Patient Safety Culture Composite |
Definition: The extent to which... |
1. Communication openness |
Staff freely speak up if they see something that may negatively affect a patient, and feel free to question those with more authority |
2. Feedback & communication about error |
Staff are informed about errors that happen, given feedback about changes implemented, and discuss ways to prevent errors |
3. Frequency of events reported |
Mistakes of the following types are reported:
- mistakes caught and corrected before affecting the patient
- mistakes with no potential to harm the patient
- mistakes that could harm the patient, but do not
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4. Handoffs & transitions |
Important patient care information is transferred across hospital units and during shift changes |
5. Management support for patient safety |
Hospital management provides a work climate that promotes patient safety and shows that patient safety is a top priority |
6. Nonpunitive response to error |
Staff feel that their mistakes and event reports are not held against them, and that mistakes are not kept in their personnel file |
7. Organizational learning–Continuous improvement |
There is a learning culture in which mistakes lead to positive changes and changes are evaluated for effectiveness |
8. Overall perceptions of patient safety |
Procedures and systems are good at preventing errors and there is a lack of patient safety problems |
9. Staffing |
There are enough staff to handle the workload and work hours are appropriate to provide the best care for patients |
10. Supervisor/manager expectations & actions promoting safety |
Supervisors/managers consider staff suggestions for improving patient safety, praise staff for following patient safety procedures, and do not overlook patient safety problems |
11. Teamwork across units |
Hospital units cooperate and coordinate with one another to provide the best care for patients |
12. Teamwork within units |
Staff support one another, treat each other with respect, and work together as a team |