1. AHRQ Safety Program for Long-term Care: HAIs/CAUTI A Team Member’s Guide to a Culture of Safety Onboarding #1 for All Long-term Care Staff

2. Upon completion of this session, long-term care staff will: list three characteristics of a culture of safety; discuss the importance of a culture of safety in achieving positive resident outcomes; and explain the importance of their role in supporting a culture of safety. 2 Learning Objectives

3. Why Are We Talking About a Culture of Safety? The HAIs/CAUTI-LTC Program has two overarching goals: – Reduce catheter associated urinary tract infections (CAUTIs) in participating long-term care facilities. – Improve safety culture. 3

4. T.E.A.M.S. Intervention (A.K.A. the Cultural Intervention) T eam formation to plan and implement program E xcellent communication skills learned A ssess what’s working and plan to expand M eet monthly to learn together S ustain efforts and celebrate success 4

5. What is Culture? Culture consists of values, attitudes and beliefs that can have an impact on outcomes of resident care. 5 “the way we do things around here”

6. Why is a Culture of Safety Important? Culture is linked to clinical and operational outcomes in health care. By creating a culture of safety, resident care and outcomes will improve. Implementing any change is influenced by culture. 6

7. How Can YOU Support a Culture of Safety? Communicate, communicate, communicate Put safety first and aim for prevention Work as a team Participate in organizational learning opportunities (e.g., in-services) Comply with procedures Provide feedback regarding errors and incidents Participate in the Nursing Home Survey on Patient Safety Culture 7

8. Your Role in HAIs/CAUTI-LTC Help educate peers/teammates formally and by example Relay project information to residents, families and other staff Communicate with physicians and non-physician providers Monitor for and report small changes in a resident's condition Participate in training and in-services 8

9. Your Role in HAIs/CAUTI-LTC Help the team identify practical ways to: – Ensure proper catheter insertion and maintenance. – Achieve routine assessments of catheter necessity. – Improve teamwork with your team and other facility staff. – Make the long-term care safer for residents. Collect and report infection control data. 9

10. T.E.A.M.S. T eam formation to plan and implement program E xcellent communication skills learned A ssess what is working and plan to expand M eet monthly to learn together S ustain efforts and celebrate success 10

11. What are three characteristics of a culture of safety? Why is a culture of safety essential to achieve positive resident outcomes? What can you do to support a culture of safety? 11 Wrap Up Discussion

12. Stay Updated with Useful Resources 1. AHRQ Safety Program for Long-term Care: HAIs/CAUTI Project Website AHRQ Safety Program for Long-term Care: HAIs/CAUTI Project Website Login information Username: ltcsafety Password: ltcsafety 2.TeamSTEPPS ® for Long-term CareTeamSTEPPS ® for Long-term Care 3.Long-term Care Safety Toolkit— Coming Soon! 4.T.E.A.M.S. InfographicT.E.A.M.S. Infographic