Safety Climate Surveys – Experience from SPI 2 March 18th 2008 Safety Climate Surveys – Experience from SPI 2 Presenter: Mike Spencer M.Pharm Leadership and Safety Climate

Safety Climate Survey Why is it important? How did we do it? What did we learn? How are we using it? Leadership and Safety Climate

Why is it important? Provides a baseline measurement Allows early engagement with the organisation Demonstrates senior sign up and engagement Leadership and Safety Climate

How did we do it? Aimed to cover all clinical staff at UHW medical, nursing and unqualified staff Allied Health Professionals and pharmacists Phlebotomists and other clinical support staff Leadership and Safety Climate

How did we do it? Direct mail to consultants Direct mail to junior medical staff Ward staff through directorates and ward managers Allied Health Professions and others through directorates Leadership and Safety Climate

How did we do it? All forms numbered and destination known e.g. consultants by Service Group Ward staff by ward Other staff by directorate All forms returned to central point by post Confidentiality assured Leadership and Safety Climate

Leadership and Safety Climate

Leadership and Safety Climate

Leadership and Safety Climate

Practical Lessons Lots of paper! Good record keeping needed Response rate influenced by Post versus face to face During meetings>hand delivery>post Leadership at ward/directorate level Enthusiasm and engagement Leadership and Safety Climate

Safety Climate Survey Results 4177 Sent out 1523 returned (36.5%) Reasonable spread with some exceptions 19 questions, 7 used as the basis for a “safety climate” measure Can identify wards with highest (most positive) scores Can identify staff groups/wards with lowest scores Leadership and Safety Climate

Q1 The culture of this organisation makes it easy to learn from the mistakes of others Q2 Medical Errors are handled appropriately here Q3 The leaders in my hospital listen to me and my concerns Q8 I am encouraged by my colleagues to report any safety concerns I may have Q9 I know the proper channels to which I should direct questions regarding patient safety Q10 I receive appropriate feedback about my performance Q11 I would feel safe being treated as a patient in this hospital Leadership and Safety Climate

Staff Groups (n=1523) Leadership and Safety Climate

Safety Climate Scores Leadership and Safety Climate

Staff Experience in Position Leadership and Safety Climate

Experience in Position – Mean Scores Leadership and Safety Climate

Frontline Areas Leadership and Safety Climate

Frontline Ward versus Similar Wards Leadership and Safety Climate

Staff Group A Leadership and Safety Climate

Leadership and Safety Climate

How have we used the results? Presented to frontline teams Presented to Executives and Management Board Shared with couplet To be presented to Clinical Governance meetings To be included in newsletter Leadership and Safety Climate

Conclusions We have a baseline Repeat survey at the end of September 2008 Areas for focus Leaders listening to concerns Giving appropriate feedback Culture and ease of learning from mistakes Occurrence of safety briefings Key measures: Culture re learning (Q1) 3.32 to 4 Occurrence of safety briefings (Q13) 3.23 to 4 Organisation doing more than 1 year ago (Q15) 3.44 to 4 I would feel safe as a patient (Q11 3.39 to 4 Leadership and Safety Climate