1. Safety Climate Survey 1

2. What is a safety climate?

3. “Individual and group values, attitudes, perceptions and patterns of behaviour that determine their commitment to safety management”
NHS Education for Scotland 2010
Ie the way things are done around here…

4. What does a positive safety culture look like?
Safety a priority
Eliminate “shame and blame”
Accept staff will make errors
Build systems to make care safer
Foster a culture where people can speak up
Team training
Organizational learning from errors and near-misses

5. What would a strong safety culture look like in your place of work?

6. Developing your safety culture
Understanding it’s importance
Thinking about it
Measuring it
Discussion & reflection
Focussed action to improve
Developing your safety culture
Understanding its importance
Thinking about it
Measuring your culture
Discussing it and reflecting on results
Focussed action to improve it

7. The Safety Climate Survey
Teamwork
Workload
Communication
Leadership
Safety systems and learning

8. 5 4 3 2 1 Safety Climate Survey Provide Feedback
Prepare to complete the survey 2
Complete survey 3
Discussion
and reflection 4
Develop an Action Plan 5
Provide Feedback
Quick Guide

9. Prepare to complete the survey
Safety
Climate
Survey 1
Prepare to complete the survey
Nominate a person to coordinate the journey through the Safety Climate Survey in your Practice. It is recommended that this person is not the Practice manager (e.g. a Nurse).
We recommend that all staff and anyone involved in or considered part of the Practice team complete the survey. However, it remains at the discretion of each practice to decide which staff groups they invite to participate.
Quick Guide

10. 2 Safety Climate Survey Complete survey
This is an online survey – all participants will require access to the internet to complete it. It will take each participant up to 10 minutes to complete the survey. To complete the survey please visit
The nominated coordinator should remind those who have not completed the survey to do so.
Once your team have completed the survey please to and request your Safety Climate Survey Report.
Your practice’s Safety Climate Survey Report will be generated – please note this could take up to 2 weeks.
The survey should be completed by February 28th, 2018
Quick Guide

11. Discussion and reflection
Safety
Climate
Survey 3
Discussion and reflection
On receipt of the report, share the results with all Practice team members, including those who did not participate.
Meet with all Practice staff to discuss the results. If needed, this can be done in a series of short meetings.
You might want to consider outside facilitation – e.g. SiP Clinical Lead and IA.
Review and analyse the results by topic - e.g. communication, working conditions etc.
Quick Guide

12. 4 Safety Climate Survey Develop an Action Plan
Go through the questions on the “Safety Climate Survey Reflection & Action Plan” form. Concentrate on the question “What steps will you take to improve these aspects of your safety culture?”.
Encourage feedback on actions that were identified in the small group discussions.
Try to identify key actions for safety domains with lowest scores. Try to identify who will take responsibility for the actions and decide on a timescale.
Please use the “Safety Climate Survey Reflection & Action Plan” form to carry summarise your practice discussions and action plan on your patient safety climate report. Sum up and agree with the group how they will be kept informed of any developments and progress.
Quick Guide

13. Safety Climate Survey Reflection & Action Plan Safety Climate Survey
The purpose of this form is to summarise your practice discussions and action plan on your safety climate report. Please submit your completed form to Nalini Navaranjan at by 29th March, 2018.
Safety
Climate
Survey
Quick Guide
What positive aspects of your team’s safety culture were highlighted in the report and your discussions?
What aspects of your safety culture do you as a team feel you could improve?
What steps will you take to improve these aspects of your safety culture?
What else might you change to improve your safety culture?
Would you like any support or guidance to make changes in your practice? If so, what would be useful?

