3. Safety Attitudes Questionnaire
• In the OR it is difficult to discuss errors
• I am encouraged by my colleagues to report
any patient safety concerns
• In the OR’s here, it is difficult to speak up if I
perceive a problem with patient care
• I am more likely to make errors in tense or
hostile situations
• I feel burned out from my work
5. Gallup Survey
• I have a best friend at work
• At work, my opinions seem to count
• I know what is expected of me at work
• Safety is a high priority in my area
• I feel I am respected in my workplace
6. Shift Towards a Culture of Safety
Phase I Phase II Phase III
Assessment Planning, Training &
Implementation
Sustainment
SITE
ASSESSMENT
CULTURE
SURVEY
DATA/
MEASURES
Pre-Training Assessment
Climate Improvement
Ready?
NO
ACTION
PLAN
YES
T
R
A
I
N
I
N
G
Culture Change
COACH &
INTEGRATE
MONITOR
THE PLAN
CONTINUOUS
IMPROVEMENT
Intervention
Test
Set the Stage Decide What to Do Make it Happen Make it Stick
7. Considerations
• Readiness of different units
• Do we have the ability to
debrief everywhere that we
survey?
• How much improvement can we
support?
• Are we ready to let the units
lead?
I come with a passion for teamwork and team culture. I have worked in the hotel industry at a number of 4 and 5 diamond hotels, and was responsible for over 1000 room nights, per night over the 2010 Olympic Games. If the culture was toxic, and there were situations where it was, we could not be successful as a team.I moved over to healthcare because not only have I seen family and friends in the hospital, I have been a patient as well. I have had some not so great experiences, but I have also had some wonderful experiences. I wanted to take my skills from over 15 years of ensuring the guests have the most memorable experience; to healthcare. So here I amThis session is mostly a discussion, so please feel free to questions and add your input.
We have a few ways to observe how culture is working within a team. We have done the Safety Attitudes Questionnaire with 14 hospitals across BC. Here are a few sample questions that we can use with your team, should you decide to do a survey.
This is a summary of the percentage of OR staff reporting high levels of communication with other OR staff. There is quite the gap in perception. How do you think this relates to your team?After seeing their siteresults, the Surgerydept head at St. Pauls wrote a letter to the anesthesia and nursing teams basically outlining that this isn’t acceptable, and we need to improve this, and we will improve it. What do you think of this?
Source Unknown
Key is the debrief!!Now, what is the best way that we can spend the next xxx minutes to help you out?Note to self – follow up with key action items
