Safety Culture in Healthcare Organizations

Preventing Accidents and Building a Culture of Safety: Insights from a Simulation Model

John Lyneis, Stuart Madnick - Sloan School of Management, Massachusetts Institute of Technology (PDF file)

Leadership and Organisational Safety Culture

(PDF file)

Behaviors that undermine a culture of safety

The Joint Commission

Organizational Climate of Staff Working Conditions and SafetyóAn Integrative Model

Patricia W. Stone et al. (Word document)

Patient Safety Culture Measurement and Improvement: A - How To - Guide

Mark Fleming (PDF file)

Safety Performance Solutions

"Creating a Total Safety Culture requires a common vision and effort from everyone in an organization. There is compelling scientific research demonstrating that the management philosophy of an organization is the most important factor determining its safety performance. For example, research demonstrates that companies with the lowest lost-time injury rates have the highest level of management commitment and employee involvement."

Patient Safety ñ Worker Safety: Building a Culture of Safety to Improve Healthcare Worker and Patient Well-Being

Annalee Yassi and Tina Hancock (PDF file)

Develop a Culture of Safety

Institute for Healthcare Improvement

Creating a SAFETY CULTURE through Felt Leadership by Melodie A. Schweitzer, Ph.D. — DuPont Safety Resources

"If you look closely at companies with effective safety programs that reduce the high financial and human costs of injuries and fatalities, you will see many common factors. For example, accountability is practiced at all levels of the organization. Leading indicators are examined and measured. Communication is constantly being improved. But when you see a company with a truly sustainable safety culture, another factor comes into playóone shared by every company that has ever made the list of the worldís safest companies. That factor is felt leadership. Felt Leadership Defined What exactly is felt leadership? For DuPont, felt leadership is respect through action for the well-being of people. Felt leadership is a public proclamation of an organizationís commitment to caring about people. It is a building block in constructing trust and real-world relationships among employees, customers, shareholders and communities. When felt leadership is demonstrated within an organization in the area of safety, a cultural transformation can and will occur. More importantly, that transformation is sustainable because it becomes part of the fabric of the company and the environment in which employees operate."

Hospital-Level Relationship between Safety Culture and Service Quality

Patient Safety and Quality Healthcare

A Leadership Framework for Culture Change in Health Care

Joint Commission Journal on Quality and Patient Safety, 32 (8), 433-442.

Stanford-VA Palo Alto Survey Examines Health Care Workers’ Attitudes Toward Safety

Patient Safety Culture Surveys

Patient Safety Culture in Hospitals (Stanford University 2003) National Library of Medicine


The Johns Hopkins Hospital: Identifying and Addressing Risks and Safety Issues

The Johns Hopkins Gazette: July 17, 2000

Safety-Climate Scale Measures Working Conditions in Hospitals (html)

Evaluation of the Culture of Safety: Survey of Clinicians and Managers in an Academic Medical Center

Qual Saf Health Care 2003;12:405-410 (html)

Safety Culture in Healthcare


Safety Culture: A Review

University of Illinois at Urbana-Champaign (PDF file)

Report of the Healthy Workplace Initiative - In Healthcare Workplaces in Newfoundland and Labrador - Creating a Culture of Safety (2007)

(PDF file)

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