Creating a Safety Culture (The CGH Journey So Far) 2 Safety - - PowerPoint PPT Presentation

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Creating a Safety Culture (The CGH Journey So Far) 2 Safety - - PowerPoint PPT Presentation

Mar 20, 2023 161 likes •506 views

<Insert cover image here, follow by right click send to back> Creating a Safety Culture (The CGH Journey So Far) 2 Safety Culture The sum of what an organization is and does in the pursuit of safety The product of individual and

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<Insert cover image here, follow by right click send to back>

Creating a Safety Culture

(The CGH Journey So Far)

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Safety Culture

  • The sum of what an organization is and does in

the pursuit of safety

  • The product of individual and group beliefs,

values, attitudes, perceptions, competencies, and patterns of behavior

  • Characterized by

– communications founded on mutual trust – shared perceptions of the importance of safety – confidence in the efficacy of preventive measures

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Joy and meaning at work

  • Individuals within the organization treat each
  • ther and their patients with dignity and

respect.

  • Staff are productive, engaged, learning, and

collaborative

  • Workforce feels valued, safe from harm, and

part of the solution for improvement

What It Looks Like

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CGH’s Approach to Safety Culture

CGH’s OPERATIONAL CONTEXT

SYSTEM

How the

  • rganisation
  • perates with

regards to safety

VALUES

How staff think and feel about safety

BEHAVIOUR

How staff make choices with respect to safety

Adapted from Reciprocal Safety Culture Model (Cooper, 2000)

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Knowing Our Why

Start with Why

Simon Sinek

CULTURE = VALUES x BEHAVIOURS Actions driven by the right motivations Mission Vision

Strategy

Tactics

Core Values

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Leveraging on Resonant Beliefs

“Best with passion and empathy” “A Caring & Trusted Hospital”

THE CGH IDENTITY

“Teamwork, Ownership, Professionalism”

AMPLIFY THE WHY, LET THE WHY DRIVE THE HOW

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To deliver the “BEST” patient care…

– A choice and commitment – Learn, Unlearn, Relearn

…..with passion and empathy

Our Mission

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  • Duty recognises that we are part of a

bigger picture, but we’re not the “whole picture.”

  • Passion excites and energises

BUT

  • Duty without passion can be

depleting

  • Passion without duty can be self-

serving,

Duty with Passion

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Empathy – more than a feeling

Know Yourself, Understand Others

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  • Reflect
  • Regroup
  • Refocus
  • Recharge
  • Why I started

this journey

  • Why I need to

continue

Time Out

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Are we asking the right questions?

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Make Theory Explicit Every intervention presupposes a certain type of problem

What are we testing ?

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  • Iatrogenic non- compliance
  • What matters to our patients and their caregivers

– Encourage patients to share their concerns and be transparent – Build trust

  • Develop solutions with patients

– Collaborative negotiation : work together to gain genuine agreement on matters of importance and find mutually agreeable solution(s)

Who have we forgotten?

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Theory Reality

Are our expectations realistic?

Ogrinc G, et al Building Knowledge Asking Questions BMJ Qual Saf 2014;23:265-267

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Accountable for the quality of choices we make…..

  • produce an outcome, follow a procedural role, avoid

unjustifiable risk

  • act with respect to others in ways that embody
  • rganisational values

regardless of the outcome

  • outcomes are the result of a combination of individual

choices, system design and ……

Just Culture

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  • Organization has a duty and responsibility to

employees (and ultimately to patients)

– Design safe and reliable systems – Create safety awareness in their staff and giving them the training and support to do so – Treat individuals fairly and justly ‘when things go wrong’

Just Culture

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Learning Culture

We are honest and open about understanding our individual and system shortcomings. We speak up, report errors/defects and offer solutions We strive to improve our choices and our systems, to produce safer and more reliable outcomes We design systems that do not allow our inadvertent errors to translate to harm

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CHOICES IN A JUST & LEARNING CULTURE

SAFE CHOICES

Responsible behaviour that minimises possibility of harm (physical, emotional, reputational, financial, etc.)

SLIPS, LAPSES & MISTAKES

AT-RISK CHOICES

Unsafe choices mistaken to be safe or justifiable RECKLESS CHOICES

Knows the choice is unsafe and unjustifiable, but does it anyway

UNDESIRED OUTCOMES NORMAL OUTCOMES

Promote & Design to Facilitate Design to minimise or mitigate Coach Back to Safe Choices & Design to Disincentivise Deter & Do Not Tolerate

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Just & Learning Culture

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Communicate Clearly and Consistently

Strong social norm to adhere to Safe Choices

We Are A Caring & Trusted CGH Safe Choices, Speaking Up, Learning & Just Leadership

Guiding Belief Critical Behaviours

A Caring & Trusted Culture A Sharing & Learning Culture Just Culture

From 2016

CORE SAFETY CULTURE THEMES

From 2017 From 2018

MOVING FORWARD & CONSOLIDATING THE CORE THEMES

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Safety Culture

Communicate Clearly and Consistently

PLEDGE CAMPAIGN VIDEO CAMPAIGN POSTER CAMPAIGN PATIENT SAFETY SITE PATIENT SAFETY DAY

PASSIVE & ACTIVE ENGAGEMENT OF STAFF

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If you want to learn about the culture, listen to the stories. If you want to change the culture, change the stories Michael Margolis

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Making it Relevant

Aim

  • sharing stories of serious patient

safety events

  • encourage openness in reflection,

sharing and learning

Key Features

  • What happened during the

incident?

  • What was learnt from the

incident?

  • What changes or improvements

have been made, if any?

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25 Ms Yasmin Ng Principal Pharmacist Ms A Punithavathi AD Nursing

Making it Personal

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Making it Personal

Recognise staff for reporting a near miss and/or having intercepted a error that could have caused harm to a patient

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Making it Possible

CGH QI Competency Roadmap

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Making it Possible

Enabling Concepts and Tools

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Making it Possible

Enabling Improvement Infrastructure

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Making it Happen - Together

Improvement Lab

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Making it Fun

CGH Improvement Festival

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  • Will

– Anchored on Mission, Vision and Values

  • Idea

– Systemic – Inclusive

  • Execute

– Competency – Enabling environment

Creating, Nurturing and Sustaining a Safety Culture

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“The world is moved along, not only by the mighty shoves of its heroes, but also by the aggregate of tiny pushes of each honest worker.” – Helen Keller

Courage doesn’t always roar. Sometimes courage is the quiet voice at the end of the day saying : I will try again, tomorrow Mary Ann Radmacher