1. AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Data Collection Training, Part II Nursing Home Survey on Patient Safety Culture Onboarding #3 for All Long-Term Care Staff

2. Learning Objectives Upon completion of this session, long-term care staff will be able to : demonstrate a working knowledge of the information collected in the AHRQ Nursing Home Survey on Patient Safety Culture; understand the importance of your role in completing the safety culture survey; and understand how the safety culture survey results connects to overall safety and quality of care for residents and staff. 2

3. What is Resident Safety Culture? “The way we do things around here” Exists at multiple levels: System Organization Department Unit Beliefs, values, and norms Shared by staff What is: Rewarded Supported Expected 3

4. Nursing Home Survey on Patient Safety Culture Created by the Agency for Healthcare Research and Quality (AHRQ) Assesses staff perception of resident safety culture in nursing homes Tracks changes in safety culture over time Evaluates the impact of resident safety interventions All nursing home measures were positively related with – Overall Five-Star Rating – Health Inspections Rating For this project – Baseline and follow-up 4

5. Nursing Home Survey on Patient Safety Culture Overall perceptions of resident safety Feedback and communication about incidents Supervisor/manager expectations and actions promoting patient safety Organizational learning Management support for resident safety Training and skillsCompliance with proceduresTeamworkHandoffsCommunication openness Non-punitive response to mistakes Staffing Individual Items 1.Resident safety “grade” (Excellent to Poor) 2.Overall recommendation of their facility to others 5

6. Staff, resident, and family perceptions can impact the quality of care provided Resident safety is everyone’s job Your opinion is important You are part of the solution You can be a change agent for safety culture Identify opportunities for improvement and work as a team Commitment to continuous improvement for resident and staff safety Why Does Your Opinion Matter? 6

7. Understanding Your Results Identify strengths and positive change Determine a cutoff for what is considered a strength Identify areas for improvement Determine a cutoff for what is considered an area for improvement Select two or three areas for improvement to avoid focusing on too many issues at once Discuss survey results to arrive at deeper understanding of underlying issues 7

8. How Can You Support Safety Culture Survey Success? 8

9. Stay Updated with Useful Resources 1.AHRQ Safety Program for Long-Term Care: HAIs/CAUTI websiteAHRQ Safety Program for Long-Term Care: HAIs/CAUTI website Login information Username: ltcsafety Password: ltcsafety 2.TeamSTEPPS® for Long-Term CareTeamSTEPPS® for Long-Term Care 3.Long-Term Care Safety Toolkit—Coming Soon! 4.Nursing Home Survey on Patient Safety CultureNursing Home Survey on Patient Safety Culture 5.AHRQ's Nursing Home Survey on Patient Safety Culture Comparative DatabaseAHRQ's Nursing Home Survey on Patient Safety Culture Comparative Database