1. 2014 Summit Co-Convener:Founder: Patient Safety Science & Technology Summit 2014

2. 2014 Summit Co-Convener:Founder: Joshua S. Adler, MD Chief Medical Officer, UCSF Medical Center and UCSF Benioff Children's Hospital

3. 2014 Summit Co-Convener:Founder: Why Focus on Culture? Improvements in Patient Safety have been slow and incomplete despite a substantial national effort for over a decade *Chassin MR Health Affairs. 2013;10:1761

4. 2014 Summit Co-Convener:Founder: Most improvement to date have primarily focused on tools and and processes

5. 2014 Summit Co-Convener:Founder: Why Focus on Culture? Improvement has been inconsistent, variably sustained, sometimes mis-directed, and susceptible to work-arounds Insufficient effort on understanding why errors continue despite using “best practices”

6. 2014 Summit Co-Convener:Founder: Organizational Culture

7. 2014 Summit Co-Convener:Founder: Organizational Culture “The way we do things around here”

8. 2014 Summit Co-Convener:Founder: Patient Safety Culture

9. 2014 Summit Co-Convener:Founder: Patient Safety Culture One aspect of an organization's culture The shared values, beliefs, norms, and procedures related to patient safety Provides cues about the relative priority of patient safety with other goals (e.g. efficiency) Informs perceptions about what is praised and what is punished *Weaver et. Al. Ann Intern Med 2013;158:369

10. 2014 Summit Co-Convener:Founder: Patient Safety Culture is difficult to measure

11. 2014 Summit Co-Convener:Founder: The Relationship Between Culture and Outcomes Better performance in safety climate surveys correlates with better outcomes *Singer S et al. Health Serv Res 2009;44:399 Targeted interventions (team training, leader rounding, CUSP) can improve patient safety climate Emerging evidence suggests that improvements in safety climate may correlate with better patient outcomes * Morello RT et al. BMJ Qual Saf 2013;1:11.

12. 2014 Summit Co-Convener:Founder: Culture of Safety Panel Laura Batz Townsend Co-Founder and President, Louise H. Batz Patient Safety Foundation Marty B. Scott, MD, MBA Vice President, Brenner Children's Hospital. Chief Patient Safety Officer, Wake Forest Baptist Health Medical Center Coleen A. Smith, RN, BSN, MBA, CPHQ High Reliability Initiatives Director, The Joint Commission Center for Transforming Healthcare Stephen Muething, MD Vice President, Cincinnati Children's Hospital Medical Center Jack E. Garon, MD Chief Medical Officer, Sinai Health System Richard C. Boothman Executive Director of Clinical Safety, University of Michigan Health System David Mayer, MD Vice President, Quality and Safety, MedStar Health

13. 2014 Summit Co-Convener:Founder: Patient Safety Science & Technology Summit 2014