# data[].attributes.body
I like the concept that cultural transmission occurs, that can then cause the individual to carry on the same safety 'repertoire' in other settings. This is a great description of how humans naturally learn behaviours to either 'fit in ' or survive in a given situation.

Given this, it is important to have really clear processes in place that outline what is expected, how to manage problems and dangers, how to managed actual harm., how to record and report information. If this is not all in place people naturally default to their own internal ideas, which can cause a minefield of misunderstandings and uncertainty - which is the nemesis of a culture of safety.

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Characteristics of strong safety culture.

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Characteristics of strong safety culture.

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- Engaged and effective leadership that approaches incidents in a way that supports staff rather than scapegoating them when incidents occur.

- Culture that values safe practice and normalises and supports the reporting of incidents. Where it is 'safe' for clinicians to come forward and talk and report incidents.

- Where open disclosure is an expected outcome of these incident reports.

-Where reflective practice is valued allowing staff to be able to learn from their mistakes.

# data[].attributes.body
I think there are many characteristics that make up a strong safety culture within healthcare.

Within a healthcare organisation I believe that a strong safety culture is developed through good management and effective leadership. Through open communication that is open, honest and transparent as well as timely and purposeful.

Team work, education, professionalism, encouragement, support.

Audits measuring performance and evaluating the results, assessing where there is room for improvement, goal setting and sharing the same vision and commitment to providing the highest standard of care to our community.

# data[].attributes.headline
Characteristics of a strong safety culture

# data[].attributes.subject
Characteristics of a strong safety culture

# data[].attributes.body
A culture that nurtures its staff, that does not foster hierarchical cultures, that encourages learning and development of its staff, that is open to new ideas that come with different levels of experience and exposure and is adaptable and responsive to changing situations and environments.

# data[].attributes.body
Feeling safe to speak up and raise issues and concerns. Leaders and managers encouraging staff to do so.

# data[].attributes.body
Requires a commitment from everyone involved in the organisation. This means good systems with transparency of data and strong communication. Team members must be empowered and accountable and together will need to learn from mistakes to improve for the future.

# data[].attributes.body
leadership by example. Being actively involved in the issues of the people where everyone is respected and feels like their issues are heard.
teamwork: - support from mgt is key.
promoting values of trust, respect, honesty and accountability.
professional development: creating time and space for staff to up skill and create opportunities
for growth by allowing/encouraging staff to explore other areas of interests.

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Is the responsibly of all those working in an organisation. Strong leadership that avoids a culture of blame, that seeks to work in a team and is focused on learning from experiences and is self reflective will facilitate a safe working culture.

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I believe the management has a huge role to play in maintaining a strong safety culture. If the management of the organisation is determined to be positive, open and flexible, it'll positively affect the  culture of the workplace.

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I believe the management has a huge role to play in maintaining a strong safety culture. If the management of the organisation is determined to be positive, open and flexible, it'll positively affect the  culture of the workplace.

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Teamwork: supporting each other
Effective communication: for continuity of care, clear information in management of safe nursing care
Flexibility: safe staffing, prioritise care
Honesty in reporting and taking ownership of decision made
Ongoing training and education for safe and quality service delivery. Been updated on changes implemented.
Early recognition of deteriorating patients
Effectively IIMS to report any form of injury, near mis, bullying weather it involves patients, or families or any health professional that compromises anyones safety.
Working in  partnership with patients, families and muti displinary team to achieve quality and safety standards.

# data[].attributes.body
components of a shared safety culture in healthcare include:
open communication
transformational leadership and effective  change management systems
shared vision and goals
ongoing quality improvement for patients and staff
accountability and openness
support for all levels of staff

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Like most of my peers mentioned in their views:

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Like most of my peers mentioned in their views:

# data[].attributes.body
Communication is the key
Team work
Identify the challenges and work through it that are not written.
Change of the structure as required.
Support, training and education to the staffs.
Adequate resource allocation as required.

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From my experience, organisations are very big on espousing the features of teamwork, leadership, flexibility, reporting etc. but fail to commit appropriate resources for those closest to the hands on provision of safe health care.  Willingness to commit resources brings safety into reality and is not just lip service.

# data[].attributes.subject
From my experience, organisations are very big on espousing the features of teamwork, leadership, flexibility, reporting etc. but fail to commit appropriate resources for those closest to the hands on provision of safe health care.  Willingness to commit resources brings safety into reality and is not just lip service.

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A management team who is interested in and aware of the daily on-goings of clinical staff. Who are involved enough with clinical settings to implement systems that are fair, useful and doable.

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A commitment from managers to promote positive patient safety cultures and strong leadership values that drive and prioritise safety is important to influence the perceptions, attitudes and behaviours of the workforce. Positive patient safety culture includes aspects such as: constructive communication, mutual trust, acknowledgement at all levels that mistakes occur and an ability to recognise, respond to, give feedback about, and learn from, adverse events.

