1. Culture Orientation Slides

2. 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]

3. 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]

4. References
1. Hansen, L., Williams, M., & Singer, S. (2011). Perceptions of Hospital Safety Climate and Incidence of Readmission. Health Services Research, 46(2),
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),
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),
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),
9. Singer, S., & Vogus, T. (2013). Reducing Hospital Errors: Interventions that Build Safety Culture. Annual Review of Public Health, 34,
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.