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Creating A Culture Of Safety
Indraprastha Apollo Hospitals
India
Individual and group values
Attitudes
Perceptions
Competencies
Patterns of behaviour
CultureofSafety
Positive safety culture
Communication
Mutual trust
Shared perceptions
Survey…
Initiatives…
Impact…
Gettingstarted
Assessing Culture of Safety
0 5 10 15 20 25 30 35 40 45
Staff in this unit work longer hours
Staff worry that mistakes are recorded in personnel files
Reporting incidents feels like taking on the blame
We work in "crisis mode" trying to do too much, too
quickly
Staff feel like their mistakes are held against them
20
25
34
38
41
Nov ' 13
800 employees covered
Areasofconcern Adapted from AHRQ*
*AHRQ - Agency for Healthcare Research and Quality
Survey…
Initiatives…
Impact…
Acknowledging reporting of incidents
Non-punitiveculture
Encouraging open communication
Multidisciplinaryhuddles
Understanding grass root problems
Leadershiprounds
Beating stress at work
Yogasessions
Open door policy
Employeeconnect
Employees are encouraged to speak up
Employeeconnect
Valuing front line staff
Empoweringstaff
Monitoring local quality and safety data
Empoweringstaff
Encouraging staff feedback
Suggestionboxes
Survey…
Initiatives…
Impact…
Positive impact on staff behaviour and actions
0 5 10 15 20 25 30 35 40 45
Staff in this unit work longer hours
Staff worry that mistakes are recorded in personnel files
Reporting incidents feels like taking on the blame
We work in "crisis mode" trying to do too much, too
quickly
Staff feel like their mistakes are held against them
20
25
34
38
41
3
12
10
10
14
Mar ' 15 Nov ' 13
Beforeandaftersurvey
4.68
4.7
4.72
4.74
4.76
4.78
4.8
4.82
4.84
4.86
Nov'13 Mar'15
4.75
4.86
Increased patient satisfaction scores
4.3
4.4
4.5
4.6
4.7
4.8
4.9
Nov'13 Mar'15
4.83
4.48
Decreased Average Length of Stay (ALOS)
1.55
1.6
1.65
1.7
1.75
1.8
1.85
1.9
1.95
2
Nov'13 Mar'15
2
1.7
Decrease in medication errors
Culture of Safety is not a slogan
It is a way of life

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Improving Patient Safety - Indraprastha Apollo Hospitals