Illinois Hospital Association

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Organizational Framework for a Culture of Safety

Illinois hospitals are engaged in a continuing journey to provide safe, quality patient care. It is clear from current events and experience that our good work in this area must be visible to the communities we serve and our executives actively involved in leading patient safety improvements. Advancing a culture of patient safety is met by facilitating changes both in a hospital’s internal operations, as well as the external environment. As part of IHA’s on-going commitment to improve patient safety, the Patient Safety Steering Committee has developed the attached document, an "Organizational Framework for a Culture of Safety" (click here). The template is our effort to pull together leadership and safety strategies from accreditation authorities, government sources, literature searches, and member insights into a simple reference guide.

The tool’s purpose is multifaceted. First, it serves as a modest checklist of key organizational components with which to gauge your individual hospital’s efforts towards evolving to a "culture of safety." The complex and expansive nature of the patient safety issue, from medication safety to clinical informatics to team skills building and more, means that each hospital is at a different stage on its journey to a ‘safety’ culture. Therefore, the template attempts to broadly outline the most basic elements of a patient safety framework for excellence, isolating a core "four" to initially focus organizational efforts. The bullets following some categories are not prescriptive but are intended to offer only examples.

Second, each bolded category represents opportunities and serves as a guide for further organizational and staff development. Resources for each area, e.g. leadership, process redesigns, disclosure policies, etc. are extensive today and are continually expanding. Hospitals are encouraged to seek those available through the IHA Patient Safety web page. Members are also encouraged to identify resources that IHA could add to be helpful to your internal efforts.

Third, the template offers a communication vehicle to convey a hospital’s activities and progress about its patient safety programs and efforts. In light of recent media and legislative interest, some patients and communities are looking for additional information about safety matters and the tool is intended to help in addressing those concerns.

Lastly, as an advocacy initiative the IHA Board is asking member hospitals to formally adopt the template as a visible demonstration that Illinois hospitals are committed to advancing a patient safety culture. The objective is for a high percentage of our membership to participate in adopting this model to convey both the sense and substance of the hospital community’s commitment to patient safety.

Staff Contact: Cathy Grossi: (630) 276-5706