patient Safety resources

The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents
The Incident Decision Tree was created to address system failures leading to safety incidents in healthcare. The tree raises awareness of patient safety issues while promoting an open culture that encourages reporting incidents and near incidents.

Develop a Culture of Safety (Institute for Healthcare Improvement)
This source emphasizes the importance of safety culture and that safety is everyone’s responsibility. It includes 10 ways organizations/managers can foster an effective safety culture and implement change. This source focuses on the healthcare sector.

Safety Culture (US Department of Health and Human Services - Agency of Healthcare Research and Quality – Patient Safety Network)
This source describes the features of an organization with a culture of safety and discusses how safety culture is measured. It uses examples of best practice but also highlights what many (healthcare) organizations do that goes against a culture of safety. This source also provides links to safety culture surveys/measures.

Stop Sticks Campaign (The National Institute for Occupational Safety and Health (NIOSH) & Centers for Disease Control and Prevention (CDC))
This source defines and describes safety culture and relates it to a healthcare setting. This source is framed as an injury prevention program, specifically, a safety culture improvement intervention targeted at reducing the risk of sharps injuries. It gives various components that are required to successfully implement this program as well as how to measure improvements in safety culture in this specific case. While this source is specifying sharps injury prevention, its principles may be used in other instances as well (e.g., general incident prevention).

The Role of Healthcare Work Environments in Shaping a Safety Culture (Lowe, G. S. (2008) Healthcare Quarterly, 11(2))
This article presents a research study in a more palatable way than most research journal articles. The major take-home point is that a high-quality work environment is related to healthcare safety culture. Specifically, teamwork, fair workplace processes, supportive and people-centered supervision and leadership, and a learning environment are all associated with improve safety culture.

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