Patient Safety Culture and Leadership Surveys
As part of its Centers for Medicare & Medicaid Services (CMS) Quality Improvement Organization (QIO) Ninth Scope of Work (9SOW), NMMRA is working with a select group of nursing homes and hospitals to conduct patient safety culture surveys and leadership surveys.
According to the Institute of Medicine report, “Crossing the Quality Chasm,” the biggest challenge to moving toward a safer health system is changing the culture from one of blaming individuals for errors to one in which errors are treated not as personal failures, but as opportunities to improve the system and prevent harm. The patient safety culture and leadership surveys provide a framework for addressing this challenge.The survey instruments used are:
AHRQ Surveys on Patient Safety Culture
The AHRQ patient safety culture assessment tools are designed to:
- Assess patient safety culture
- Track changes in patient safety over time
- Evaluate the impact of patient safety interventions
As part of its last SOW, NMMRA engaged 11 rural New Mexico hospitals in participating in conducting the AHRQ patient safety culture survey, the results of which were added to the national AHRQ database. Based on data from nearly 400 United States hospitals, the Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report provides initial results that hospitals can use as benchmarks in establishing a culture of safety. The report consists of a narrative description of the findings and two appendixes, presenting data by hospital characteristics and respondent characteristics.
The AHRQ hospital survey is designed to be administered to all types of hospital staff, including clinical and non-clinical. It can be used to assess individual hospital units or departments, or it can be administered hospital-wide. Survey items have demonstrated reliability and validity. For more information, a survey Toolkit is available on the AHRQ Web site.
The safety of nursing home resident care is critical to the quality of care in nursing homes. As nursing homes continually strive to improve, there is growing recognition of the importance of establishing a culture of safety. Achieving such a culture requires an understanding of the values, beliefs and norms about what is important in the organization and what attitudes and behaviors related to resident safety are expected and appropriate. For more information about the AHRQ Nursing Home Resident Survey on Patient Safety Culture, access a Users Guide.
Hospital Leadership and Quality Assessment Tool
The Hospital Leadership and Quality Assessment Tool© (HLQAT) is designed to assess the perceptions of hospital board members, executives and managers about important areas of leadership engagement in clinical quality improvement activities within their organizations. Alignment of goals and priorities throughout an organization is clearly demonstrated to be associated with high performing organizations. The survey is designed to provide hospitals with information on how leadership perceives the hospital’s level of commitment and engagement in activities supporting quality improvement. In addition, the results can point to areas where there are differences in perception between various leadership roles and titles. It was developed by the University of Iowa’s Department of Health Management and Policy, Health Services Advisory Group, Premier/Care Science and the Oklahoma Foundation for Medical Quality, with input from Westat.
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