Resources: Culture of Safety

Relevant Standards

• CMS:  A-0286-8, A-0311, A-0410, A0263-7, A-0274-6, A-0286-7, A-0291, A-0297-8, A-0310-12, A-0315-6, A-0386, A-0392-3, A-0397-8, A-0410, A-0432, A-0492, A-0574, A-0618, A-0748, A-0756, A-0942,4, A-0951, A1001, A-1029, A-1076,9, A-1100, 2, A-1112, A-1123,4,6, A-1134,  A-1152 ,  B157, B158,
  
• TJC: APR.09.02.01, LD.03.01.01, LD.03.02.01, LD.03.03.01, LD.03.04.01, LD.03.05.01, LD.03.06.01, LD.04.04.05
  

References & Tools1209

•  Sentinel Event Alert, Issue 40: Behaviors that undermine a culture of safety1209
  
  • (Download PDF of SE 40)   **[private Admin] [SEA40PDF] [/private]
    
  • SEA 40 Podast    **[private Admin] [SEA40MP3] [/private]
    

• Evaluating Your Culture of Safety – Knowing and Growing: Compliance Strategies and Tips for Standard LD.03.01.01 [FTxT] and RTN Review available below. Source Dec 08 Vol 6 #12 Pg04

• The Hospital Survey on Patient Culture (2004) – from The Agency for Healthcare Research and Quality (AHRQ)
  
  • FAQ
  • Survey Tool Kit
    • Survey Form (PDF)
      
    • Survey Items and Dimensions  (PDF)
    • User Guide   (PDF)
  • Hospital Survey on Patient Safety Culture: 2012 User Comparative Database Report:  Based on data from 1,032 U.S. hospitals… (it) provides initial results that hospitals can use to compare their patient safety culture to other U.S. hospitals.
    
• The Neuroscience Treatment Team Partners (NTTP)
  • Solutions For Wellness1209 – These materials address physical health and wellness by educating and encouraging clients to live a healthier lifestyle. It provides approximately 50 hours of psychoeducational materials.
  • Enhancing Motivation & Encouragement1209pdf –

Required Written Documents

• None

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** Additional Clarifications & Compliance Strategies (Premier)**

[private Membership premier]

 Evaluating Your Culture of Safety – Knowing and Growing: Compliance Strategies and Tips for Standard LD.03.01.01 [FTxT]  Source Dec 2008 Vol 6 #12 Pg04

[**REF**] LDR, PI and JCSC should note that “at least a baseline cultural evaluation” is to be completed by 1/1/09. Previously, TJC had avoided identifying ‘valid and reliable tools’ for performing cultural assessment. [Pearl] However, in this article they reveal the following two, free tools that will apparently meet their requirements:
1. Agency for Healthcare Quality and Research: AHQR Patient Safety Culture Surveys. (accessed Oct. 20, 2008).
2. Sexton J. B., et al.: The Safety Attitudes Questionnaire: Psychometric properties, benchmarking data, and emerging research. [Ftxt] BMC Health Serv Res 6:44, Apr. 2006.

TJC Recommended Articles

• The Safety Organizing Scale

• Fair and Just Culture, Team Behavior, and Leadership Engagement

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