual respect
  • psychological safety
  • readiness to adapt/flexibility
  • supportive
  • watch each other’s back

Evidence-Based

  • best practices
  • high reliability/zero defects
  • outcomes driven
  • science of safety
  • standardization, protocols, checklists, guidelines
  • technology/automation

Patient-Centered

  • community/grassroots involvement
  • compassion/caring
  • empowered patients/families
  • exemplary patient experiences
  • focus on patient
  • formal participation in care
  • health promotion
  • informed patients/families
  • patient stories

Marx, D. (2008). Patient safety and the ‘just culture:’ A primer for health care executives. Medical Event Reporting System for Transfusion Medicine. Retrieved January 30, 2008, from http://www.mers-tm.net/support/Marx_Primer.pdf

Nieva, V.F., & Sorra, J. (2003). Safety culture assessment: A tool for improving patient safety in healthcare organizations. Quality and Safety in Health Care, 12, ii17-ii23. Retrieved August 18, 2009, from http://qshc.bmj.com/content/12/suppl_2/ii17.full.pdf

Sammer, C.E., Lykens, K., Singh, K.P., Mains, D.A., Lackan, N.A. (2010). What is Patient Safety Culture? A Review of the Literature. Journal of Nursing Scholarship, 42(2), 156-165.

Thomas, E.J., Sexton, J.B., Neilands, T.B., Frankel, A., & Helmreich, R.L. (2005). The effect of executive walk rounds on nurse safety climate attitudes: A randomized trial of clinical units. BMC Health Services Research, 5(28). Retrieved May 19, 2007, from http://www.biomedcentral.com 1472-6963/5/28

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