High Reliability and Culture of Safety Toolkit

A matrix designed by The Joint Commission to identify specific areas that need to be investigated during a RCA of a sentinel event.

A quick reference to use when conducting an FMEA. This resources guides you through steps, probability and severity ranking and development of plans for improvement of a process.

An article to support the benefits of leadership rounds in safety.

A gap analysis designed to assist organizations at evaluating current practices against best practices in their journey to being highly reliable.

An informative powerpoint presentation from IHI discussing how to develop a culture of safety that supports patient care.

Sample culture of safety survey from AHRQ.

Sentinel Event Alert Issue #57 from The Joint Commission discussing culture of safety.

A sample guide for leaders to improve the culture of safety.

A sample guide to conducting monthly meetings with employees that support culture of safety.

A worksheet for the Leadership Team to evaluate gaps in skills.

A selection of sample handoff communication tools.

A list of points to remember during a debriefing with a patient.

Great tips for staff to improve bedside reporting of patient care.

Tool that discusses the value of bedside reporting plus sample scripts staff can customize and use in real time.

A evidence-based tool to aid in consistent, standardized staging of pressure ulcers.

A sample tool to help identify patients at high risk for falls while in the hospital.

This webinar is meant to increase your knowledge related to characteristics that Highly Reliable Organizations exhibit and help you understand some best practices that can be incorporated into your organizations’ culture.

A collection of resources from The Joint Commission Center for Transforming Care that provides the framework for organizing an organization's journey toward high reliability. The framework focuses on three areas: leadership commitment, safety culture and an empowered workforce.

High reliability organizations display certain characteristics. This information on AHRQ's PSNet site describes the five characteristics of highly reliable organizations.

Description of each characteristic of high reliabilty organizations provided by the VA National Center for Patient Safety.

Article that provides a list of 10 ideas to improve communication with patient handoffs.

A tool developed to facilitate leadership walk rounds. The tool gives suggestions on the types of questions leaders should ask staff, who should be involved and where the rounds should be conducted.

Step-by-step instruction from AHRQ on how to develop a process for daily huddles.

This slide presentation from The Joint Commission discusses how to develop a culture of safety in your organization.

This sample policy addresses organizational commitment to Just Culture.

A step-by-step guide from IHI on how to create a culture of safety within the organization. This resource provides information on the role of the patient safety officer, how to address adverse events when they occur and various types of programs that can be created to facilitate the process.