1. Advancing, Adopting, and Achieving a Culture of Safety #SpotlightonSafety Tracy Wyant, MSN, DNP(c), RN-BC, AOCN®, CHPN Laurl Matey, MSN, RN, CHPN

2. What is a Culture of Safety? “Core values and behaviors resulting from a collective and sustained commitment by organizational leadership, managers and health care workers to emphasize safety over competing goals.” “The goal of a culture of safety is to lessen harm to patients and providers through both system effectiveness and individual performance, numerous threats to patient safety remain and errors occur at all interfaces of care delivery.” (ANA, 2016)

3. Why Is This So Important? IOM reports from 2000 and 2001: To Err Is Human: Building a Safer Health System Crossing the Quality Chasm: A New Health System for the 21st Century. 15 years later… Countless quality and safety initiatives developed Recent studies suggest patients experience a far greater number of adverse events each year than even suggested by the IOM reports.

4. Types of Safety Risks Physical Environmental Developmental Cultural Psychosocial Emotional Financial Patient Nurse and staff Many more!

5. Steps to a Safe Culture Advance Your Knowledge – Know evidence-based standards and interventions for safe care – Promote holistic safety in all domains of care – Enhance individual self-care behaviors – Advocate for change Adopt a Commitment to Optimal Safety – Leaders and staff collaborate to create team commitment – Policies and procedures reflect commitment to both patient and staff safety – Cultivate a safe work environment Encourage reporting of errors without fear or blame Address safety issues and errors promptly and effectively Achieve a Culture of Safety – Model safe behaviors and comply with safe practices – Communicate continually and effectively – Recognize and report safety concerns consistently – Be vigilant and accountable for safety – Educate patients on their role in safety

6. Recognize the ANA Culture of Safety campaign (Safety 360 ᴏ ) throughout 2016 Supportive and complementary initiative that engages ONS members #SpotlightonSafety Overview

7. Goal: To champion improved safety for oncology nurses and patients with cancer. Foster member engagement through discussion and sharing of initiatives/projects/ processes for building a culture of safety and the barriers/facilitators experienced. Educate and empower nurses with strategic interventions to initiate efforts that promote a culture of safety. Reinforce evidence-based aspects of practice and foundations of care that facilitate a culture of safety. Goal and Objectives

8. Bridge education/research/practice gap and find out… – what members know – what they need to know – what they need to enhance the culture of safety in their nursing environment. Determine processes and behaviors that promote and undermine a culture of safety. Consider educational and interventional tools to initiate, monitor, and improve the priority safety issues in clinical settings at all levels of nursing. Intended Scope

9. Share Your Concerns and Priorities Patient safety concerns Nurse and staff safety concerns Big Idea Safety Board – Attendee Lounge Virtual Safety Wall – Weekly mailings and tweets

10. How to Get Involved? At Congress Big Idea Safety Board Saturday Show Daily Multiple safety sessions Tweet and retweet #SpotlightonSafety Spot the slip ups here! After Congress Virtual Safety Wall Retweet #SpotlightonSafety Share Facebook Safety Sunday Chapter safety focus SIG safety focus Workplace initiatives Journal clubs and inservices Contact Tracy at twyant@ons.org to find out more ways to get involved!twyant@ons.org

11. Safety Scenarios: Spot the Slip Ups! #SpotlightonSafety Special thanks to our “patients”: Patrick Flynn Jessica Thompson