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culture, and comprise teamwork; staffing and work pace, organizational learning; response to error, supervisor, manager or clinical leader support for patient safety; communication about error; communication openness; reporting patient safety events, hospital management support for patient safety; and handoffs and information exchange. The second is single-item measures, including number of events reported; patient safety rating; and background questions.
The AHRQ Hospital Survey on Patient Safety Culture Version 2.0: User’ s Guide walks users through a series of steps before, during and after the launch of a safety culture survey and provides a number
This resource and the survey materials are available here
of forms that institutions can use when planning and executing their survey.
Going forward, it’ s a matter of understanding that absent longitudinal controlled
trials,“ it may not be possible to separate the effect of safety culture from that of implementing effective intervention strategies on HAIs,” Braun, et al.( 2021) note. However, they add,“ There remains value in evaluating safety culture in order to understand staff perceptions, identify opportunities for improvement, and implement interventions that ultimately benefit staff and patients.”
References:
Braun B, Chitavi SO, Suzuki H, Soyemi CA and Puig-Asensio M. Culture of Safety: Impact on Improvement in Infection Prevention Process and Outcomes. Curr Infect Dis Rep. 2020 Dec 2; 22( 12): 34. doi: 10.1007 / s11908-020-00741-y. PMCID: PMC7710367 PMID: 33288982
Byron J. Culture of Safety is Based on Prevention, not Punishment. American Institute of Healthcare Compliance( AIHC). Dec. 20, 2024. Accessible at: Culture of Safety is based on Prevention, not Punishment- American Institute of Healthcare Compliance
De Bono S, Heling G, Borg MA. Organizational culture and its implications for infection prevention and control in healthcare institutions. J Hosp Infect. 2014; 86( 1): 1 – 6. doi: 10.1016 / j. jhin. 2013.10.007
ECRI. Enhancing Patient Safety Through Systems Thinking in Healthcare. Jan 28, 2025.
Joint Commission. The essential role of leadership in developing a safety culture [ internet ]. Sentinel Alert Event. [ cited: 1 Mar 2017 ]; 57. Available from: https:// www. jointcommission. org /- / media / tjc / documents / resources / patientsafety-topics / sentinel-event / sea _ 57 _ safety _ culture _ leadership _ 0317pdf. pdf
Leape LL. Making Healthcare Safe: The Story of the Patient Safety Movement. Springer International Publishing.
Meddings J, Reichert H, Greene MT, Safdar N, Krein SL, Olmsted RN, et al. Evaluation of the association between hospital survey on patient safety culture( HSOPS) measures and catheter-associated infections: results of two national collaboratives. [ internet ] BMJ Qual Saf. 2017; 26:226 – 235. doi: 10.1136 / bmjqs-2015-005012
Schiff G. and Shojania KG. Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. BMJ Qual Saf. 2021 Oct 8; 31( 2): 148 – 152. doi: 10.1136 / bmjqs-2021-014163
Sorra J, Yount N, Famolaro T, et al. AHRQ Hospital Survey on Patient Safety Culture Version 2.0: User’ s Guide. Agency for Healthcare Research and Quality; June 2021. AHRQ Publication No. 19( 21)-0076. https:// www. ahrq. gov / sops / surveys / hospital / index. html

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Elevating Sterile Processing Businesses Through Tailored Consulting Excellence
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