Culture – we talk about it constantly. And Patient Safety Culture – we all know what that is – right? And how to create it? This episode delves into the patient safety culture world to look for answers to common – but tricky – questions about the whys and hows of a patient safety culture.
1. QUALITY QUANDARY
What is patient safety culture and why is it useful to know?
Braithwaite, J., Glasziou, P. & Westbrook, J. The three numbers you need to know about healthcare: the 60-30-10 Challenge. BMC Med 18, 102 (2020). https://doi.org/10.1186/s12916-020-01563-4
ACSQHC Work on Patient Safety Culture:
Lorenzini, E, Oelke, ND, Marck, PB & Dall’Agnol, MD 2017 ‘Researching safety culture: deliberative dialogue with a restorative lens’, International Journal for Quality in Health Care, pp. 1-5.
Agency for Healthcare Research and Quality. ‘Patient Safety Primer: Safety Culture’, https://psnet.ahrq.gov/primers/primer/5/safety-culture
Singer, S, Lin, S, Falwell, A, Gaba, D & Baker, L 2009, ‘Relationship of safety climate and safety performance in hospitals’, Health Services Research, vol 44, pp. 399-421
2. TLDR (time 14:55)
A long – but useful – resource on Patient Safety Culture: stats, literature and tools.
Culture as a cure: Assessments of patient safety culture in OECD countries. OECD Health Working Papers No. 119. de Bienassis K, Kristensen S, Burtscher M, Brownwood I, Klazinga NS. Paris: OECD Publishing; 2020. p. 103. https://doi.org/10.1787/6ee1aeae-en
Safety Culture Assessment in Health Care: A review of the literature on safety culture assessment. Australian Institute of Health Innovation, Macquarie University for the Australian Commission on Safety and Quality in Health Care. https://www.safetyandquality.gov.au/our-work/indicators-measurement-and-reporting/patient-safety-culture
Australian Commission on Safety & Quality in Healthcare – patient safety culture page.
2. THE POINT (time 25:50)
What can a culture of empathy contribute to consumer outcomes – and safety?
Dambha-Miller, H et al. Association between primary care practitioner empathy, and risk of cardiovascular events and all-cause mortality amongst patients with type 2 diabetes: a population based prospective cohort study. Annals of Family Medicine; 8 July 2019
And…Jones’s cupboard clean-out reveals a pile of patient story tools! Find them here:
4. DRDR (time 34:34)
This Did Read Do Read reminds us that culture is a powerful weapon in the battle with adverse events.
Phipps, A et al. Reducing Serious Safety Events and Priority Hospital-Acquired Conditions in a Pediatric Hospital with the Implementation of a Patient Safety Program. The Joint Commission Journal on Quality and Patient Safety 2018; 44:334–340
5. QUALITY HACK (time 44:44)
Do not try this at home. (Or work!)
6. OTHER BITS:
Balding has a new article on her research into effective quality systems. It’s the ”John Farnham’ last one!
Balding C and Leggat SG. (2020) Making high quality care an organisational strategy: Results of a longitudinal mixed methods study in Australian hospitals. Health Services Management Research, July 2020. https://doi.org/10.1177/0951484820943601
And…a new course coming soon: Strategic Clinical Governance for Boards and Executives. A 90 minute video presentation including reflective exercises that can be done individually on line or in groups on line or face to face. Watch the website and QNews for details! www.cathybalding.com
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