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Leadership focused on safety rather than productivity.
Commitment to ongoing learning.
Encouraging reporting and utilisation of data.
Appropriate skill mix and delegation.
No blame culture.
Multidisciplinary teamwrk and communication.
Open disclosure.
Resource commitment.

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Organisational Culture and safety in healthcare

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Organisational Culture and safety in healthcare

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Improving individuals capabilities - by management empowering the progression of staff to build a better work environment, helping organisations strive to be there best.

Effective leadership - where those who are committed to safe practice educate and share their wealth of knowledge to others. People that work without judgement and are approachable. No blame policies

Effective teamwork - Being able to approach the multidisciplinary team ad feel valued. Taking feedback from work colleges, families ad patient. Being flexible in situations to encourage better patient outcomes.

Openness and honesty - disclosing incidents to appropriate persons + patient and families. Completing proper documentation and completion of incident reports

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open disclosure and proper communication between patients and health care professionals. Safe working environment for  staff

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open disclosure and proper communication between patients and health care professionals. Safe working environment for  staff

# data[].attributes.body
updating policies and procedures
Giving opportunity for staffs for professional development.
Implementation of changes by actively including all staff members.

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- having shared understanding of the importance of patient and staff safety
- being able to positively recognise, be aware, acknowledge respond, report, discuss, learn and improve from adverse events
- have constructive professional communication and trust between team members
- having respect for each other

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..is represented by an organisation which partners with consumers, actively engages them in their care and it espouses strong values, is open and honest, values contributions by staff and actively encourages teamwork, safety, best practice and self assessment while maintaining a just culture.

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Characteristics of a strong safety culture 

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Characteristics of a strong safety culture 

# data[].attributes.body
Effective leadership
commitment to continuous learning
use of data- self reporting
flexibility
just and fair response to adverse events
openness and honesty
willingness to commit resources (Staffing, incentives)
Absence of complacency
effective communication

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Reis, Paiva and sousa (2018) mentioned that ‘Teamwork within units’ and ‘Organizational learning–continuous improvement’ are part of strong safety cultures.
Also includes, effective communication and flexibility promotes a safer working environment.

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characteristics of strong safety culture

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characteristics of strong safety culture

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active and willing collaboration within the immediate multidisciplinary team, higher institutional management, and external clinical governance bodies, and with healthcare consumers.
Valuing Openness with communication with an emphasis on open disclosure within a safe and resoloution based space.
Respecting active listening, receiving and giving feedback.
respecting others roles, contributions, backgrounds and perspectives.
Empowering colleagues to grow, develop, and succeed.
Proving patients and families with education and tools to gain autonomy over their own health.

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Leadership!
Commitment to continuous learning and development (as an individual and as a unit)
Teamwork
Honesty and open communication (as well as open disclosure)
Reflection and debrief
Flexibility and adaptability
Use of data to be directed towards quality improvement

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Everyone feels  responsibil  for  safety
Safety culture is " call of duty"
strong communication
having trainings
and lead by example

# data[].attributes.body
strong leadership- feeling supported by management and feeling comfortable to approach management with concerns without fear of "blame" after adverse events.

effective teamwork- again feeling supported and heard within your team.

openness and honesty- full disclosure to patients in the instance of an adverse event. Also openness in your clinical practice i.e. being able to disclose when mistakes (whether they be adverse events or near misses) occur.

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Key features of an organisation with a "good' safety culture

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Key features of an organisation with a "good' safety culture

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Effective leadership, commitment to continuous learning, use of data, flexibility, just and fair response to adverse events, effective teamwork, openness and honesty and willingness to commit to resources.

# data[].attributes.body
A culture that promotes continuing education which will increase self confidence in staff members. Not only self study but daily, weekly, monthly staff in-services to increase moral and confidence.
Strong leadership who is present and approachable to staff in the clinical/bedside role.

Anti bullying tactics in place and safe reporting for staff.

# data[].attributes.headline
Characteristics of a strong safety culture

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Characteristics of a strong safety culture

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Effective leadership who values quality of care and safety over productivity and has genuine concern for patient and staffs' condition.
Flexibility where there is a good skill mixing of staffs.
Willingness to commit resources- understands the needs of the staff in delivering safe practice and not punitive by withdrawing support to staff (eg. clerical support) just cost cutting to impress higher management.
Committment to continuous learning- acknowledging and promoting education and upskilling of staff through training .
Just and fair response to adverse events_ no blame culture and non punitive response when a staff makes mistakes.
Openness and honesty
Use of data
Effective teamwork _ bringing together all staff to become one cohesive and strong team who has mutual respect of the multidiversity of culture of each staff.

