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Exit Survey
 
Culture 
Not Implemented Planning to Implement Currently Implementing (in pockets) Implemented but not Hardwired Fully Implemented - part of culture
Just Culture Training for all staff
Just Culture Algorithm for responding to error
Implemented communication tool to stop the line/assert
Safety forums/meetings for leaders across the system to connect
Culture results are shared and acted on at all levels
 
 
Leaders
Not Implemented Planning to Implement Currently Implementing (in pockets) Implemented but not Hardwired Fully Implemented - part of culture
Board involvement in patient safety and quality
Consistent senior leader rounding
Senior Leader "Adopt a unit Program"
Forum for staff to suggest and participate in improvement
Substantial resources devoted to continually develop clinical and non-clinical leaders
 
 
Teams
Not Implemented Planning to Implement Currently Implementing (in pockets) Implemented but not Hardwired Fully Implemented - part of culture
Teamwork and Communication Program (ex: TeamSTEPPS)
Daily Safety Huddles
Human Capital Strategy (staffing plan, skill mixture, etc)
Process improvement strategies at the front line (Lean, Six Sigma, etc)
"In-Situ Simulation" or other ongoing teambuilding activities
 
 
Learning
Not Implemented Planning to Implement Currently Implementing (in pockets) Implemented but not Hardwired Fully Implemented - part of culture
Meaningful Root Cause Analysis (RCA) process
Forum for reporting errors and learnings
Debriefing across organization
Simulation
Employee forums/ongoing training on patient safety
 
 
Implementation
Not Implemented Planning to Implement Currently Implementing (in pockets) Implemented but not Hardwired Fully Implemented - part of culture
Consistent process and tracking methodology for action planning and execution
Systematic Process Improvement across all departments
Measurement system for improving patient safety
Leadership support through coaching and accountability
Forums for sharing success, learning, and receiving feedback
 
 
Patients
Not Implemented Planning to Implement Currently Implementing (in pockets) Implemented but not Hardwired Fully Implemented - part of culture
Patients/Families are involved on advisory committees
Patient Safety and Satisfaction work and metrics are integrated
Patient Safety is consistently reinforced (Mission, Vision, Values, & Leadership)
Partners in monitoring for compliance with safety practices
Staff follow a standardized and effective method of sharing information when handing off patient
Patient input is solicited and acted on
 
 
 
Other Major initiatives
   
 
 
 
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