14. 4 Safety Climate Survey Develop an Action Plan
Go through the questions on the “Safety Climate Survey Reflection & Action Plan” form. Concentrate on the question “What steps will you take to improve these aspects of your safety culture?”.
Encourage feedback on actions that were identified in the small group discussions.
Try to identify key actions for safety domains with lowest scores. Try to identify who will take responsibility for the actions and decide on a timescale.
Please use the “Safety Climate Survey Reflection & Action Plan” form to carry summarise your practice discussions and action plan on your patient safety climate report. Sum up and agree with the group how they will be kept informed of any developments and progress.
Quick Guide

15. 5 Safety Climate Survey Provide Feedback
Complete the “Safety Climate Survey Reflection & Action Plan” form and to by 29 March 2018
If after a few months you wish to complete the Safety Climate Survey, please contact us and we can send you a new survey link
Quick Guide

16. The survey should be completed by
Safety
Climate
Survey
The survey should be completed by
February 28th , 2018
Quick Guide

17. Take 5 minutes to review the sample report
Safety
Climate
Survey
Take 5 minutes to review the sample report
Discuss in your practice groups the benefits of using the survey in your practice
Quick Guide

18. 1 2 3 4 5 Safety Climate Survey Prepare to complete the survey
Nominate a person to coordinate the journey through the Safety Climate Survey in your Practice. It is recommended that this person is not the Practice manager (e.g. a Nurse).
We recommend that all staff and anyone involved in or considered part of the Practice team complete the survey. However, it remains at the discretion of each practice to decide which staff groups they invite to participate. 1
Prepare to complete the survey
Safety
Climate
Survey
Nominate a person to coordinate the journey through the Safety Climate Survey in your Practice. It is recommended that this person is not the Practice manager (e.g. a Nurse).
We recommend that all staff and anyone involved in or considered part of the Practice team complete the survey. However, it remains at the discretion of each practice to decide which staff groups they invite to participate. 2
Complete survey
Quick Guide
Nominate a person to coordinate the journey through the Safety Climate Survey in your Practice. It is recommended that this person is not the Practice manager (e.g. a Nurse).
We recommend that all staff and anyone involved in or considered part of the Practice team complete the survey. However, it remains at the discretion of each practice to decide which staff groups they invite to participate. 3
Discussion and reflection
Nominate a person to coordinate the journey through the Safety Climate Survey in your Practice. It is recommended that this person is not the Practice manager (e.g. a Nurse).
We recommend that all staff and anyone involved in or considered part of the Practice team complete the survey. However, it remains at the discretion of each practice to decide which staff groups they invite to participate. 4
Develop an Action Plan
Nominate a person to coordinate the journey through the Safety Climate Survey in your Practice. It is recommended that this person is not the Practice manager (e.g. a Nurse).
We recommend that all staff and anyone involved in or considered part of the Practice team complete the survey. However, it remains at the discretion of each practice to decide which staff groups they invite to participate. 5
Provide Feedback

19. Pearls & pitfalls
1300 instances completed in NZ. 60 practices. Also in pharmacy.

20. Education
“Many of us in the team hadn’t really made the link that us failing to communicate in was a threat to patient safety ….we had a lot of really good stuff come out of it, a lot of very open discussion”
BRIEF YOUR STAFF FIRST
Improvement not judgment 20

21. Ensure anonymity
“I think it was good that all the data was anonymised, so people felt free to say whatever they wanted, and there was no threat of repercussions afterwards.”

22. Feed back
“There’s not been any like team meeting or anything like that which is really disappointing because there’s a lot of aspects that could be improved upon but I think its more management is worried about confrontation”
“…management got the results and were quite pleased so therefore felt it didn’t need action”

23. Building on positives
“You could see you were doing well in certain areas and you were really proud of it and you could take from that and build on it”

24. Change in culture
“We definitely give a lot more feedback now …I think everyone feels like they can say things now”
“Well I think the way we record errors now is a lot better …that’s probably been the big change”

25. Take home messages Brief people beforehand Emphasize anonymity
The findings are for your team
Improvement not judgement
Don’t get too focused on the numbers
Concentrate on how you might use them to drive improvements
Use your available resources

26. Thank you

29. = + Technical Factors (30-20%) Accident Causation Safety Operator
Culture
Operator
Behaviour
Human
Factors = +
(70-80%)

31. Safety Climate Survey Online Team centred Measurement Diagnosis
Catalyst for change
Measurement- against other practices. Prev surveys in same practice 31

33. Teams implementing a checklist for central lines insertion
Team Culture Scores
Achieving Goal
Low
21%
Medium
33%
High
55%