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Effective leadership- openness and honesty. Expectations are clear and goals are set and worked on collaboratively

Encouraging team members to speak up with constructive feedback. Proposed resolutions are also strongly encouraged. reflection is encouraged.

Promotion of team work and a 'no blame' attitude to promote development and open communication.

Open discussion of incidents in team environments to promote reflection and communication of staff.

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Reflective practice: especially when it comes to incident reports, audit results - making sure to identify strengths and weaknesses in practices.

Pride and belonging: making sure the institution you work for values align with your own & has a good culture - strong teamwork and leadership.

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Begins with Effective strong leadership, open communication, no blame, effective team work, positive reinforcement, listening to one an other without response, safe work load to improve moral, strong skill mix to improve negative attitudes and feelings. Safe work environment.

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Ease of access to information and education  surrounding most evidence-based practice guidelines, and having a designated person (e.g. manager or clinical nurse educator) who is appointed to follow through with ensuring all staff have accessed this information and understand it.

Effective leadership who: are committed to safe practice; are concerned for the impact of hazards on staff and patients; who value safety over productivity; who make their values known to their staff; and LEAD BY EXAMPLE.

Commitment to continuous learning: feedback & reflection; encourage questioning among staff; and celebrate success.

Use of data: willingness to collect and use data re. near misses and adverse events; encourage self-reporting as the norm and not used as a blame mechanism.

Flexibility: delegate to frontline staff (e.g. get them to complete audits); and appropriate use of skills.

Just and fair response to adverse events: non-blame culture; recognition of inter-dependency of systems and individuals in causation of adverse events; non-putinitive response to errors; and appropriate attribution when mistakes occur.

Effective teamwork: good communication within and between teams (i.e. nursing, allied health, medical and managerial); value MDT; and mutual respect.

Openness and honesty: disclosure of adverse events within or between teams and with patients and their families.

Willingness to commit to resources: sufficient staff, time and financial resources allocated to improving and maintaining safety; effective use of appropriate incentives to improve safety culture.

(p. 25)

Cristine Gomes

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Effective leadership

commitment to continuous learning

Use of data

Flexibility

Just and fair response to adverse events

Effective teamwork

Openness and honesty

Willingness to commit resources

Improving individual capabilities

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Supporting all staff to be accountable for their actions, and being honest.

A no-blame workplace culture supports openness, honesty and support for each other, and promotes patient safety and fosters learning and education opportunities.

Sharing incidents, including near-misses promotes a culture of incident prevention and keeps safety at the forefront of the clinicians mind such as sharing recent incidents with our colleagues at handover etc.
-Alyssa Fraser

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Characteristics of a strong safety culture

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Characteristics of a strong safety culture

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Communication is most effective in deliver safety culture in health care settings as  it comprises a combination of top-down and bottom-up interaction. Commitment and cooperation are also key points for safety culture.Cooperation means working together to develop a strong safety program. Coaching is another good way for safety culture - peer to peer, supervisor to employee, even employee to management— is an important way to keep everyone on track. In addition, Formal training empower employees to feel prepared to safely do their jobs. Chunhua Zhu

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Characteristics of a Strong Safety Culture

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Characteristics of a Strong Safety Culture

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I agree that effective leadership and a commitment of resources along with open communication, use of data and a commitment to continuous learning are the key characteristics.
Shahn.

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Safety requires all members to know the expectations and have the ability to fulfill those tasks.

Safety requires management support to ensure procedure is followed and it requires team players working towards common goals.
That means structure: rules = rewards.
They may be intrinsic--self-satisfaction or extrinsic--monetary or public praise.

Discipline should be fair and corrective to prevent further erring. Blame should be avoided, but rather open disclosure to prevent future incidences.

Leadership that combines these factors will have a strong committed workforce that thrives on calculated risk, innovation, wellness promotion for patients and self, and stringent checks to ensure no one person uses selfish motivations, or careless activities to place patients, team members or the organisation in harms way.
Vivienne Speirs

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strong leadership -lead by example, encourage collaboration, fair and approachable.

Continued professional development- as an individual, as a ward and as an organisation

Incident/near miss reporting/audits and communicating results across the organisation.

Open disclosure  -to all staff and patients

Sufficient funding- staffing levels, skill mix, education and training.

Teamwork/collaboration- as a unit, as an organisation, with patients, across professions and across specialty areas

Reflective/debriefing practice- as individuals, as a team, as an organisation.

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Effective communication skills
Good PR
Open disclosure
Flexibility
Learning from mistakes
Mutual respect and appreciation
Support and guidance

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The characteristic of strong safety culture from Russel (2005) p.25 

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The characteristic of strong safety culture from Russel (2005) p.25 

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Effective leadership;

Commitment of continuous learning;

Use of data;

Flexibility;

Just and fair response to AEs;

Effective team work;

Openness and honesty;

Willingness to commit resources;