Culture Orientation Slides

decrease in safety climate Culture Matters…and here’s why: 10% decrease in safety climate 15% increase in LOS For every 10% decrease in an ICU’s percentage of positive safety climate scores, length of stay increased 15% [2] Staff job satisfaction increases with better culture [10] Better culture leads to fewer staff injuries and lower burnout rates [6,8] Better culture is associated with better communication, interaction, and overall teamwork [4,7,9] Higher levels of hospital safety climate are associated with lower 30-day readmission [1] Worse Safety Culture Patient satisfaction increases with better culture [11] Better culture is associated with better patient outcomes [1,2,5] A thriving culture of patient safety can, and does, SAVE LIVES [2] Higher patient mortality Higher patient mortality 10% decrease in culture metric scores associated with hospital mortality being 1.24 times more likely [2]

Effective Communication Prioritize Patient Safety How you can Affect your Culture Respect Open Sharing Effective Communication Prioritize Patient Safety Remember that your co-workers are your teammates; you have a common goal Respect doesn’t necessarily mean friendship, but it does mean acknowledging another person’s contributive value toward your common goal [7] Not speaking up when having concerns can lead to adverse events and future uncertainty If you have a concern, say something [7] Communicate clearly and calmly Maintain eye contact Actively listen; summarize what you’ve just heard, or ask for clarification [3] Review your organizational mission statement and vision on patient safety [7]

References 1. Hansen, L., Williams, M., & Singer, S. (2011). Perceptions of Hospital Safety Climate and Incidence of Readmission. Health Services Research, 46(2), 596-616. 2. Huang, D., Clermont, G., Kong, L., Weissfeld, L., Sexton, B., Rowan, K., & Angus, D. (2010). Intensive Care Unit Safety Culture and Outcomes: A US Multicenter Study. International Journal for Quality in Health Care, 22(3), 151-161. 3. Jepsen, S. (2011). TeamSTEPPS Communication and in Situ Simulation Training to Improve Individual and Team Performance During Handoff of the Immediate Post-Operative Cardiovascular Surgical Patient. Theses, Dissertations, and Other Capstone Projects, Paper 206, 1-60. 4. Korner, M., Wirtz, M., Bengel, J., & Goritz, A. (2015). Relationship of Organizational Culture, Teamwork and Job Satisfaction in Interprofessional Teams. BioMed Central Health Services Research, 15(243), 1-12. 5. Leonard, M., Graham, S., & Bonacum, D. (2004). The Human Factor: The Critical Importance of Effective Teamwork and Communication in Providing Safe Care. BMJ Quality & Safety, 13(Supplemental 1), I85-I90. 6. Mark, B., Hughes, L., Belyea, M., Chang, Y., Hofmann, D., Jones, C., & Bacon, C. (2007). Does Safety Climate Moderate the Influence of Staffing Adequacy and Work Conditions on Nurse Injuries? National Institutes of Health Public Access, 38(4), 431-446. 7. McGoldrick, M. (2010). One Hospital's Journey to Create a Culture of Safety (Master’s Thesis). University of Pennsylvania Scholarly Commons. 8. Profit, J., Sharek, P., Amspoker, A., Kowalkowski, M., Nisbet, C., Thomas, E., Chadwick, W., & Sexton, B. (2014). Burnout in the NICU setting and its relation to safety culture. BMJ Quality & Safety, 23(10), 806-813. 9. Singer, S., & Vogus, T. (2013). Reducing Hospital Errors: Interventions that Build Safety Culture. Annual Review of Public Health, 34, 373-396. 10. Tsai, Y. (2011). Relationship between Organizational Culture, Leadership Behavior and Job Satisfaction. BioMed Central Health Services Research, 11(98), 1-9. 11. Weech-Maldonado, R., Elliott, M., Pradhan, R., Schiller, C., Hall, A., & Hays, R. (2012). Can Hospital Cultural Competency Reduce Disparities in Patient Experiences with Care? Medical Care, 50(0), S48-S55.