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References						Print
																Related Pages
										Agency for Healthcare Research and Quality (AHRQ) (2019). Patient Safety Network (PSNET) Culture of Safety.
American Nurses Association (ANA) (2016). American Nurses Association Calls for a Culture of Safety in All Health Care Settings.
Bureau of Labor Statistics. Table 2: Numbers of Nonfatal Occupational Injuries and Illnesses by Industry and Case Types, 2019. Washington, DC: U.S. Department of Labor, Bureau of Labor Statistics (2020).
DiCuccio MH (2015). The Relationship Between Patient Safety Culture and Patient Outcomes: A Systematic Review. Journal of Patient Safety, 11(3), 135–142.
Gershon RR, Stone PW, Bakken S, Larson E (2004). Measurement of Organizational Culture and Climate in Healthcare. The Journal of Nursing Administration, 34(1), 33–40.
Henriksen K, Dayton E, Keyes MA, Carayon P, Hughes R (2008). Understanding Adverse Events: A Human Factors Framework. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Washington, DC: Agency for Healthcare Research and Quality.
Hessels AJ, Wurmser T (2020). Relationship Among Safety Culture, Nursing Care, and Standard Precautions Adherence. American Journal of Infection Control, 48(3):340-341.
Institute for Healthcare Improvement (2020). Improvement Stories.
Lee TR (1996). Perceptions, Attitudes and Behaviour: The Vital Elements of a Safety Culture. Health and Safety 10:1-15.
McHugh MD, Kutney-Lee A, Cimiotti JP, Sloane DM, Aiken LH (2011). Nurses’ Widespread Job Dissatisfaction, Burnout, and Frustration with Health Benefits Signal Problems for Patient Care. Health Affairs (Project Hope), 30(2): 202–210.
Stone PW, Harrison M, et al. (2005). Organizational Climate of Staff Working Conditions and Safety-An Integrative Model. Advances in Patient Safety: From Research to Implementation (Volume 2: Concepts and Methodology). Agency for Healthcare Research and Quality (US).
The Joint Commission (TJC)
11 Tenets of a Safety Culture (2017)
Improving Patient and Worker Safety: Opportunities for Synergy, Collaboration and Innovation (2012).
Sentinel Event Alert 57: The Essential Role of Leadership in Developing a Safety Culture (2021).
Vaismoradi M, Tella S, Logan P, Khakurel J, Vizcaya-Moreno (2020). Nurses’ Adherence to Patient Safety Principles: A Systematic Review. International Journal of Environmental Research and Public Health, 17(6): 2028.
Weaver SJ, Lubomksi LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM (2013). Promoting a Culture of Safety as a Patient Safety Strategy: A Systematic Review. Annals of Internal Medicine, 158 (5 Pt 2): 369–374.PreviousQuiz
							
					
							Last Reviewed:  April 28, 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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Workplace Safety & Health Topics
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