Pursuing an optimal culture of safety

1
Pursuing an optimal culture of safety

• Assessment
• Improvement
• Perpetuation

2
Assessing the culture of safety

• Determine the institutional characteristics
• Measure where the culture is now
• Compare current culture to the ideal
• Identify where improvements are needed

3
Assessing the culture of safety

• Determine the institutional characteristics
• Patient perspective
• Caregiver perspective
• General environment

4
Assessing the culture of safety

• Measure where the culture is now for
• Leadership
• Managers
• Staff
• Consumers

5
Assessing the culture of safety

• Compare current safety culture to the ideal
• Overachieving
• Adequate
• Underachieving

6
Assessing the culture of safety

• Identify where improvements are needed
• Determine available resources
• Be specific
• First things first
• Who needs to be involved

7
Improving the culture of safety

• Secure commitments from key players
• Plan and implement improvements
• Communicate

8
Improving the culture of safety

• Secure commitment from key players for
• Institutional commitment
• Funding
• Resources
• Follow through

9
Improving the culture of safety

• Plan and implement improvements
• Work together
• Set goals
• Announce plans
• Monitor impact
• Capture the methodology

10
Improving the culture of safety

• Communicate
• Ask
• Listen
• Plan
• Listen
• Act
• Listen

11
Perpetuating an optimal culture of safety

• Signs of waning interest
• Drop off of leadership support
• New procedures/rules not followed/updated
• Unsafe conditions tolerated
• No individual taking responsibility
• Incidents not analyzed

12
Perpetuating an optimal culture of safety

• Maintain leadership commitment
• Earmark resources
• Present business case
• Repeat the message