A strong safety culture, along with leadership commitment to zero harm and the widespread deployment of Robust Process Improvement RPI methods, are the essential components necessary for health care organizations to transform into high reliability organizations. The Safety Culture project aimed to optimize behaviors and practices resulting in an improved safety culture that reinforces and supports the prevention of patient harm.
A safety culture enables trust, empowers staff to speak up about risks to patients, and to report errors and near misses, all of which drive improvement. Despite widespread attention to the importance of safety culture in performance improvement, many — if not most — health care organizations struggle to achieve it.
Background Image: Image: Young adult Asian male nurse or doctor is sitting at board room table during hospital staff meeting. He is speaking with senior adult Caucasian female doctor and mature adult Hispanic female nurse.
Healthcare professionals are wearing hospital scrubs and lab coats. This How-to Guide builds on relevant research and published literature and integrates what staff in TCAB hospitals have learned as they strive to significantly increase nursing time in direct patient care, which contributes to patient safety, better outcomes for patients, and greater staff satisfaction with the work environment to support their professional practice.
Featured Content. This How-to Guide describes the innovative changes that hospitals tested and implemented to develop the talent and competencies of their front-line nurse managers on the TCAB units, and features two case studies that illustrate implementation.
This How-to Guide describes three improvement strategies for building improvement capability and engaging front-line staff in innovation on medical and surgical units; specifies practical changes that can be tested; and provides tips, tools, resources, and case studies of hospitals that have implemented many of the changes.
This How-to Guide describes innovative changes that hospitals tested and implemented to improve the work environment for their medical-surgical unit staff, including strategic applications of improved communication techniques across multiple disciplines, and two case studies demonstrating implementation of these changes.
This How-to Guide highlights four promising changes designed to reduce patient injury from falls on medical-surgical units; specifies practical step-by-step changes that can be tested; and provides tips, tools, resources, and case studies of hospitals that have implemented many of the changes. By describing the experience of hospitals within a larger conceptual framework for spread, this guide captures lessons learned to date about effective strategies for spreading Transforming Care at the Bedside practices, which may allow other organizations to spread effective and proven practices more easily.
February 1, November 19, Long-Term Care. Facility and Group Administrators. Nurse Managers. Back To Top. Patient Safety Primers Topics Glossary. Improvement Resources Innovations Toolkits.
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