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Patient Safety Science & Technology Summit 2014

Patient Safety Science & Technology Summit 2014. Joshua S. Adler, MD. Chief Medical Officer, UCSF Medical Center and UCSF Benioff Children's Hospital. Why Focus on Culture?.

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Patient Safety Science & Technology Summit 2014

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  1. Patient Safety Science & Technology Summit2014

  2. Joshua S. Adler, MD • Chief Medical Officer, UCSF Medical Center and UCSF Benioff Children's Hospital

  3. Why Focus on Culture? Improvements in Patient Safety have been slow and incomplete despite a substantial national effort for over a decade*Chassin MR Health Affairs. 2013;10:1761

  4. Most improvement to date have primarily focused on tools and and processes

  5. Why Focus on Culture? • Improvement has been inconsistent, variably sustained, sometimes mis-directed, and susceptible to work-arounds • Insufficient effort on understanding why errors continue despite using “best practices”

  6. Organizational Culture

  7. Organizational Culture “The way we do things around here”

  8. Patient Safety Culture

  9. Patient Safety Culture • One aspect of an organization's culture • The shared values, beliefs, norms, and procedures related to patient safety • Provides cues about the relative priority of patient safety with other goals (e.g. efficiency) • Informs perceptions about what is praised and what is punished *Weaver et. Al. Ann Intern Med 2013;158:369

  10. The Relationship Between Culture and Outcomes • Better performance in safety climate surveys correlates with better outcomes*Singer S et al. Health Serv Res 2009;44:399 • Targeted interventions (team training, leader rounding, CUSP) can improve patient safety climate • Emerging evidence suggests that improvements in safety climate may correlate with better patient outcomes* Morello RT et al. BMJ Qual Saf 2013;1:11.

  11. Laura Batz Townsend Marty B. Scott, MD, MBA Coleen A. Smith, RN, BSN, MBA, CPHQ Stephen Muething, MD Jack E. Garon, MD Richard C. Boothman David Mayer, MD Co-Founder and President, Louise H. Batz Patient Safety Foundation Vice President, Brenner Children's Hospital. Chief Patient Safety Officer, Wake Forest Baptist Health Medical Center High Reliability Initiatives Director, The Joint Commission Center for Transforming Healthcare Vice President, Cincinnati Children's Hospital Medical Center Chief Medical Officer, Sinai Health System Executive Director of Clinical Safety, University of Michigan Health System Vice President, Quality and Safety, MedStar Health Culture of Safety Panel

  12. Patient Safety Science & Technology Summit2014

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