1. Disclosure  I do not have any affiliations with a commercial organization 1

2. SPEAK OUT FOR SAFETY: COMMUNICATION TOOLS AND SAFETY CULTURE Adele Harrison

3. My Story 3

4. Communication and Patient Outcomes 500 Patient Safety &Learning System events/year 32% Patient Care Quality Office events 4

5. Communication, Culture and Safety Communication Culture Safety Engaged staff Patient & Staff Safety “CUS”“I am concerned” “I am uncomfortable” “This is a safety issue” STOP Closed Loop Communication Repeating back in your own words 5

6. Speak Out for Safety Communication Tools Culture of Safety Enhanced Patient Quality & Safety Improved patient experience Safety events reduced Potential $41,000 saved/claim Enhanced Staff Satisfaction & Safety Staff sick time reduced 10% Staff Injury Reduced Potential $24,000 saved/unit/year 6

7. Aim Statement  To improve the patient safety culture by October 2014 as measured by a:  10% reduction in sick time (costs)  10% increase in patient safety event reporting  10% increase in staff feeling safety concerns are heard 7

8. Build the team Develop a vision and strategy Gain understanding and buy-in Empower others Short term wins The Project Create a new culture Create a sense of urgency 8

9. The Teams  Susan Kurucz, Ann Dawkes and the Chemainus Health Care Centre staff, Island Health  Gillian Kozinka and the Victoria Neonatal Intensive Care Unit staff, Island Health  Bart Johnson, Quality and Safety, Island Health  Ann Marie Leijen and the UBC Sauder School of Business Physician Leadership Program 9

10. Safety Climate 10 Do you feel your concerns about patient safety are heard? Unit A Unit 1

11. What we Learned  No shortage of enthusiasm  Staff looking for solutions to problems  Importance of role modelling at all levels of organization  Different emphasis on the 2 tools for each site  Different implementation strategies for different sites 11

12. Sick time and overtime data: October 2014 12 699 to 425 (39% ↓) 228 to 162 (29% ↓)

13. Sick time and overtime data: January 2015 13 221 to 178 (19% ↓)303 to 404 (33%↑)

14. Patient Safety Event Reporting 14

15. Patient Safety Event Reporting 15 ↑ from 62% to 81%

16. Safety Climate 16 Please give your unit an overall grade on patient safety

17. Safety Climate 17 Do you feel your concerns about patient safety are heard?

18. What did the data mean to you ?  Did the patient safety culture improve by October 2014?  10% reduction in sick time (costs) ?  10% increase in patient safety event reporting ?  10% increase in staff feeling safety concerns are heard ? 18

19. Speak Out for Safety “CUS”“I am concerned” “I am uncomfortable” “This is a safety issue” STOP Closed Loop Communication 19