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Transparency, Training, and Staff Safety Rounds						Print
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										Hospital management, administrative staff, physician, and nurse listening to another nurse talking.Photo by Getty Images
**Transparency, Proactive Communication**
Transparency and proactive communication includes:
Communicating with healthcare workers
Promote positive messages on the intranet, highlight ‘caught in the act’ participants.
Promote safe handling on the unit (e.g., place signage).
Implement processes to report near misses and share root causes with staff including deviation from safe practice and procedures compliance.
Encourage employees to have a voice and offer non-punitive response.
Share and discuss results of safety culture surveys.Communicating with patients and their families
Promote positive messages in brochures or patient information.
Explain healthcare worker hazard protection (e.g., gloves, surgical masks, respirators, goggles, signage) (Lind et al., 2014).**Safety Culture Training**
Providing safety culture training should be completed at orientation and at regular intervals. Providing ‘on the spot’ training when unsafe incidents or work practices occur and evaluating training results for program improvement should also be performed.
**Staff Safety Rounds to Evaluate the Work, Conditions, and Environment**
Performing staff safety rounds is important to evaluate the work, conditions, and the work environment. Safety rounds should include:
Discussing how to avoid workarounds, developing monitoring systems for safe practice deviation, need for change and safety compliance, and a respectful work environment (Rugs et al., 2012).
Utilizing evaluation and safety culture survey results for program improvement and measuring against baseline data. Prioritizing all changes needed.
Creating opportunities for safe practice motivation.PreviousNext
							
					
							Last Reviewed:  October 3, 2022						Source: 	National Institute for Occupational Safety and Health
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        Syndicate homeSafety Culture in Healthcare Settings
Training Informationplus icon
Introduction
Module 1: Safety Cultureplus icon
Why a Culture of Safety is Important
The Sociotechnical Model
Definition Examples of Safety Culture and Overlap with Safety Climate
Key Attributes and Joint Benefits of Safety Culture
Common Features of Positive Healthcare Worker Safety Culture
General Measurable Elements of a Safety Culture
Tools to Measure Safety Culture and Climate
A Snapshot of Safety Culture in U.S. Hospitals
References
Quiz 1Module 2: Work-Related Risks and Hazardsplus icon
Biological Hazardsplus icon
Chain of Infection Components
Risk Factors of Biological Agents and Unsafe Practices
Chemical Hazards
Enviromechanical Hazards
Physical Hazards
Psychosocial Hazards
Hazard Assessment/Determination
Case Study
References
Quiz 2Module 3: Prevention and Control of Work-Related Injury and Illnessplus icon
Hierarchy of Controls
Elimination: Physically Remove the Hazard
Substitution and Engineering Controls
Administrative Controls: Change the Way People Work
Personal Protective Equipment (PPE): Protect the Worker with PPE
Donning and Doffing PPE: Proper Wearing, Removal, and Disposal
References
Quiz 3Module 4: Leadership and Safe Work Environmentsplus icon
Commitment to Workplace Safety as High Priority and Through Role Modeling
Policies and Procedures and Safe Patient Handling
Hazard Analysis and Safe Staffing Workloads
State-of-the-Art Training and Handling Patients
Engage Healthcare Worker Champions and Observe Work
Transparency, Training, and Staff Safety Rounds
References
Quiz 4Module 5: Legal-Ethical Considerations to Promote Safe Working Conditionsplus icon
The Occupational Safety and Health Act and OSHA Standards
OSHA Healthcare Standards
OSHA Hazard Communication Standard and OSHA Guidelines
What Workers Can Do
Ethics and Healthcare Worker Exposure Considerations
Ethical Principles
References
Quiz 5Safety Culture in Healthcare Settings: Resources Follow NIOSH Facebook
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