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Learning practices that reinforce safe behaviors

The Patient Safety Culture “bundle” is arranged in three main parts with sub-sections under each; as with other safety bundles, all components (vs. a piecemeal approach) are required to improve patient safety culture. Improving patient safety culture requires sequential, iterative and simultaneous interventions that ENABLE, ENACT and LEARN.

This section specifically examines the LEARNING components of the Bundle.

Learning: The table below addresses learning practices that reinforce safe behaviours. The Learning section provides tools and resources to ensure that there are systems in place to support education and capability building, incident reporting/management/analysis, safety/quality measurement/reporting and operational improvements. Please clink on the hyperlink within this subsection to access freely available tools and resources to support your work within this leadership area.

Resource Title
collapse Category : Education/capability building ‎(11)
collapse Component : Leaders/staff/physicians trained in safety and improvement science, teamwork, communication ‎(6)
CPSIEducation Program
CPSIEducation Program
CPSIEducation Program
CPSIEducation Program
CPSIEducation Program
CPSITools and Resources
collapse Component : Team-based training, drills ‎(5)
BMJ Quality and SafetyArticle
World Health Organization (2018)Resource
Midwives magazine (May 2007)Article
Official Journal of the Society for Academic Emergency Medicine (2008)Article
The Australian Journal of Nursing Practice, Scholarship & Research (2015)Article
collapse Category : Incident reporting/management/analysis ‎(8)
collapse Component : Effective risk/incident reporting system for events related to patients/families and staff/physicians ‎(2)
CPSITools & Resources
CPSITools & Resources
collapse Component : Structured processes for responding to and learning from safety events/critical incidents ‎(6)
CPSITools & Resources
CPSITools & Resources
IHI (2011)Article
NHSTools & Resources
HIROCTools & Resources
CPSITools & Resources
collapse Category : Operational improvements ‎(7)
collapse Component : Structured methods, infrastructure to improve reliability, streamline operations ‎(7)
BMC Health Serv Res (2010)Article
Clinical Human Factors Group (2013)Guide
Agency for Healthcare Research and Quality (2014)Report
The Academy of Medical Sciences (2017)Report
MedStar Health National Centre for Human Factors in HealthcareVideo
CMPAEducation Program
collapse Category : Safety/quality measurement/reporting ‎(12)
collapse Component : Regular measurement of safety culture; patient/family complaints; and staff/physician engagement ‎(5)
Qual Saf Health Care (2003)Article
University of Adelaide (2007)Article
Patient Experience Journal (2014)Article
OECD (2018)Report
The Joint Commission Journal on Quality and Patient Safety (2014)Article
collapse Component : Regular, transparent reporting of safety/quality plan results ‎(3)
National Academy of Medicine (2016)Article
Health Informational (2011)Report
collapse Component : Retrospective/prospective safety and quality process and outcome measures ‎(4)
AHRQ (2019)Article
Journal of Biomedical Informatics (2003)Article
Boston University School of Public HealthWebpage