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The Challenges of Implementing a Safety Culture
Bonnie Greenspan1,2, Glenda Payne3,4,5
1Consultant, Surveyor, and CEO of BBG Consulting, LLC, Alexandria, VA.
Summary
Patient safety is threatened by a declining nursing workforce capacity to prevent errors. This article offers strategies to bolster nurses' ability to block errors and improve patient safety.
Area of Science:
- Healthcare Quality Improvement
- Patient Safety Research
- Nursing Workforce Studies
Background:
- The President's Council of Advisors on Science and Technology has reviewed patient safety data.
- The nursing workforce's capacity to prevent medical errors is diminishing.
- Healthcare organizations vary in their support for maintaining a safety culture.
Purpose of the Study:
- To update on patient safety data and recommendations.
- To analyze the impact of the eroding nursing workforce on error prevention.
- To present strategies for renewing the nursing workforce's protective capacity.
Main Methods:
- Review of patient safety data and recommendations.
- Analysis of the nursing workforce's role in error blocking.
- Presentation of practical strategies and examples for enhancing safety.
Main Results:
- The nursing workforce's ability to block errors is eroding.
- Specific strategies and tactics are proposed to address this decline.
- Individual healthcare providers' courage in addressing persistent errors is highlighted.
Conclusions:
- Renewing the nursing workforce's error-blocking capacity is crucial for patient safety.
- Proactive strategies are needed to combat the 'everydayness of errors'.
- Support for a strong safety culture is essential in healthcare organizations.
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