Safety Culture is a demonstrably reliable predictor of clinical safety behaviours and patient safety outcomes. For this reason the CEC is currently testing mixed-methods approaches to safety culture assessment comprised of quantitative staff surveys (using the Safety Attitudes Questionnaire) and ward-level focus groups and interviews.
This approach is consistent with the findings of a recent review of Safety Culture tools published by the Australian Commission for Safety and Quality in Healthcare: Safety Culture Assessment in Health Care: A review of the literature on safety culture assessment modes.
Safety Culture Measurement
The CEC's position on safety culture is that it is best measured at the team-level through a mixed method approach, and that it is always wrapped in a structured and supported improvement framework. To support teams wanting to undertake a safety culture measurement the CEC have tested and developed a suite of tools and guidance to help plan, implement, report and develop an action plan from the results.
The CEC guidelines and tools serve as a self-contained set of instructions and templates to enable your health service to administer a safety culture survey effectively and can be adapted for local conditions.
- Undertaking a safety culture measurement - summary of the safety culture measurement process and where information is available.
- A Guide to Safety Culture Measurement - complete step by step guide and resources to support teams and organisations undertaking a safety culture measurement.
- Introduction to Safety Culture - powerpoint presentation that can be adapted to provide an introduction to safety culture
- SAQ subscale and item calculator
- Safety Culture report template
- Pre survey poster template
- Post survey poster template
Safety culture measurement and Accreditation
The importance of measuring safety culture for quality improvement is articulated in the Australian Commission for Safety and Quality in Healthcare National Safety Clinical Governance Standard, Action 1.1 Governance, leadership and culture. Engaging in a safety culture measurement process will demonstrate commitment to safety and quality improvement as well as provide evidence to support accreditation.
If you have any comments or feedback please contact CEC-CapabilityAndCulture@health.nsw.gov.au