The National Quality Forum's Safe Practices for Healthcare and the Leapfrog Group both mandate hospitals to regularly assess their safety culture. This AHRQ Web site provides validated safety culture survey tools and user guides. Hospitals can also use the AHRQ database to compare their Patient Safety Culture Survey results. In addition, an annual report summarizes the benchmarking data across more than 1000 hospitals nationwide. Poor staff perception of safety culture has been linked to increased error rates in hospitals. Culture has also been described as a key to establishing high reliability organizations. An AHRQ WebM&M perspective discussed how to establish a safety culture.