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PSNet: Patient Safety Network
Journal Article

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.

Paine LA, Rosenstein BJ, Sexton B, et al. Quality & safety in health care. 2010;19:547-54.

Strategies that foster a positive safety culture are increasingly supported by emerging relationships between hospital safety culture and adverse events, such as readmissions. Teamwork training, executive walk rounds, and establishing unit-based safety teams are all initiatives associated with improvements in safety culture measurement. This study describes a hospital-wide initiative that significantly improved nearly all safety culture domains in 144 clinical units over a 3-year period. The initiatives implemented included a comprehensive unit-based safety program (CUSP), specific teamwork and communication tools, a series of educational venues, and investments in infrastructure and leadership positions. A past AHRQ WebM&M conversation and perspective discussed important facets of safety culture in health care.